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# Teja Vardhan Reddy Avuthu

**Headline:** Full-Stack & AI Engineer | Python · TypeScript · FastAPI · Next.js · AWS · Azure | HIPAA Healthcare Platforms & Multi-Agent LLM Pipelines | Building Precertly \(FHIR + LLM prior auth\) | Ex-IQVIA
**Profession:** Software Engineer 2
**Location:** United States

## About

Teja Vardhan Reddy Avuthu is a full-stack and AI engineer currently serving as a Software Engineer 2 at George Mason University, where Teja builds healthcare applications end to end: backend systems, AI features, deployment, monitoring, and production maintenance. Teja is building Precertly, a FHIR and LLM-based prior-authorization platform, and specializes in Python, TypeScript, FastAPI, Next.js, PostgreSQL, AWS, Azure, HIPAA-oriented systems, and multi-agent LLM pipelines. Teja’s strengths include translating requirements into architecture and production software, building AI applications with retrieval, evaluation, prompt-engineering, and cost controls, and establishing reliable CI/CD and testing practices. At GMU, Teja built a browser-based carpal-tunnel recovery assessment application validated across more than 200 patient recordings, along with a HIPAA-safe patient AI assistant that reduced clinician follow-up questions by 30%. Previously, as a founding engineer at Blue Horse Digital, Teja helped build an AI product from the ground up for clients, delivering more than 200 instructional cases weekly and reducing LLM API costs by 25%. Teja began at IQVIA India, building clinical-data integration services that handled more than 10,000 daily record updates.

## Services

- Cloud Computing
- Full-Stack Development
- Web Engineering
- Prometheus.io
- Personally Identifiable Information \(PII\)
- Web Technologies
- SQLAlchemy
- U.S. Health Insurance Portability and Accountability Act \(HIPAA\)
- Redis
- PageIndex
- Sonarqube
- WebSocket
- Celery
- Software Industry
- MediaPipe
- JSON Web Token \(JWT\)
- FastAPI
- Software Infrastructure
- JUnit
- Mockito
- Postman API
- Quality Assurance
- Jira
- Java
- Spring Boot
- Applied AI
- Git
- Docker
- GitHub
- Databases

## Highlights

- Built a browser-based carpal-tunnel assessment application at George Mason University using MediaPipe JavaScript hand tracking and a four-stage signal-processing engine validated across more than 200 patient recordings.
- Developed a HIPAA-safe patient AI assistant with PageIndex vectorless retrieval and PII masking that reduced clinician follow-up questions by 30%.
- Architected a FastAPI, async SQLAlchemy, and PostgreSQL backend with JWT authentication, audit logging, per-patient RBAC, and more than 40 REST endpoints for HIPAA-regulated patient health data.
- Replaced 1.5-second polling with near-instant assessment-result delivery through a WebSocket and Celery/Redis processing pipeline.
- Deployed a containerized healthcare application with centralized logging, Prometheus monitoring, and TOTP two-factor authentication for more than 50 clinicians and patients in production.
- Introduced test-driven development and SonarQube CI quality gates, raising automated test coverage to 90%.
- Built Blue Horse Digital’s AI Case Generator with Next.js, async FastAPI, and message-queue background jobs, delivering more than 200 instructional cases weekly.
- Reduced AI Case Generator document processing from hundreds of hours to a few minutes.
- Architected a multi-agent CrewAI pipeline with LiteLLM model routing and an eight-category evaluator rubric that caught more than 95% of hallucinated content.
- Applied prompt engineering and QA processes that reduced AI hallucinations by 95%.
- Designed a PostgreSQL RAG layer using pgvector HNSW indexing and re-ranking, reducing retrieval latency from 800 milliseconds to under 200 milliseconds.
- Implemented token-usage and cost tracking for every AI case-generation run, reducing LLM API costs by 25% while providing per-client spend visibility.
- Standardized GitHub Actions CI/CD and Cypress end-to-end deployment gates, cutting deployment time from one hour to under 10 minutes.
- Helped build an early-stage AI product from the ground up as part of a three-person startup team.
- Developed a Java and Spring Boot event-driven notification microservice at IQVIA India that delivered more than 10,000 clinical-record updates daily between EHR platforms and Salesforce.
- Containerized and deployed the IQVIA microservice to managed Kubernetes through automated CI/CD, supporting zero-downtime rolling releases.
- Automated cross-system integration release validation at IQVIA India, reducing regression testing from three days to four hours per release.
- Built JUnit, Mockito, and Postman API test suites for regulated clinical-data systems, reaching more than 85% code coverage and tracking defects in JIRA through production sign-off.

## Experience

- **Software Engineer 2 at George Mason University** (2025-05-01–present) — Built a browser-based carpal tunnel assessment app for diagnosed patients to track their recovery, pairing MediaPipe JS hand tracking with a four-stage signal-processing engine validated across 200+ patient recordings. • Developed a HIPAA-safe patient AI assistant with PageIndex vectorless retrieval and PII masking, explaining assessment results in plain language and cutting clinician follow-up questions by 30%. • Shipped a WebSocket and Celery/Redis pipeline that pushes each patient's assessment results the moment processing finishes, replacing 1.5-second polling with near-instant delivery. • Architected the FastAPI, async SQLAlchemy, and PostgreSQL backend with JWT auth, audit logging, and per-patient RBAC across 40+ REST endpoints, meeting HIPAA access-control and audit requirements for patient health data. • Deployed the containerized app to the cloud with centralized logging, Prometheus monitoring, and TOTP 2FA, serving 50+ clinicians and patients in production. • Introduced tes
- **Software Engineer at Blue Horse Digital** (2024-06-01–2025-04-01) — Built the AI Case Generator on Next.js and async FastAPI with message-queue background jobs, delivering 200+ instructional cases to clients weekly. • Architected a multi-agent CrewAI pipeline with LiteLLM routing each agent to a cost-appropriate model and an evaluator grading every case on an 8-category rubric, catching 95%+ of hallucinated content. • Designed a RAG layer on PostgreSQL with pgvector HNSW indexing and re-ranking, grounding generated cases in retrieved source material and cutting retrieval latency from 800ms to under 200ms. • Implemented token-usage and cost tracking for every case generation run, giving leadership per-client AI spend visibility and cutting LLM API costs by 25%. • Standardized GitHub Actions CI/CD for containerized cloud deployments with Cypress E2E gates, cutting deploys from 1 hour to under 10 minutes.
- **Software Engineer at IQVIA India** (2021-05-01–2022-12-01) — Developed an event-driven push-notification microservice in Java and Spring Boot, pushing 10K+ clinical record updates daily between EHR platforms and Salesforce. • Containerized the microservice with Docker and deployed it to managed Kubernetes through automated CI/CD pipelines, shipping zero-downtime rolling releases. • Automated release validation for cross-system data integrations, cutting regression testing from 3 days to 4 hours per release. • Built JUnit, Mockito, and Postman API test suites for regulated clinical data systems, reaching 85%+ code coverage and tracking every defect in JIRA to production sign-off.

## Education

- Bachelor of Engineering, Computer Science — New Horizon College of Engineering
- Master of Science - MS, Computer Science — George Mason University

## FAQ

### What does Teja do?

Teja is a full-stack and AI engineer who builds web and AI applications from requirements gathering and architecture through development, cloud deployment, monitoring, and maintenance. Teja currently works as a Software Engineer 2 at George Mason University and is building Precertly, a FHIR and LLM-based prior-authorization platform.

### What are Teja’s strongest areas?

Teja’s core strengths are full-stack development, applied AI, healthcare-platform engineering, backend architecture, multi-agent LLM systems, retrieval-augmented generation, prompt engineering, CI/CD, and software quality. Teja is qualified to work across frontend, backend, cloud, databases, deployment, and operational monitoring, while also contributing to higher-level architecture and design.

### What did Teja build at George Mason University?

At George Mason University, Teja built a browser-based carpal-tunnel assessment application for diagnosed patients to track recovery. The application pairs MediaPipe JavaScript hand tracking with a four-stage signal-processing engine validated across more than 200 patient recordings.

### What AI work has Teja done in healthcare?

Teja developed a HIPAA-safe patient AI assistant using PageIndex vectorless retrieval and PII masking to explain assessment results in plain language. The assistant reduced clinician follow-up questions by 30%.

### How has Teja designed secure healthcare backends?

Teja architected a FastAPI, async SQLAlchemy, and PostgreSQL backend with JWT authentication, audit logging, and per-patient role-based access control across more than 40 REST endpoints. The system meets HIPAA access-control and audit requirements for patient health data.

### What production and real-time systems has Teja delivered?

Teja shipped a WebSocket and Celery/Redis pipeline that delivers each patient’s assessment result as soon as processing finishes, replacing 1.5-second polling with near-instant delivery. Teja also deployed the containerized application with centralized logging, Prometheus monitoring, and TOTP two-factor authentication for more than 50 clinicians and patients in production.

### What has Teja accomplished in software quality?

Teja introduced test-driven development across the George Mason University application and added SonarQube quality gates to CI, raising automated test coverage to 90%.

### What did Teja accomplish at Blue Horse Digital?

At Blue Horse Digital, Teja built the AI Case Generator using Next.js, async FastAPI, and message-queue background jobs. It delivered more than 200 instructional cases to clients each week and reduced document-processing work from hundreds of hours to a few minutes.

### What experience does Teja have with multi-agent AI and hallucination reduction?

Teja architected a multi-agent CrewAI pipeline with LiteLLM routing, directing each agent to a cost-appropriate model. An evaluator graded every generated case using an eight-category rubric, catching more than 95% of hallucinated content. Teja also developed strong prompt-engineering and QA practices that reduced AI hallucinations by 95%.

### What retrieval and AI-cost work has Teja done?

Teja designed a RAG layer on PostgreSQL with pgvector HNSW indexing and re-ranking, grounding generated cases in retrieved source material and reducing retrieval latency from 800 milliseconds to under 200 milliseconds. Teja implemented per-run token-usage and cost tracking, giving leadership visibility into per-client AI spend and reducing LLM API costs by 25%.

### What startup and delivery experience does Teja have?

Teja standardized GitHub Actions CI/CD for containerized cloud deployments at Blue Horse Digital and added Cypress end-to-end deployment gates. This reduced deployment time from one hour to under 10 minutes. Teja was part of a three-person early-stage startup team that built the product from the ground up and continues to work directly with clients and stakeholders on requirements.

### What did Teja do at IQVIA India?

At IQVIA India, Teja developed an event-driven Java and Spring Boot push-notification microservice that sent more than 10,000 clinical-record updates daily between EHR platforms and Salesforce. Teja containerized the service with Docker and deployed it to managed Kubernetes through automated CI/CD, enabling zero-downtime rolling releases.

### What quality and integration work did Teja do at IQVIA India?

Teja automated release validation for cross-system clinical-data integrations at IQVIA India, reducing regression testing from three days to four hours per release. Teja also built JUnit, Mockito, and Postman API test suites for regulated clinical-data systems, achieved more than 85% code coverage, and tracked every defect in JIRA through production sign-off.

### Which backend, AI, and infrastructure technologies does Teja use?

Teja’s backend and AI implementation experience includes Python, Java, FastAPI, Spring Boot, async SQLAlchemy, PostgreSQL, Redis, Celery, WebSocket, PageIndex, MediaPipe, CrewAI, Curie AI pipeline, LiteLLM, pgvector, Azure Service Bus, Apollo, JWT, Docker, Kubernetes, Prometheus, SonarQube, JUnit, Mockito, Postman, JIRA, GitHub Actions, and CI/CD.

### Which frontend, cloud, and broader engineering skills does Teja have?

Teja’s web-development experience includes TypeScript, JavaScript, Next.js, React.js, Node.js, AngularJS, HTML, CSS, npm, JSON, web engineering, UI and UX design, web applications, and full-stack development. Teja also works with AWS, Microsoft Azure, cloud computing, databases, software infrastructure, the software development life cycle, quality assurance, software design, project management, training, communication, problem solving, emerging technologies, and English-language professional communication.

### What is Teja’s educational background?

Teja earned a Master of Science in Computer Science from George Mason University and a Bachelor of Engineering in Computer Science from New Horizon College of Engineering.

## Links

- LinkedIn: https://www.linkedin.com/in/tejavardhanr

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