Most AI is shipped first and secured later. Pivotal inverts that. Governance, security, and compliance are architectural primitives in everything we build — so what we build is provable, auditable, explainable, and accountable by construction. It's the same discipline whether we're engineering for a client or building our own product, and it's exactly what regulated, high-stakes domains now demand.
A founding team pairing Fortune-scale technology leadership with deep commercial and product expertise — and the rare ability to build production AI by hand.
Vincent Cirel is a C-suite technology, cybersecurity, and engineering executive with more than two decades leading transformation across $12B+ global enterprises and private-equity portfolios. He served as the first-ever Chief Technology Officer of Gannett | USA Today, as Global CIO/CTO for Scientific Games, and as CIO/CISO of Apollo-backed Norwegian Cruise Line Holdings through its private-equity transformation and public-market debut — steering large-scale digital transformations, operational turnarounds, and enterprise AI governance.
A CISSP-certified engineer with a Vanderbilt MBA and dual degrees in electrical engineering and mathematics/physics, Vincent is equally at home in the boardroom and the codebase. At Pivotal he is founder and hands-on architect of Healist.AI — a HIPAA-compliant platform spanning 220,000+ lines of production code and 14 provisional patents, built from concept to deployment on AWS and Anthropic Claude. He also serves on healthcare boards advancing Medi-Cal managed care. Few leaders operate credibly at Fortune scale and still ship production AI by hand; Vincent does both.
As Co-Founder and Chief Commercial Officer at Pivotal Technologies, LLC, a technology-driven innovator and the parent company of Healist.ai, Siva brings over four decades of premier enterprise leadership and technology architecture experience to the firm. A former Distinguished Engineer at IBM and retired Senior Partner from Deloitte, he has dedicated his career to pioneering large-scale digital transformations and advanced technology infrastructure across the global hospitality, travel, and healthcare sectors.
At Pivotal Technologies, Siva guides the strategic vision and operational execution of the company's flagship products. Leveraging deep domain expertise in AI/ML governance, healthcare administration systems, and scalable software ecosystems, he focuses on building intelligent solutions that eliminate administrative friction and streamline operational workflows. A foundational cloud and IoT patent-holder with an advanced background in structural engineering, he excels at bridging the gap between sophisticated, cutting-edge engineering and practical, high-impact business solutions.
Renn Turiano is a product and consumer-growth leader who has spent over 25 years turning ambitious ideas into products people actually use. At Amazon he developed numerous shopping and commerce products and features, work that contributed billions in incremental revenue. At NBCUniversal he conceived the original Peacock concept and then built the commerce engine behind its launch and subsequent growth. As Chief Consumer and Product Officer at USA TODAY Co., he owned a full consumer P&L and led its digital-first turnaround.
He now builds and advises at the intersection of AI and consumer products, where his focus is the same one that has driven his whole career: Closing the gap between what gets announced and what actually ships. At Pivotal, he leads product strategy and go-to-market, translating a genuinely novel product into durable growth. He splits his time between New York City and Southern California.
Pivotal Technologies has been approved as a participant in the CMS Health Tech Ecosystem, an initiative of the Centers for Medicare & Medicaid Services, in two Patient Facing Apps categories. Participation is not an endorsement of our products — it is a seat in the room where interoperability, consent, and patient-facing AI standards are being worked out.
AI-powered assistants that deliver personalized, context-aware guidance by securely accessing and interpreting a patient's medical history in real time. The category requires connecting through CMS Aligned Networks or a personal health record with patient consent, clearly distinguishing educational content from clinical guidance, and guiding patients to a health professional when that is what they need.
Tailored, data-driven support for people at risk for or living with diabetes and obesity, powered by direct access to clinical data from trusted networks. The category requires using the clinical record to generate personalized coaching, reminders, and risk alerts across both prevention and active management — medication, lab trends, nutrition and activity — including appropriate resources for patients who are pre-diabetic.