about

Robert Noble — agentic AI, built to survive regulation.

GTM Lead Healthcare · Lead AI Technologist

20+ years across Microsoft platforms and enterprise architecture, with the last four years focused specifically on applying LLMs, agentic orchestration and conversational AI to healthcare and other regulated environments. I design and govern agentic pipelines — prompting, retrieval, tool use, multi-model orchestration — and build the evaluation, safety and compliance frameworks that make them deployable, not just demoable.

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What that means in practice

delivery, not research
Architected multi-step agentic systems combining prompt/context engineering, tool use and FHIR R4 retrieval for live clinical workflows — triage, clinical coding, referral management.
Built and governed AI safety/evaluation frameworks: a multi-vector agent security testing framework, a NIST AI RMF compliance checker, and a layered Responsible AI reference architecture.
Led health-domain data engineering at scale: HL7 v2 to FHIR R4 mapping, clinical ontology curation, and multi-source EPR/PAS data transformation.
Directed evaluation and QA gating for regulated AI products against DCB0129/0160, DTAC, DSPT and UK GDPR.
Taken sovereign LLM architecture, multilingual conversational AI, and ambient voice technology from technical feasibility to working, demoable systems.
Works daily with clinicians, product owners, compliance and engineering — translating technical AI capability into language and evidence non-technical stakeholders can trust.

Career

20+ years, microsoft platform
2026 — present

GTM Lead Healthcare / Lead AI Technologist

DXC Technology

Healthcare vertical AI lead across NHS acute, mental health and public health accounts. Owns technical architecture and delivery for agentic AI, health data platform and governance engagements from discovery through production.

2022 — 2024

Principal Microsoft Consultant

Bell Integration

Led Microsoft Azure and AI practice across enterprise and public sector accounts, including Salesforce Einstein Copilot agent implementations and Azure AI proof-of-concept builds.

2020 — 2022

Principal Consultant

Trustmarque

Microsoft cloud and AI solution architecture across public and private sector accounts.

2018 — 2020

Senior Consultant

SWORD Group

Microsoft platform architecture and delivery across commercial and public sector engagements.

2015 — 2018

Consultant

Cognizant Microsoft Business Group

Microsoft technology consulting across enterprise clients including financial services and legal sectors.

Earlier career

Various Microsoft technology roles

Barclays UK

Foundational Microsoft platform engineering and architecture experience in financial services.

Skills

core capability

Agentic AI & LLM orchestration

  • Copilot Studio
  • Azure OpenAI (GPT-4o)
  • Prompt & context engineering
  • Multi-step tool-use agents
  • RAG & multi-model orchestration

AI safety, evaluation & governance

  • Agent security / penetration testing
  • NIST AI RMF
  • DCB0129 / DCB0160
  • DTAC / DSPT
  • Responsible AI architecture

Health data & integration

  • FHIR R4
  • Azure Health Data Services
  • HL7 v2
  • Oracle Cerner EPR
  • ICD-10 / OPCS-4 ontologies

Platform & cloud

  • Azure AI Foundry
  • Power Platform
  • AKS
  • Azure Static Web Apps
  • Salesforce Einstein Copilot

Delivery & leadership

  • 0-to-1 technical architecture
  • Cross-functional stakeholder leadership
  • Regulated-sector bid & solution design

Domain

  • NHS & public healthcare
  • UK public sector
  • Clinical governance & compliance

Sectors

where the work has landed
NHS & public healthcare UK public sector Financial services Media & broadcasting Automotive engineering Legal Higher education Telecommunications Transport & rail