Engineering Leader · Boston Metro

Cloud and
AI-powered
platforms at scale.

BasedWestford, MA
FocusHealthtech · AI
TierVPE / Sr. Director
StatusFractional · Leadership · Consulting

Dinesh Makhija builds and scales engineering organizations in regulated, high-stakes environments — healthcare, smart devices, and enterprise security. He has led platforms serving 10M+ active devices at Amazon Alexa and driven 10× transaction growth at Blink Health, where he also shipped Agentic AI that eliminated 90% of manual pharmacy operations.

His model: embed in complex engineering organizations, build the operational and AI foundations they're missing, and leave them structurally stronger.

Open to fractional, advisory, and senior leadership engagements.

Selected proof.

70×
Transaction volume growth on the prescription fulfillment platform.
Blink Health
<30min
Benefits discovery SLA, reduced from 4+ hours.
Blink Health
10M+
Active devices in the Alexa and Echo ecosystem supported by common-speech middleware.
Amazon Lab126
90%
Cost and time reduction across the application signature lab pipeline.
Network Security
50%
Operational cost reduction per prescription script.
Blink Health

The arc.

2019 — 2026
Senior Engineering Manager
Blink Health / BlinkRx — Healthtech platform, prescription fulfillment, agentic AI
2017 — 2019
SDM, L6
Amazon Lab126 — Common Speech Middleware, Alexa / Echo ecosystem
2012 — 2017
Senior Director of Engineering
Corero Network Security — DDoS defense platforms
2006 — 2012
Engineering Manager
Arbor Networks / Ellacoya — Deep packet inspection, carrier-grade traffic
1995 — 2006
Tech Lead / Principal Engineer
Lucent · Newbridge · Alcatel · WaterCove — Embedded systems, routing, RTOS

Recent writing.

Working papers on engineering leadership, AI adoption, and the economics of agentic systems.

Let's talk.