Supra Insider

#97: What it means to be a forward-deployed product leader | Chase Schwalbach (SVP Product & Technology @ Millie)

Feb 16, 2026
Chase Schwalbach, SVP of Product and Technology at Millie with deep healthcare and AI-building experience. He describes rolling up his sleeves to build HIPAA-compliant infra and an AI patient chatbot. Short takes cover building agent architectures, treating prompts like code, teaching himself evals, and why technical PMs and context engineering speed up product delivery.
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ANECDOTE

Joining Millie After A Personal Trigger

  • Chase joined Millie after a traumatic birth in his family and spent his first months tying mobile app, ops, and data together.
  • He rebuilt workflows and infrastructure instead of immediately shipping customer-facing features to enable scalable care.
ADVICE

Build Secure Data Foundations First

  • Build HIPAA-compliant infrastructure and centralize data before experimenting with AI features.
  • Prioritize secure warehouses, analytics, and vendor agreements to enable safe product velocity.
INSIGHT

Epic Is A Billing-First System

  • Millie built modern front-end tools and duplicated workflows rather than ripping out Epic EMR.
  • Epic acts more like a billing system than an experiment-friendly clinical platform, forcing dual layers.
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