Modernizing Healthcare Through Intelligent, Compliant Systems
We build AI-powered healthcare platforms aligned with CMS interoperability initiatives — combining compliance automation, real-time data exchange, and patient-centered digital experiences.
CaaS
Compliance as a Service engine
FHIR
Da Vinci standards enforced at point of execution
CMS
Formally pledged interoperability commitment
We have formally pledged our commitment to CMS-led initiatives focused on interoperability, patient access, reduced administrative burden, and value-based care transformation — across Data Networks, Health Systems & Providers, Patient-Facing Applications, Digital Intake Modernization, and Payers.
Who We Are
A healthcare technology platform company built for CMS modernization.
Our solutions are designed to align with Centers for Medicare & Medicaid Services interoperability and digital health initiatives — enabling organizations to operate compliantly, exchange data seamlessly, and deliver better patient experiences.
Compliance & Interoperability Engine
Validates healthcare transactions for quality and integrity. Enforces FHIR and Da Vinci standards at the point of execution, identifying and resolving compliance gaps before submission.
Intelligent Workflow Automation
Streamlines complex healthcare operations through real-time validation, automated prior authorization workflows, exception handling, and continuous compliance monitoring.
Patient Experience Applications
Conversational AI assistants that guide patients through care journeys, digital intake to eliminate manual forms, and chronic condition support for diabetes and obesity.
Payer & Provider Enablement
Supports payers, TPAs, ACOs, and provider organizations in meeting CMS mandates while improving operational efficiency and data transparency across the care continuum.
How It Works
A connected platform — not a point solution.
01
Compliance & Interoperability Layer
Validates the quality, accuracy, and compliance of healthcare transactions in real time. Ensures alignment with CMS regulatory requirements and enforces FHIR and Da Vinci standards at the point of execution.
02
Workflow Automation Layer
Embeds compliance directly into healthcare workflows. Automates prior authorization, delivers real-time decision support, and surfaces exception handling before issues reach submission.
03
Patient Experience Layer
Extends intelligence and compliance to the patient front door — conversational AI, digital intake modernization, and chronic condition support aligned with CMS population health priorities.
Why Healthcare Can't Wait
Fragmented
Systems and data silos blocking compliant, coordinated care
Rising administrative burden consuming resources that belong in care delivery
Why It Matters
Most solutions address isolated problems. We don't.
Healthcare organizations are navigating evolving CMS requirements, increasing regulatory complexity, fragmented systems, and rising administrative costs. Conscious Connect provides a connected platform that embeds compliance into workflows and validates the quality, accuracy, and compliance of healthcare transactions in real time.
Validate healthcare transactions at the point of execution — not after the fact
Ensure alignment with CMS regulatory requirements across payers and providers
Eliminate compliance gaps before they reach submission
Improve the reliability and usability of exchanged data across systems
Our Commitment
Aligned with CMS's vision for a connected, data-driven, patient-centered ecosystem.
Our Pledge
We have formally pledged support for CMS-led initiatives focused on advancing interoperability and secure data exchange, improving patient access to health information, reducing administrative burden, enabling patient-centered digital experiences, and supporting value-based care transformation.
Our Differentiation
We are not a clearinghouse, a point solution, or a disconnected application. We help organizations operate correctly from the start — embedding compliance into every transaction, workflow, and patient interaction rather than layering it on after the fact.
Built for the Future
Where three forces converge.
Healthcare is entering a new era defined by interoperability, intelligence, and patient empowerment. We are building the systems that make that future possible.
CMS Interoperability
FHIR-native architecture and Da Vinci framework support ensuring regulatory compliance at every transaction.
Artificial Intelligence
AI-powered compliance automation, decision support, and conversational patient experiences embedded in every workflow.
Patient Empowerment
Digital intake, conversational AI, and chronic condition support that connect compliance to the patient experience.
"We don't just help organizations meet CMS requirements — we help them operate correctly from the start."
Conscious Connect Platform
Sophia Enterprise
A real-time compliance command center for healthcare organizations navigating CMS mandates, prior authorization, and value-based care reporting.
Sophia Enterprise is a real-time compliance command center that monitors every prior authorization case against CMS mandates, flags violations the moment they occur, and quantifies financial exposure before it becomes a crisis.
Real-Time Compliance Monitoring
Every prior authorization case tracked live against CMS-mandated SLA windows. Violations flagged the moment they occur — not discovered during an audit.
Financial Exposure Quantification
Sophia calculates regulatory exposure in real time — CMS fines, denial quality litigation risk, and at-risk revenue — so leadership always knows what's at stake.
CMS Mandate Enforcement
Sophia's rule engine enforces CMS-0057-F, 42 CFR §422.568, and DaVinci requirements automatically — across standard, urgent, and concurrent review cases.
Tamper-Evident Audit Trail
Every case event — EHR order to final decision — logged with timestamps, rule citations, and responsible parties. A complete, defensible record for CMS reporting.
FHIR-Native Architecture
Built on HL7 FHIR R4 — Sophia integrates directly with Epic, payer portals, and downstream systems. Live event capture from your existing infrastructure.
CMS Public Reporting Readiness
Automatically prepares Q1/Q2 CMS public reporting data — tracking violations, SLA performance, and denial quality metrics aligned with CMS-0057-F requirements.
Platform Architecture
Three layers. One connected compliance infrastructure.
Sophia Enterprise is built on the Conscious Connect three-layer platform — designed so that compliance, automation, and patient experience operate as a single integrated system, not three separate tools.
01
Compliance & Interoperability Layer
Validates the quality, accuracy, and compliance of healthcare transactions in real time. Enforces FHIR R4 and Da Vinci standards at the point of execution — identifying and resolving compliance gaps before they reach submission.
02
Workflow Automation Layer
Embeds compliance directly into healthcare operations. Monitors prior authorization workflows, delivers real-time decision support, manages exception handling, and provides continuous SLA and financial exposure monitoring.
03
Patient Experience Layer
Extends intelligence and compliance to every patient interaction — conversational AI assistants, digital intake modernization, and chronic condition support aligned with CMS population health priorities.
See Sophia Enterprise in action.
Explore the live demo or schedule a walkthrough with our team.
Advisory · Implementation · Compliance
Advisory, Implementation, and Compliance Services for Modern Healthcare Systems
We help organizations operationalize MAHA-aligned care, achieve CMS interoperability, and prepare for value-based reimbursement.
Core Service Offerings
Five ways we help healthcare organizations move forward.
We don't just advise — we help you implement, measure, and scale outcomes in alignment with CMS and value-based care.
01
Compliance as a ServiceFlagship
End-to-end CMS compliance and interoperability support
FHIR & DaVinci implementation
Regulatory readiness (CMS mandates)
Data standardization & reporting
Interoperability architecture
02
Value-Based Care & MAHA Readiness
Strategy and execution for next-generation care models
MAHA-aligned program design
Chronic disease & cognitive health frameworks
Outcomes measurement strategy
Pilot design for CMS/CMMI programs
03
Fractional Healthcare Leadership
Executive-level expertise without full-time overhead
Fractional Program / Transformation Leadership
Healthcare IT modernization
Vendor & system implementation oversight
Enterprise delivery governance
04
Project-Based Implementation
Hands-on delivery for complex healthcare initiatives
System implementations (FHIR, APIs, data platforms)
Workflow redesign
Data integration + ETL
Program execution support
05
Outcomes & Reporting Strategy
Design and implement measurable outcomes frameworks
KPI definition (clinical + financial)
Data capture models
CMS-aligned reporting frameworks
Cost-of-care analytics
How We Position Our Services
"We don't just advise — we help you implement, measure, and scale outcomes in alignment with CMS and value-based care."
Our services are designed to meet organizations where they are — and build the foundation for lasting, scalable change.
Meet immediate compliance and operational needs
Start with CMS compliance, FHIR readiness, or value-based care strategy — wherever the urgency is highest.
Establish the foundation for measurable outcomes
Build the data infrastructure, reporting models, and governance frameworks that prove value to payers and CMS.
Transition into the platform for ongoing scalability
Move seamlessly into Sophia Enterprise for continuous tracking, reporting, and outcomes measurement at scale.
Ready to see the platform in action?
Schedule a demo to see how Conscious Connect can work for your organization.
About Us
Turning Complex Change Into Real-World Results
Technology succeeds when organizations are ready to adopt it. That conviction drives everything we do.
"AI success is rarely about the technology alone — it's about organizational readiness, leadership clarity, and the capacity to absorb change responsibly."
— Monique Sophia Star, Founder & Principal
Meet the Founder
Monique Sophia Star
Founder & CEO
Monique Sophia Star is a transformation leader with over two decades of experience guiding complex, high-stakes initiatives across Fortune 500 companies, Big Four consulting environments, and mid-market organizations.
Her work sits at the intersection of technology, people, and execution — focusing on the part of transformation most organizations underestimate: decision ownership, leadership alignment, and the human systems required to make change actually stick.
Monique's background spans enterprise program leadership, organizational change management, and technology adoption in highly regulated environments, where governance, risk, and execution discipline determine success.
Notably, she worked on IBM Watson initiatives in the healthcare sector, supporting AI-enabled solutions within environments governed by strict regulatory, privacy, and compliance requirements.
Throughout her career, Monique has led and supported transformations across healthcare systems, CMS-regulated programs, compliance-driven initiatives, and enterprise platforms — helping organizations move from strategy to execution without disrupting operations or eroding trust.
She is known for her ability to diagnose where initiatives quietly break down before failure becomes visible — and for helping leadership teams strengthen accountability, decision channels, and organizational capacity at moments of rapid change.
Executive Leadership
The team behind the platform.
Brian Pellnitz
Chief Technology Officer
Brian is a senior technology executive with over 20 years of experience building the critical systems that allow organizations to scale rapidly and securely — spanning high-stakes healthcare implementations and global electronic distribution.
As IT Director at A2 Global Electronics, he architected one of the company's most consequential growth periods, overseeing a 400% expansion that reached $1.2 billion in global annual sales. An early mover in enterprise AI, he led adoption of AI technologies beginning in 2019 — years ahead of broader market adoption.
His healthcare credentials include implementing high-security biometric identification systems for major hospital networks, including BayCare Health System. As CTO of Conscious Connect, Brian leads the technical strategy to deliver full CMS interoperability and compliance to modern healthcare organizations.
Kim L. Simon
Chief Financial Officer
Kim is a senior finance executive with over 20 years of experience driving enterprise value across complex, asset-intensive organizations. With deep expertise in the Utilities and Services sectors, she leads financial strategy, capital optimization, and performance improvement at scale.
She is known for translating high-value transactions into sustained financial outcomes — bringing precision to capital allocation, cost structure, and operational efficiency. Her leadership spans M&A, financial restructuring, and enterprise-wide performance initiatives, consistently delivering measurable impact to the bottom line.
Brian M. Cline
Chief Revenue Officer
Brian is a senior revenue leader with nearly 30 years of experience driving growth across complex, infrastructure-driven organizations. Recognized as the youngest general manager within a $140M organization, he has a proven track record of securing multi-million-dollar contracts and building long-term client relationships that drive sustained growth.
His commercial experience spans large-scale enterprise environments, from high-rise developments to multi-phase infrastructure builds. Now focused on healthcare AI and compliance, Brian leads go-to-market strategy, enterprise sales, and strategic partnerships — helping healthcare organizations implement solutions that improve claims integrity, reduce costs, and ensure regulatory alignment.
Experience & Reach
Built on two decades of enterprise transformation.
20+
Years guiding enterprise transformation
F500
Fortune 500 & Big Four consulting experience
CMS
Regulated program & healthcare system expertise
Let's build something that lasts.
Ready to connect behavior, data, and compliance for your organization?
Get In Touch
Let's talk about what's possible.
Whether you're exploring a partnership or want to see the platform in action, we'd love to hear from you.
Send a Message
We're based in Tampa, Florida — working with healthcare organizations nationwide.
