Roth LaFleurAgentic Product · Systems Architecture

About

Twenty years making complex products people actually use, and lately building with AI agents myself.

My work sits where product strategy meets the systems that carry it out. I ran a $200M+ portfolio at Medscape, launched a patient-education product that reached more than a million people, and walked organizations through the move from waterfall to agile. The through-line is a bias for getting real capability into production instead of slideware or pilots that never ship.

At Relevate Health that looks like an automated product stack: agents that score ideas and draft PRDs, a modular integration layer so the stack reaches our SaaS platforms early, and the first moves toward a product org reshaped around an AI-centered way of working.

I also build on my own. Small tools shipped to real users, where I do the prompting, the deployment, the testing, and the fixes after launch. I keep doing it because building things myself is the only way I trust what I tell a client is possible.

If your organization is stuck between AI experiments and something you can actually run, that's the gap I work in.

Experience

  1. 2024 - Present

    Relevate Health

    Head of Product

    Building an automated, agent-centered product stack, including PM agents for feature scoring and PRD generation, aimed at precision engagement at the point of clinical decision.

  2. 2021 - 2024

    Level Ex

    Head of Product / Senior Director, Product Management

    Owned product for a medical-technology company that uses game and simulation science to sharpen clinical skill and decision-making.

  3. 2013 - 2021

    Medscape · WebMD

    Senior Director, Product Management & Technology

    Ran a $200M+ global medical-education portfolio of 50+ products. Launched a patient-education product that earned $50M+ and reached over a million patients; moved the org from waterfall to agile.

  4. 2004 - 2013

    Amirsys

    Product Manager / Integration PM

    Market expansion, customer research, and technical integration for a medical-reference publisher making the jump from print to digital.

Credentials

Focus areas
  • Agentic product strategy
  • Multi-agent systems
  • Systems architecture
  • AI evaluation & guardrails
  • 0→1 product delivery
  • Executive alignment
Education
University of Utah, Film & Media Arts
Certifications
Certified ScrumMaster · Front-End Development (Treehouse)
Languages
English · Spanish