Home

Mark Fayngersh

Founder and Product Builder

Founder and product builder who turns messy operational problems into working software. Built across healthcare, compliance, and developer tooling, shipping zero-to-one across product direction, frontend, mobile, data systems, and AI workflows.

Experience

Careswitch (acquired by Paradigm)

Co-Founder; now CTO at Paradigm

2017-Present

  • Built Careswitch, a modern operating system for home care agencies spanning scheduling, billing, compliance, staffing, and care documentation.
  • Led product and engineering from zero to production across web, iOS, back-office workflows, and AI-powered operational tooling.
  • Company was acquired by Paradigm, a home care RCM company; now serving as CTO and leading technology across the combined platform.

Narrative

AI Agents for Compliance Operations

2025

  • Built AI agents for compliance, risk, and fraud teams at banks and fintechs.

Quartet Health

Behavioral Health Data Infrastructure

2015-2017

  • Built a Datomic-based data platform for behavioral health with immutable storage and an EDN query API.
  • Added time-travel queries, versioning, and property-based testing.

CrowdTwist

Enterprise Loyalty Software

2012-2015

  • Helped rebuild a white-label loyalty platform used by major consumer brands.
  • Helped drive the frontend transition from PHP to Backbone.js and then Angular.js with Webpack.

MIT Media Lab

UROP / Living Mobile Group

2011-2012

  • Developed ROAR, a real-time second-screen social television platform designed to simulate the visceral, collective experience of a live stadium crowd for distributed online audiences.