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TKOSolutions

Client or enterprise experience / Healthcare

Healthcare Interoperability Modernization

Regulatory and interoperability requirements had to become working platform behavior rather than remain policy or documentation.

What this is

Client or enterprise experience

My role

I owned payer-facing product requirements and functional design for CMS Cures Act and FHIR interoperability work at ELLKAY.

Why it matters here

Translating policy and technical requirements into controlled operating behaviour is the same capability a prior-authorization or interoperability program needs when evidence, access, exceptions, and auditability all have to hold together.

1. Buyer or operating context

A payer-facing healthcare interoperability platform operating under CMS requirements, access-control needs, auditability, and data-governance constraints.

2. Triggering problem

Regulatory and interoperability requirements had to become working platform behavior rather than remain policy or documentation.

3. What was breaking

Data exchange, onboarding, access control, governance, and operational adoption had to work together across external parties.

4. Why conventional approaches were insufficient

Treating the initiative as an API-only project would have left onboarding, authority, audit, and day-to-day operating requirements unresolved.

5. My role

I owned payer-facing product requirements and functional design for CMS Cures Act and FHIR interoperability work at ELLKAY.

6. Intervention

The work connected technical exchange requirements to access controls, auditability, governance, onboarding, and delivery coordination.

7. Evidence or result

Access, auditability, onboarding, and governance were designed together rather than sequenced after the API, which turned the regulatory requirements into implementable product behaviour and working operating controls.

8. Why this matters to a prospective buyer

Translating policy and technical requirements into controlled operating behaviour is the same capability a prior-authorization or interoperability program needs when evidence, access, exceptions, and auditability all have to hold together.

Evidence record

What can be supported publicly.

Verifiable employment history in healthcare interoperability product management.
Specific scope covering FHIR, access control, auditability, data governance, and payer-facing platform requirements.
Limits of this evidence

Employment history establishes the scope of the role. Neither the employer nor its clients endorse this practice, and I do not publish confidential program artifacts or outcome measures.

How to read this evidence

Program Recovery Conversation

Bring one program under pressure.

The Program Recovery Review establishes what is actually wrong with one program, separates symptoms from addressable causes, and gives leadership a 90-day action plan.