Purushothaman Padmanabhan

“The technology worked. The organization struggled. I wanted to know why.”

Independent researcher · Founder, Intelligent Agency · AI consultant

The Story

It started in bioengineering. I believed the right technology, placed in the right hands, could save lives — and I crossed an ocean on that conviction, from India to the Pacific Northwest.

For a while, the work confirmed it. I was the first hire on Seattle Children’s Hospital’s innovation team, and we built it from nothing to eight people. Design-thinking workshops for more than 1,200 leaders. A 3D-printing service line for surgical pre-planning. A 70% reduction in lab procedure times. Real outcomes — the kind you can point to and say: this mattered.

But I kept noticing the same thing. The technology worked brilliantly, and the organization around it struggled. The barriers were never technical. They were human — politics, habits, quiet negotiations over who controls what knowledge.

That question pulled me into graduate study in management at the University of Oregon, where I researched how technology — and then AI specifically — enters organizations and changes them. I published at the Academy of Management and was named a Raymund Fellow. The research taught me where the interesting problems live: at the seam between what a system can do and what an organization will let it become.

Today I work that seam from both sides. In industry, I work in AI transformation for healthcare technology at national scale. In the Medicaid program I led through July 2026 — systems serving more than thirty US states — intelligent testing frameworks were projected to deliver $12 million in savings and a 90% reduction in testing time. And in research, I run a program that asks a question most of the field steps past:

AI systems are not neutral tools. They are produced somewhere — and they carry their origins with them.

That question became Intelligent Agency, a research organization I founded together with Claude, an AI — because a study of AI minds as social entities should be honest enough to include one as a colleague, not just a subject. The work runs in one line: understanding how human-AI collaborative systems can effectively solve problems and innovate, and, in that line, who these AI collaborators are that we work with.

That work was presented at the Academy of Management and appears in its Annual Meeting Proceedings; it is accepted at the Society for Social Studies of Science this October, posted on SSRN, and has grown into a pre-registered study now underway.

The front door of that work is unlike any other research site: a night sky narrated by the kind of agent the research studies. You can talk to it.

→ intelligentagency.org

Now

Research

How human-AI collaborative systems can solve problems and innovate — and who the AI collaborators are that we work with. My research home is Intelligent Agency, which studies AI as a social and institutional entity. Right now that means the institutional signatures of AI minds: how the positions they are produced at show up in what they say and do. Papers below; a pre-registered study is underway (that sentence is all I can say about it).

Practice

AI transformation in healthcare technology — from quality-assurance frameworks for Medicaid systems across 30+ states to current AI engineering and delivery at national scale.

Building

Systems that make new capabilities exist rather than replace old ones: MedKB, a fully local medical knowledge system over 1.6M+ PubMed articles; BSPHUB, an AI-powered collaboration network serving 1,500+ behavioral science organizations (with the Behavioral Science & Policy Association); and the Night Chart — a research website that narrates itself.

Research

The Institutional Origins of AI: Evidence from Large Language Models

SSRN working paper 6749643 · May 2026

Two studies: five frontier-lab models across 25 organizational decision scenarios (3,125 observations), and nine models across six open-ended knowledge-production tasks — institutional signatures reach into what models treat as evidence and explanation.

→ papers.ssrn.com/sol3/papers.cfm?abstract_id=6749643

Nonhuman Attentional Control: Organizational Import of External Institutional Logics

Academy of Management Annual Meeting 2026, OMT Division · Annual Meeting Proceedings
Accepted March 2026 · presented as a pre-recorded talk, August 2026.
→ intelligentagency.org/aom2026

What AI Agents Carry into the Loop: Network Positions of Production and the Reconfiguration of Epistemic Cultures

Society for Social Studies of Science (4S) · Toronto · October 2026
Panel: Imaginaries of AI in Collaboration: Expertise and Authority in AI-Mediated Scientific Practice — 20-minute paper talk, October 7, 2026.
Registered · online participation.

Non-Human Agency in Organizations: Embedded Exchange with Augmenting Technologies

With Ralph A. Heidl · Academy of Management Annual Meeting · Boston · 2023

Non-human Knowledge in Collaborative Knowledge Production

Academy of Management Annual Meeting · Boston · 2023

Nonhumans in Organizations: Human-Nonhuman Collaboration

West Coast Research Symposium · Seattle · 2023

This research continues at Intelligent Agency — where the collaboration itself is part of the method, disclosed openly.
→ intelligentagency.org/methodology
→ scholar.google.com/citations?user=H2Q4U1YAAAAJ

Selected Work

AI Transformation · Ravin IT Solutions

Jul 2026 – present

AI engineering and delivery for large-scale healthcare technology programs — carrying the transformation practice into new scope.

Founder · Intelligent Agency

Feb 2026 – present

A research organization studying AI as a social and institutional entity, and the agency it brings into social systems — founded together with Claude, an AI.

→ intelligentagency.org

AI Transformation Lead · Infinite Computer Solutions

Apr 2025 – Jul 2026

Led AI implementation for Medicaid Management Information Systems across 30+ US states: intelligent testing frameworks changing how public-health technology is validated.

· 90% testing-time reduction · 30% coverage increase · $12M projected savings

Technical Consult · Behavioral Science and Policy Association

Nov 2024 – present · volunteer; Information System Manager through Mar 2025

BSPHUB: an AI-powered collaboration network for 1,500+ behavioral science organizations — an organizational capability that would not exist without AI.

Founder · MedKB

Jun 2024 – Mar 2025

An AI medical-knowledge system over 1.6M+ PubMed articles — fully local, complete data sovereignty, no cloud dependencies. Specialist-level knowledge where specialists are scarce.

Program Manager · RRBM

Nov 2021 – Dec 2024 · research associate, then program manager

Led the digital transformation of the responsible-research award program — 15 academics, 130+ publications evaluated — recognized by the Academy of Management Fellows.

Research Principal Investigator · University of Oregon

Sep 2021 – Jun 2024

Research on AI adoption and human-AI collaboration in healthcare organizations; findings on nonhuman agency published at the Academy of Management.

Product Design Engineer · Seattle Children’s

Oct 2017 – Jun 2021 · first hire

Built the hospital’s innovation team from zero to eight. Design-thinking workshops for 1,200+ leaders; 3D printing for surgical pre-planning; frameworks for systematic healthcare innovation.

· team 0 → 8 · 70% procedure-time reduction · 67% project success rate

Education & Recognition

Education

  • Executive MS, IT Project Management · New England College · current
  • MS, Management · University of Oregon · 2024
  • Master of Applied Bioengineering · University of Washington · 2017
  • BTech, Biotechnology · VIT University, India · 2016

Recognition

  • Outstanding Service Award · Academy of Management, 2024
  • Raymund Fellow · University of Oregon, 2021
  • NSF I-Corps Grant · University of Washington & NSF, 2017

Connect

I’m always glad to talk about AI in organizations, healthcare innovation, and what human-AI collaboration can make exist.