Technovation with Peter High (CIO, CTO, CDO, CXO Interviews)

Metis Strategy

Twice-weekly conversations with top executives and thought leaders at the intersection of business, technology, and innovation. Each episode of Technovation explores the technology trends that are transforming business, and the leaders driving digital change inside their organizations. Produced by Metis Strategy and hosted by firm President Peter High, Technovation is the premier podcast for IT and technology professionals with the largest collection of interviews with elite CIOs, CTOs, and CDOs.

  1. Oct 15

    No Pilot Graveyards: How Novant Health’s CAIO Turns AI Into Patient Outcomes

    Healthcare has accumulated friction that patients have come to accept as normal. Novant Health’s Chief AI Officer is systematically dismantling it. In this episode of Technovation, Peter High speaks with Vijay Sankararaman, Chief AI Officer at Novant Health, about deploying AI across patient experience, clinical operations, and proactive population outreach at a system with 22-plus hospitals and 8 million annual patient encounters. Sankararaman came to healthcare from retail product and engineering leadership at Walmart and Lowe’s, and he brought a problem-first discipline with him: every AI initiative must justify the problem it solves before the technology is considered. His team has deployed a 24/7 surgical companion, a lung-cancer screening outreach program that contacted more than half of 20,000 at-risk patients in a fraction of the time human call programs managed, and a mammography scheduling agent that drove call abandonment to near zero.   Key Highlights: Why the hardest part of a CAIO’s job is saying no to AI proposals How a conversational AI agent reached thousands of at-risk lung-cancer patients human callers could not What 40% after-hours engagement reveals about suppressed patient demand Why the CEO’s frame on AI (technology feature vs. business reimagination) determines whether a CAIO role makes sense How Novant’s build/buy/co-develop architecture avoids vendor lock-in without slowing deployment This episode is sponsored by Tines. This episode is presented by Tines: Freedom to build. Complete security. No compromises. Learn more at tines.io

  2. Oct 8

    How Mastercard Stopped $13B in Fraud With Real-Time AI

    Mastercard processes billions of transactions, and fraud doesn’t wait for rules-based systems to catch up. In this episode of Technovation, Peter High speaks with Nirav Mehta, Chief Technology Officer at Mastercard Services, about how the company uses AI to score transactions in the milliseconds between a card tap and approval, and what it takes to build that kind of infrastructure at scale. Nirav leads engineering, analytics, and decisioning for Mastercard’s $14B Services business, which spans fraud prevention, threat intelligence, data commercialization, and emerging agentic commerce. He explains how Decision Intelligence Pro prevented roughly $13B in fraud in 2026 alone before the holiday season, why the company treats data unification as a use-case-first problem rather than an architecture mandate, and how agentic commerce today resembles the early web, competing standards, good intent, unresolved identity questions. He also makes the case that senior technology leaders need to stay hands-on, not just well-read. Key Highlights: Decision Intelligence Pro stopped approximately $13 billion in fraud in 2026 year-to-date by applying AI models in the milliseconds between card tap and transaction approval Mastercard’s Data Commercialization Platform reduced location-data staleness from 8-10 weeks to hours and cut processing time from multiple weeks to under 10 minutes Agentic commerce is still in early-standards chaos, Mehta compares it to the web in its first years, and Mastercard’s bet is that its payments trust transfers directly to machine-to-machine contexts GenAI is compressing engineering team size: a two-person pod plus ten AI agents is already viable for smaller programs, and the scarce skill is now systems thinking, not coding ability Mehta makes the case for hands-on experimentation over passive learning, logging 1-1.5 hours of personal vibe coding daily since December 2025 This episode is sponsored by Tines. Freedom to build. Complete security. No compromises. Learn more at tines.io

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74 Ratings

About

Twice-weekly conversations with top executives and thought leaders at the intersection of business, technology, and innovation. Each episode of Technovation explores the technology trends that are transforming business, and the leaders driving digital change inside their organizations. Produced by Metis Strategy and hosted by firm President Peter High, Technovation is the premier podcast for IT and technology professionals with the largest collection of interviews with elite CIOs, CTOs, and CDOs.

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