Healthcare transformation recovery
Every workstream is green. Nothing has changed.
I recover healthcare transformation programs that are behind, over budget, or about to fund automation on top of a workflow that does not work yet. One question comes first: whether the program is actually recoverable, and what the next ninety days should contain.
Not ready for a conversation? The Readiness Check is twelve questions you can work through with your own leadership. No email required.
3-week Recovery Review
$18,000–$25,000 fixed fee
Personally led, start to finish
One program, one sponsor
The recognizable problem
Programs fail at the seams, where nobody reports.
Workstream status answers a local question honestly. The enterprise question, whether the pieces are converging into an operating change, belongs to nobody. Risk accumulates at the boundaries and surfaces a quarter after it started.
- Every workstream reports green and nothing has changed in the operation.
- A second consecutive milestone has slipped and the explanations do not agree.
- A large automation or AI investment is proposed on top of a workflow nobody has mapped.
- Critical decisions have been waiting on a committee for a quarter or more.
- A new executive has inherited the program and needs an independent read.
- The business case was approved against assumptions nobody has revisited.
The core engagement
Program Recovery Review
Is this program recoverable, what is actually wrong, and what should happen in the next 90 days?
- Duration
- 3 weeks
- Fee
- $18,000–$25,000 fixed fee
The fixed fee buys the diagnosis and the 90-day action plan. It does not buy the recovery itself. Executing the plan is separate work, and it belongs to whoever is best placed to do it, which is often the internal team.
You leave with
- Executive diagnosis: what is actually wrong, stated plainly
- Program risk map with severity and accumulation path
- Recovery priorities, sequenced and bounded
- Decision-rights and escalation findings
- Operating-model and workflow-ownership gaps
- An explicit read on where AI or automation helps, and where it adds risk
- 90-day action plan with owners, measures, and decision gates
- Executive readout session
Why TKO
Why hire one senior person instead of a firm.
A large firm sells a team and bills the ramp, which is the right purchase for some problems. It is the wrong purchase when the question is whether the program should continue at all.
I lead the work myself
The person who interviews your team, reads your program artifacts, and writes the diagnosis is the person who signs it. There is no engagement team to onboard and no partner who appears only at the readout.
Three weeks to a written answer
A diagnosis that takes six months describes a program that no longer exists in that form. Three weeks is enough to read what exists, interview the people who know, and take a position.
Twenty years of operating depth
Regulated operations, healthcare product ownership, CMS interoperability, and enterprise transformation delivery, plus a production system I built and operate. I have had to make recommendations like these work.
A direct answer on AI
Whether AI is appropriate here is one of the questions I answer. Automating a workflow whose authority model was never written down makes the ambiguity faster and more expensive.
No bench to sell you
TKO has no staffing ramp and no implementation team waiting downstream. If the right answer is internal execution, your existing vendor, or stopping the program, that is what the report says.
The operating problem comes first
I establish what is actually failing before any platform, vendor, or automation decision is discussed. Sequencing is what separates a program that changes the operation from one that changes the screens.
20+ years in regulated operations
- Apollo Global Management, regulated operations and exception handling
- Sapient, institutional platform transformation
- ELLKAY, CMS Cures Act and FHIR interoperability
- Cognizant, healthcare transformation and payer operations
- Full career record
Each role is publicly verifiable on LinkedIn.
Healthcare experience
Where the judgment comes from.
Prior authorization, utilization management, transformation recovery, and CMS interoperability, inside enterprise healthcare organizations.
Prior authorization & UM
Waiver Enablement via Advanced Notification
Program delivery for a path that removed traditional authorization review for qualifying provider-code combinations while preserving the operational record downstream claims processing required.
Delivery and coordination role. Qualification methodology and medical policy were owned by separate teams.
Review the ExperienceTransformation recovery
Enterprise Program Recovery
Multi-workstream healthcare modernization across claims, care management, provider experience, clinical workflow, eligibility, and member operations, where healthy local status coexisted with unresolved portfolio risk.
Review the ExperienceInteroperability
Regulated Implementation
Payer-facing CMS Cures Act and FHIR interoperability ownership, connecting technical exchange to onboarding, access control, auditability, and operating governance.
Review the ExperienceThese describe my role and the operating mechanism. Employment history establishes experience, not employer or client endorsement, and confidential client outcomes stay unpublished.
Who this is for
- Health plans and payers
- Healthcare services organizations
- PE-backed provider platforms
- Managed-care organizations
- Large provider organizations
- Consultancies and system integrators
Not a fit
- General interest in AI without a program or workflow under pressure.
- A request for outsourced staffing, a software platform, or an EHR implementation team.
- A search for guaranteed savings before any baseline exists.
- Enterprise-wide scope with no bounded starting point and no accountable executive.
Supporting evidence
RachelOS is an operating system I built and run independently. It demonstrates how I make workflow, evidence, approvals, and handoffs explicit. That is the same discipline I apply after a Recovery Review.
Program Recovery Conversation
Get an independent read before the next funding decision.
A structured 45-minute working conversation about one program that is behind, over budget, or about to fund automation on top of an unstable workflow.
For consultancies and integrators: I take subcontract work on accounts you already hold, delivered under your agreement and brand.
Discuss Specialist Availability