Interim CEO · Finexio
Co-Founder. Payments operator. Company builder.
Leads Finexio day to day after building at national scale across healthcare and B2B payments. Former General Manager of B2B and Patient Payments at Change Healthcare.
Ann Arbor, Michigan
Two decades in regulated payments.
The same operating pattern across healthcare and B2B payments: find the friction, structure the data, and build the system that can carry the volume.
$12B+
Annual volume
Finexio today
$160B
Annual volume
Change Healthcare tenure
$400M
P&L led
B2B and Patient Payments
350
Person organization
Change Healthcare
Current mandate
2018 to present
Co-Founder, Interim CEO & Board Member
Built the B2B payments network from pre-revenue to $20M ARR and $12B+ in annual payment volume on multi-bank orchestration. Leads the company day to day.
Full-time operating focus
Operating scale
2014 to 2017
General Manager, B2B & Patient Payments
Owned a $400M P&L, led a 350-person organization, and built an $8B virtual card operation on $160B in annual payment volume.
Institutional outcome
2005 to 2012
Patient Safety, Utilization & Business Intelligence
Operated through WellPoint's $300M acquisition and stripped $150M+ in administrative overhead through automation and structured data.
The connecting chapters: UnitedHealth Group, Senior Director, Network Optimization & Pricing Strategy (2012 to 2014), and Parasail Health, Co-Founder & Chief Commercial Officer (2017 to 2019, acquired by PayZen). Every date is on the full record.
The agent
Runs settlement, initiates payment, reconciles, and handles the transactions that follow the playbook.
The human
Handles exceptions, approves edge cases, and makes the calls a regulator still wants a person to make.
The losers stop at workflow and never reach the rail. Orchestration wins. Single-rail middleware does not.
This thesis is one of 9 dated calls on the public scoreboard. Track them →
The structural insight that explains adjudication, EDI, and remittance reconciliation in one move. The schema is the product. Workflow is the consequence of not having one.
Read the essay →
My thesis is that agents do the work and humans handle the exceptions. Test mine. It knows the operating record and every call on the scoreboard, stays inside verified public material, and says when the record runs out.
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