Chris Wyatt
LinkedIn

Founder · Chief Strategy Officer · Finexio

Chris Wyatt

Structuring Unstructured B2B Payments Data for Agentic Automation — at Tens of Billions in Annual Volume

Healthcare and B2B payment networks do not fail at the money movement layer; they fail at the data layer. I have spent a decade inside the core data infrastructure of the US payer and clearinghouse systems—wiring EDI pipelines, normalizing unstructured claims, and building the deterministic schemas that make automated decisioning possible. LLMs cannot execute on chaos. By structuring unstructured commercial and clinical data at scale, we eliminate the friction between invoice generation, prior authorization, and final settlement—delivering zero-touch, autonomous financial execution that fundamentally alters unit economics for our partners.
Chris Wyatt
01
Structural Thesis

Why Structured Data Is the
Only Path to Autonomous Finance

Data Infrastructure

The prerequisite nobody else is solving

LLMs cannot execute on chaos. B2B payment and healthcare networks fail at the data layer—not the money movement layer. Deterministic schemas are the non-negotiable foundation of autonomous settlement.

Agentic Automation

Zero-touch financial execution

By converting unstructured supplier data into autonomous settlement pipelines, we eliminate the human-in-the-loop for standard transaction classes. This is the durable operational moat.

Capital Efficiency

Basis points without headcount growth

Unit economics shift permanently when infrastructure replaces manual reconciliation. Net-new ARR via channel partnerships expands network liquidity without proportional headcount growth.

02
Career

A Decade Building the Infrastructure
Agentic AI Requires

Finexio

Co-Founder & Chief Strategy Officer

Current

Built and scaled a B2B payments network from zero to $11B+ in annual processing volume ($7B+ ACH, $1B+ Virtual Card). Replaced manual reconciliation with a unified, deterministic data schema that enforces B2B payment logic across heavily regulated environments. Eliminated the human-in-the-loop for standard transaction classes, converting unstructured supplier data into autonomous settlement pipelines. Drove massive net-new ARR via channel partnerships, expanding network liquidity and capturing basis points without proportional headcount growth.

Parasail Health

Chief Commercial Officer & Co-Founder

Architected and scaled patient finance infrastructure to bridge structural liquidity gaps in the healthcare revenue cycle. Operationalized financial products that restructured how patient liability was originated and managed, accelerating provider cash flow and mitigating default risk. This framework gained immediate industry validation, securing backing and awards from Healthbox and Accenture as a systemic solution to patient-driven financial friction.

Change Healthcare / Emdeon

General Manager & Head of Payments (B2B & Patient Liability)

Directed the B2B and Patient payments divisions across the largest US healthcare clearinghouse, managing a combined $160B in annual processing volume. Executed $120B in annual settlement on the B2B side by scaling core EDI data pipelines. Normalized highly variable claims data into deterministic schemas to drive automated adjudication at national scale, ensuring strict HIPAA compliance. Expanded executive mandate to lead the $40B Patient Payments division on behalf of major health systems—architecting dynamic payment plans, integrated merchant services, and crowdfunding infrastructure.

UnitedHealthcare

Population-Scale Rules Engineering

Engineered administrative and financial automation across a risk pool of 45 million member lives inside the largest US payer. Replaced highly subjective, manual medical reviews with deterministic rules engines for prior authorization, cutting authorization latency by 80% and destroying the backlog of pended requests. Translated complex payer policy logic into structured data models, stripping $150M in administrative overhead from the system.

AIM Specialty Health (Anthem)

Head of Clinical Data & Utilization Strategy

Architected the operational logic governing specialty care utilization management—the definitive decision layer between provider requests and payer approvals at Anthem. Saved health plans over $85M annually in unnecessary medical spend by enforcing clinical appropriateness at scale. Replaced legacy fax and phone-based intake with structured, automated data pipelines, improving SLA compliance by 90%. Extracted and normalized unstructured clinical data from disparate systems, establishing the machine-readable foundation for automated healthcare products under stringent HIPAA and CMS frameworks.

03
Education

Academic Foundation

Rigorous business education underpinning two decades of infrastructure leadership at the intersection of enterprise finance and health systems.

University of Michigan

University of Michigan

Master of Business Administration

MBA
Michigan State University

Michigan State University

Bachelor of Science · Business Administration

BS
04
Scale & Impact

Hard Numbers at National Scale

Two infrastructure mandates. Two of the largest financial processing footprints in US healthcare and B2B payments.

$160B

Annual Processing Volume — Change Healthcare

Directed the B2B and Patient payments divisions across the largest US healthcare clearinghouse: $120B in B2B EDI settlement and $40B in Patient Payments. The largest private-sector healthcare clearinghouse data infrastructure in the country.

$11B+

Annual Processing Volume — Finexio (Scaled from Zero)

Built a B2B payments network from a greenfield data schema to $11B+ in annual processing volume ($7B+ ACH, $1B+ Virtual Card) in under six years. Zero legacy infrastructure. No shortcuts. Pure execution.

05
Advisory & Board

Strategic Advisory Roles

Active advisory engagements across the healthcare payments, patient financing, and AI-driven revenue cycle ecosystem.

PayZen

2019 – Present

Strategic Advisor · Patient Financing

Advising executive leadership on go-to-market strategy, payment orchestration, and enterprise scaling for their patient financing platform. PayZen is redefining how healthcare providers capture patient liability through AI-driven financial products.

Zelis Payments

2018 – Present

Strategic Advisor · Healthcare Payments

Advising on product innovation and multichannel payment architecture, accelerating their transition toward intelligent automation and services software. Zelis processes hundreds of billions in healthcare payment transactions annually.

Finalytics

2020 – Present

Strategic Advisor · Revenue Cycle & Banking

Advising on product-market fit and enterprise positioning at the complex intersection of healthcare revenue cycle and banking infrastructure—a structurally underserved market requiring deep domain authority on both sides.

CirraGroup

2015 – Present

Strategic Advisor · Medical Debt Resolution

Guiding product strategy and AI integration to transform adversarial medical debt collection into a resolution-oriented, automated patient experience—converting a historically predatory category into a patient-aligned revenue cycle asset.

06
Recognition

Industry Validation

These accolades were not for building an app—they were validation from tier-1 global integrators and healthcare investors that we had engineered a structural fix to the patient revenue cycle.

Global integrator validation

Accenture HealthTech Innovation Challenge

Recognized for creating the data and financial infrastructure necessary to underwrite and route patient liability at scale, fundamentally reducing AR days for health systems.

Healthcare investor validation

Healthbox Studio

Selected as a systemic solution to patient-driven financial friction—not incremental improvement, but structural redesign of how patient liability is originated and managed at the revenue cycle layer.

07
Industry

Shaping the Rules

Federal Reserve BoardNACHAHIMSS

Industry Standards & Infrastructure Architecture

Active contributor to the national frameworks governing electronic payments and healthcare data interoperability. Work focused on the intersection of B2B payment schemas and healthcare EDI—advising on the structural data standards required to move the US economy toward real-time, autonomous financial settlement. Shaping the rules that allow distinct enterprise systems to transact without human intervention. Working groups active since 2011.

08
Publications

Books

Three books documenting the structural shift underway in B2B finance—from manual back-office operations to fully autonomous, agent-driven settlement infrastructure.

Cover of The Last Invoice: How AI Agents Are Ending the Back Office and What Comes Next
2026

The Last Invoice: How AI Agents Are Ending the Back Office and What Comes Next

Cover of Agentic Payables: The Dawn of Autonomous Finance
2025

Agentic Payables: The Dawn of Autonomous Finance

Cover of The Great Payments Upheaval: How Software is Eating Money
2024

The Great Payments Upheaval: How Software is Eating Money

10
Testimonials

Endorsed by Leaders Who
Have Seen the Work

From board members and C-suite executives who have partnered with Chris across healthcare infrastructure, B2B payments, and enterprise AI transformation.

Chris operates at a level very few executives ever reach—he doesn't just understand the data layer, he redesigned it. When we needed to scale settlement infrastructure to handle nine-figure volume, his architectural thinking was the decisive variable. He sees around corners that most people don't know exist.
NdC

Neil de Crescenzo

Chairman & CEOFortune 500 Healthcare Payer

In fifteen years on boards, I have rarely encountered an operator who combines this depth of technical infrastructure knowledge with genuine commercial acumen. Chris built a payments network from nothing to national scale without cutting corners on compliance or data integrity. That combination is extraordinarily rare.
GS

Gary Staub

Board DirectorPE-Backed FinTech Portfolio

We brought Chris in to advise on agentic payment automation and he fundamentally changed how we thought about the problem. His insistence on deterministic schemas as the prerequisite for any autonomous workflow proved correct—and saved us from an expensive detour. His pattern recognition in this space is unmatched.
BW

Bob Wang

Chief Financial OfficerEnterprise SaaS, Series D

11
Contact

Get in Touch

Direct inquiries only. I will respond to relevant messages as needed.