Healthcare Workforce Management

Healthcare workforce management software that starts with your rules.

Your clinicians’ timesheets arrive as spreadsheets full of flagged rows. Our AI agents validate and repair the file before it touches payroll.

  • AI implementation services
  • Your rate, facility, and roster rules, encoded
  • A clean file before every payroll run
  • Runs in your environment — your data stays yours

Built with the leading AI platforms

NVIDIAAnthropic
Peter Enestrom, founder of Zaigo

Led by Peter Enestrom and the Zaigo AI & engineering team

YaleColumbia UniversityMicrosoft

The broken Friday

The payroll file arrives broken. Someone fixes it by hand.

From operations and payroll leads at an anesthesia and clinical staffing company — W-2 and 1099 clinicians across dozens of hospital sites, timesheets exported from a legacy scheduler.

  • Flagged rows, every single run

    Missing facility setup, missing provider, missing payroll IDs, missing pay rates — every payroll run opens with flagged rows someone clears by hand. Staffing payroll software calculates on the inputs it receives; it was never built to repair them.

  • Call rate versus regular rate

    Regular rate 350, the call-in rate’s 500 — per clinician, per facility. The rate table lives in someone’s head, not in any system.

  • Locums converting to 1099

    A locum converts — 170 an hour, call is 200 — and payroll now runs W-2 and 1099 clinicians with different terms per facility.

  • One row, two facilities

    Daytime shift at one hospital, on call at night at another — the location field reads facility A, comma, facility B. Matching breaks.

  • “Admin time, admin time”

    Rows with no facility at all — it just says admin time, admin time — and three-shifts-in-one-day exports triplicate the location string.

  • The rule nobody can configure

    The ask keeps coming back to one line: just let me tell it the rule — if role is blank, location is non-clinical — in plain language.

What manual costs

The spreadsheet gets hand-cleaned every two weeks.

What the manual way costs at a clinical-staffing payroll desk. Your numbers will differ — one cycle’s raw export puts figures on yours before anything gets built.

Every two weeksHow often the payroll spreadsheet gets hand-cleaned before the payroll system will accept it
350 vs 500Regular rate versus call-in rate on one clinician’s line — a rule pair no system was able to hold
52Site-months of anesthesia utilization restored across nine hospital sites — every file exported and cleaned by hand

From an anonymized engagement — an anesthesia and clinical staffing company, dozens of hospital sites

How it works

Your rules become the engine.

No business rules engine software for your team to configure. The ops lead states the rule in plain language; our AI agents apply it to every row of every export.

  1. 01

    Diff one payroll cycle

    We take one cycle’s raw scheduler export and the hand-fixed final file. The diff between them is your rulebook — documented, and yours to keep.

    First cycle
  2. 02

    Encode the staffing rules

    Call-versus-regular rate tables per facility, locum-to-1099 conversion terms, multi-facility location parsing, admin-time handling, roster matching for new clinicians.

    Per clinician
  3. 03

    Agents run the file; people judge the exceptions

    AI agents validate and repair each new export against the rulebook. Rows that break a rule queue for a person — never silently wrong.

    Every cycle
Not another platform

Healthcare payroll software holds the run. It doesn’t hold your rules.

The platforms on page one sell the system: a migration, a per-employee subscription, a rules module your team configures and maintains. None ship knowing your call rates, your facility aliases, or your locum-conversion terms.

We encode those into AI agents that run inside your environment, ahead of the payroll system you keep. The platform stays the system of record; the rules — and the IP — stay yours.

Peter Enestrom, founder of Zaigo
Who builds it

Led by Peter Enestrom.

Co-Founder — leads AI & Engineering

Pete Enestrom

Every engagement is led personally by Pete, working with the Zaigo AI & engineering team from the two-week audit through the production handover. The person who scopes the work is the person who builds it.

Education
Yale & ColumbiaGraduate
Background
Microsoft & IntelFormer
Experience
Exited FounderVenture-Backed

Background

Questions

Asked by operations and payroll leads in clinical staffing.

The straight answers, before you book anything.

What’s holding your business back?

A workflow ready for automation. An AI product you want to build. A problem that has sat on the roadmap for years. Let’s talk about what it would take to solve it.

Talk to Zaigo