My career has been on the operating side of self-funding: TPA leadership and operations, claims leadership, account management, and executive leadership at a claims repricing and direct provider contracting organization. I've built and deployed community-owned health plans, negotiated directly with health systems, run implementations, launched first-of-their-kind products, and scaled operational teams from early stage through market maturity. One stretch of that was roughly 3,000 percent growth with client retention held at 98 percent.
I've been on both sides of the table
I've been the operator who made the mistake, and the one who caught someone else's. I can read a claims file and tell you whether the problem is configuration, contract, or execution, and which party owns it, without needing anyone's permission to say so.
And I've been on all four sides of a deal. I've led venture pitches as a co-founder raising for a company I helped build from nothing. I've advised organizations going to market to raise venture capital. I've taken an established organization to market to source private equity investment and an outright purchase. And I've joined a company after its private equity investment and worked through the restructuring that followed. I've been vetted, and I've done the vetting.