Enterprise AI Governance Architecture for Salesforce-Based Healthcare CRM Platforms: A Pattern-Oriented Framework for Regulated AI

Authors

  • Susil Kumar Sahu Solution Engineer Executive Advisor, Elevance Health, 740 W Peachtree St NW, Atlanta, GA 30308, USA. Author

DOI:

https://doi.org/10.63282/3050-9246.IJETCSIT-V5I3P121

Keywords:

Artificial Intelligence, AI Governance, Health Cloud CRM, Agent force, Agentic Artificial Intelligence, Healthcare IT, Insurance Platforms, Salesforce Architecture

Abstract

Artificial intelligence is moving rapidly from experimentation to day-to-day operations in healthcare and insurance platforms, especially in customer relationship management systems that support service workflows, care coordination, claims guidance, and member engagement. This shift creates a difficult but important question for regulated enterprises: how can AI be introduced into cloud CRM environments without weakening compliance, explainability, operational trust, or human accountability? This paper proposes a practical governance pattern library for regulated cloud CRM platforms, with a focus on healthcare and insurance environments using modern cloud services, workflow orchestration, and data activation layers. The article develops a design-oriented reference framework that brings together policy controls, human-in-the-loop review, consent-aware data usage, prompt and model governance, auditability, and release discipline. Rather than treating AI governance as a legal checklist alone, the paper presents it as an enterprise architecture concern that must be embedded into platform design, delivery governance, and operating workflows. The main contribution is a practitioner-oriented framework that helps organizations scale AI-enabled CRM functions while preserving trust, resilience, and regulatory readiness.

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References

[1] Amershi, S., Begel, A., Bird, C., DeLine, R., Gall, H., Kamar, E., Nagappan, N., Nushi, B., & Zimmermann, T. (2019). Software engineering for machine learning: A case study. Proceedings of the 41st International Conference on Software Engineering: Software Engineering in Practice, 291–300. https://doi.org/10.1109/ICSE-SEIP.2019.00042

[2] Morley, J., Machado, C. C. V., Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2020). The ethics of AI in health care: A mapping review. Social Science & Medicine, 260, 113172. https://doi.org/10.1016/j.socscimed.2020.113172

[3] Floridi, L., & Cowls, J. (2019). A unified framework of five principles for AI in society. Harvard Data Science Review, 1(1). https://doi.org/10.1162/99608f92.8cd550d1

[4] Jobin, A., Ienca, M., & Vayena, E. (2019). The global landscape of AI ethics guidelines. Nature Machine Intelligence, 1(9), 389–399. https://doi.org/10.1038/s42256-019-0088-2

[5] Raji, I. D., Smart, A., White, R. N., Mitchell, M., Gebru, T., Hutchinson, B., Smith-Loud, J., Theron, D., & Barnes, P. (2020). Closing the AI accountability gap: Defining an end-to-end framework for internal algorithmic auditing. Proceedings of the 2020 Conference on Fairness, Accountability, and Transparency, 33–44. https://doi.org/10.1145/3351095.3372873

[6] Shrestha, Y. R., Ben-Menahem, S. M., & von Krogh, G. (2019). Organizational decision-making structures in the age of artificial intelligence. California Management Review, 61(4), 66–83. https://doi.org/10.1177/0008125619862257

[7] Duan, Y., Edwards, J. S., & Dwivedi, Y. K. (2019). Artificial intelligence for decision making in the era of Big Data: Evolution, challenges and research agenda. International Journal of Information Management, 48, 63–71. https://doi.org/10.1016/j.ijinfomgt.2019.01.021

[8] Topol, E. (2019). High-performance medicine: The convergence of human and artificial intelligence. Nature Medicine, 25(1), 44–56. https://doi.org/10.1038/s41591-018-0300-7

[9] Wiens, J., & Shenoy, E. S. (2018). Machine learning for healthcare: On the verge of a major shift in healthcare epidemiology. Clinical Infectious Diseases, 66(1), 149–153. https://doi.org/10.1093/cid/cix731

[10] Holzinger, A., Langs, G., Denk, H., Zatloukal, K., & Müller, H. (2019). Causability and explainability of artificial intelligence in medicine. Wiley Interdisciplinary Reviews: Data Mining and Knowledge Discovery, 9(4), e1312. https://doi.org/10.1002/widm.1312

[11] Price, W. N., II, & Cohen, I. G. (2019). Privacy in the age of medical big data. Nature Medicine, 25(1), 37–43. https://doi.org/10.1038/s41591-018-0272-7

[12] ISO/IEC. (2021). ISO/IEC 38507:2021—Information technology—Governance of IT—Governance implications of the use of artificial intelligence by organizations. International Organization for Standardization.

[13] NIST. (2023). Artificial Intelligence Risk Management Framework (AI RMF 1.0). National Institute of Standards and Technology.

[14] Salesforce. (2023). Salesforce Well-Architected Framework. Salesforce.

[15] European Commission. (2021). Proposal for a Regulation laying down harmonised rules on artificial intelligence (Artificial Intelligence Act). COM(2021) 206 final.

Published

2024-09-30

Issue

Section

Articles

How to Cite

1.
Sahu SK. Enterprise AI Governance Architecture for Salesforce-Based Healthcare CRM Platforms: A Pattern-Oriented Framework for Regulated AI. IJETCSIT [Internet]. 2024 Sep. 30 [cited 2026 Jul. 2];5(3):206-10. Available from: https://www.ijetcsit.org/index.php/ijetcsit/article/view/765

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