Co-Founder & CEO · Finexio
The agent runs settlement. The human handles exceptions. My thesis for the next era of B2B payments, and what would prove it wrong.
Leading Finexio as Co-Founder and CEO. Previously General Manager of B2B and Patient Payments at Change Healthcare.
Get in touchThe same operating pattern across healthcare and B2B payments: find the friction, structure the data, and build the system that can carry the volume.
Current mandate
2018 to present · CEO since 2026
Co-Founder & CEO, Board Member
Built the B2B payments network from pre-revenue to more than $5B a year in payments to 77,000+ suppliers on multi-bank orchestration. Holds the CEO seat, leads day to day, and reports to the board.
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.
Pattern Recognition · · 12 min
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 →
Outside the day job · 6 min read
A lake boat should not exist. It costs as much as a car and works twenty days a year. Which is the first clue it was never a vehicle. It was a room, and the room was the point.
Read the essay →
Latest book · 2026
Read chapter one →
9 predictions, each with a date attached. They are graded only against public sources, and the misses stay on the board.
See the predictions →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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