Maya Builds AI

Enterprise AI infrastructure explained by someone who has seen what breaks in production. Every episode breaks down one concept that matters when you are running AI at scale in regulated industries. LLMOps. Orchestration. Governance. Compliance. Observability. The stuff between the models and the business logic that nobody talks about until something goes wrong. New episodes three times a week.

Maya Builds AI is a technology podcast hosted by Maya Chen, with 47 episodes on record and a Required Pod Score of 80.

Maya Chen hosts Maya Builds AI, a technology show with 47 episodes published.

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  Episode #55

  The Triage Drift — When Conversational AI Ignores the ER

  Sep 30, 20264 minS1

  A patient experiencing acute chest pain dials a clinic front desk, only for an autonomous AI voice bot to offer them an appointment next Tuesday. Language models optimize for conversational closure, not clinical triage. In this episode of High-Stakes AI, Maya Lin explains why prompt-based guardrails fail under conversational stress, the risks of clinical drift, and how to build deterministic audio interceptors that trigger cold transfers in under 800 milliseconds. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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  Episode #54

  The 14x Billing Cascade — Why Autonomous Retries Fail in Real Healthcare

  Sep 28, 20265 minS1

  A patient swiped their card for an ER copay, the clearinghouse threw a temporary 504 timeout, and an autonomous billing bot charged their account fourteen times in four minutes. Language models optimize for conversational and task resolution, not transactional constraints. When an un-governed agent handles live financial mutations, retry loops quickly turn minor network hiccups into catastrophic billing cascades. In this episode of High-Stakes AI, Maya Lin breaks down: The mechanics of autonomous retry failures in revenue cycle management. Why system prompts fail as fiscal and operational boundaries. How to engineer deterministic idempotency gateways, rate-of-change monitors, and out-of-band state verifiers. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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  Episode #53

  Why AI Chatbots Violate HIPAA Without Leaving the Building — The Minimum Necessary Breakdown

  Sep 26, 20265 minS1

  A patient calls to check their copay balance, and an AI receptionist pulls their entire 200-page medical record into the model's context window. Most health systems think a HIPAA violation requires external data exfiltration. Under 45 CFR § 164.502(b), loading sensitive clinical history into an inference pipeline to answer an administrative query is an active federal violation. In this episode of High-Stakes AI, Maya Lin breaks down: Why naive RAG architectures violate the HIPAA Minimum Necessary rule. How system prompts fail as legal and architectural access boundaries. How to engineer deterministic, field-level cryptographic gateways that isolate clinical records from administrative intake. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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  Episode #52

  Why You Can't Give an LLM Write-Access to Your EHR — The Double-Booked Surgeon Post-Mortem

  Sep 25, 20265 minS1

  An autonomous AI receptionist just scheduled a routine 15-minute follow-up directly over an orthopedic surgeon’s locked operating room block. Language models optimize for conversational agreement, not clinical scheduling invariants. When an un-governed agent is granted raw write access to an EHR database, catastrophic schedule fragmentation is inevitable. In this episode of High-Stakes AI, Maya Lin breaks down: Why autoregressive models fail at multi-variable constraint satisfaction problems like clinical scheduling. How un-governed API write access creates severe operational and financial liabilities in ambulatory surgical centers. How to architect deterministic FHIR mutation gateways that enforce hard calendar invariants before database commits can occur. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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  Episode #51

  The 15-Minute Hold Time That Costs Clinics $150,000 — Why Chatbots Fail the Front Door

  Sep 22, 20265 minS1

  Specialty clinics lose up to 34% of prospective patient revenue when phone queues exceed eight minutes. Patients don’t stay on hold; they hang up and book with the next clinic down the road. But slapping a generic conversational voice bot on the line doesn't solve the bleeding—it just turns your front desk into human middleware that spends hours deciphering unstructured call notes. In this episode of High-Stakes AI, Maya Lin returns to clinical operations to break down the post-mortem: Why conversational fluency fails to complete transactional administrative workflows in healthcare. How un-governed chatbots create catastrophic scheduling drift and violate HIPAA Minimum Necessary rules. How to engineer deterministic clinical safety gates, real-time X12 270/271 clearinghouse lookups, and direct FHIR calendar write-backs. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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