Caelan Gander
Senior Solutions Analyst in healthcare SaaS, bridging delivery and product across revenue cycle, claims, and EHR modernization.
Caelan Gander – Senior Solutions Analyst, Healthcare SaaS
Product Management · Implementation Consulting · Solution Design
I'm a solutions analyst on complex healthcare platform migrations. I sit between what the client needs and what engineering ships, and I've authored 1,300+ Jira stories defining reimbursement engines, API integrations, and the billing rules behind them.
- Experience
- Product Management with AI Tooling Integration, Project Requirements Definition, Implementation Consulting
- Skills
- Revenue Cycle & Billing, Claims (CMS-1500/UB04), API Integration, Requirements Definition, Stakeholder Management
- Tools
- Claude Code, MCPs, CLIs, APIs, Jira, Playwright, Salesforce
Right now I'm a Senior Solutions Analyst at WellSky, on Specialty Care (their platform for long-term acute care hospitals). I review workflows, find the gaps, and turn them into build items engineering can act on. I also handle the project-management and stakeholder side: who needs to be in the room, the executive outreach, and keeping several teams pointed the same way.
Selected Work
Case Study
WellSky · Specialty Care
The division's largest revenue-cycle migration
Senior Solutions Analyst at WellSky, and the only solution analyst on the program. I was the hub between Solutions, Engineering, Professional Services, PM, and the client.
Challenge
A Fortune 1000 post-acute and home-care provider had to move its Rehab, Community Living, and HomeCare billing off a legacy system onto WellSky Specialty Care. Requirements changed week to week, and some reporting definitions weren't settled until late.
What I did
- Owned the scope end to end. I wrote 1,309 Jira stories and sequenced the work across several scrum teams.
- Defined the hour-based authorization and reimbursement engine (day, week, and total-hour limits across PER15, PERHR, and Step-Down-by-Minutes). It carried an 8-wave go-live.
- Specified a real-time authorization API with 18+ field mappings and two-way sync to Resource Manager.
- Built 50+ bill exceptions across CMS-1500 and UB04, 3 new bill forms, and the GL and month-end reporting. Moved 8+ test features to Playwright for go-live.
Impact
200+ programs, 15+ financial and compliance reports, and 3 bill forms, all built from scratch. It runs high-volume, mixed-model authorization billing across an 8-wave cutover.
- Revenue Cycle
- Reimbursement Engine
- API Integration
- CMS-1500 / UB04
- Scope Control
Case Study
Cerner / Oracle Health · Aptive / VA
Both sides of the table
Implementation Consultant at Cerner (now Oracle Health), then Program Analyst on the VA's EHR modernization through Aptive Resources.
Challenge
I worked the same EHR from two sides. First I implemented revenue-cycle systems at Cerner. Then I went to the VA and collaborated with executive clinicians who use it and shape policy around it.
What I did
- Ran 16 ambulatory implementations in 2022 at Cerner (now Oracle Health), covering workflow review, data migration, configuration, and go-live for scheduling, billing, and patient accounting.
- Named 2022 Ambulatory Consulting “Rookie of the Year.”
- Moved to the VA's EHR modernization through Aptive. Less hands-on build, more requirements and oversight at the population level.
- Facilitated the ambulatory pain-management and oncology councils, working with the executive clinicians who use the platform and set policy around it. I carried their change requests and tracked the vendor's design, build, and test items before rollout.
Impact
Two angles on the same EHR: I've put it in, and I've sat with the executives who set its policy. The Cerner side is quantified (16 implementations, Rookie of the Year). The VA side was about access and judgment, turning what veteran care actually needed into prioritized requirements.
- EHR Modernization
- Ambulatory
- Implementation
- Clinician Workflows
- Federal / VA
Experience
Current
April 2024 – Present
Senior Solutions Analyst
WellSky · Kansas City, MO
End-to-end delivery on revenue cycle management and billing software.
- Sole definer of requirements across the division's largest client migration; the delivery hub across Solutions, Engineering, Professional Services, PM, and the client.
- Owned 2+ years of release communications – turning complex billing and authorization changes into client-ready release notes and validation guidance.
- Solution Design
- Scrum
- API Integration
- Claims & Billing
- SaaS Migration
- Stakeholder Comms
Healthcare EHR
September 2021 – April 2024
EHR Modernization – Build & Oversight
Cerner / Oracle Health · Aptive Resources
Two roles across one EHR ecosystem – implementing revenue-cycle software, then representing the clinical users it served on the VA's modernization.
- Implementation Consultant, Cerner (now Oracle Health) – Sep 2021 to Mar 2023; 16 ambulatory implementations in 2022; 2022 “Rookie of the Year.”
- Program Analyst, Aptive Resources / VA – Mar 2023 to Apr 2024; facilitated the ambulatory pain-management & oncology councils, translating clinician input into prioritized design requirements for a federally regulated modernization program.
- Implementation
- Data Migration
- Ambulatory
- EHR Modernization
- Federal / VA
- Council Facilitation
Sales / BD
October 2019 – September 2021
Project Manager ⇤ Business Development
EnergyLink · Columbia, MO
Developed sales and development proposals for solar energy and battery storage projects for government and commercial sites.
- Closed 6 RFPs for $1,182,000 in revenue and provided lead generation for an additional $3,296,000 in closed deals.
- Buncombe County Rooftop Arrays: $1,800,000 subcontract, 7.1 MW of solar over 45 interconnections; project resulted in 25% company growth and the opening of a North Carolina branch office.
- Solar & Storage
- RFP Response
- Govt / Commercial
- Lead Generation
Earlier Roles
- Manager ⇤ Delivery Driver Hot Box Cookies · Columbia, MO April 2017 – October 2019 Led a team of 5 employees providing delivery services through electronic POS to ~100 daily customers; delegated tasks, balanced and closed cash drawer and electronic ledger.
- Merchandising Clerk Southern Glazer's Wine & Spirits · Columbia, MO April 2017 – October 2017 Supported sales team by operating a warehouse containing 5,000+ merchandising tools for 100+ alcohol brands.
Toolkit
AI & Dev Tooling
- Claude
- Claude Code
- MCP Servers
- Playwright
- CLIs
Delivery & PM
- Jira
- Salesforce
- Confluence
- Smartsheet
- Scrum
- Acceptance Criteria
Domains
- Healthcare SaaS
- Revenue Cycle
- Billing & Claims
- CMS-1500 / UB04
- EHR Modernization
- API Integration
- Federal / VA
Education
B.S. & B.A.
May 2014 – May 2019
University of Missouri
Columbia, MO
- B.S. Business Administration – Marketing
- B.A. International Studies – East Asian Studies
Honors
- Chancellor's Scholar
- Excellence Scholar
- Bright Flight Scholar
- Multicultural Certificate
Activities
- Mizzou Outreach – Student Recruitment
- Alpha Gamma Rho Fraternity
- Universitat d'Alacant Study Abroad
- Running of the Bulls 2018
Volunteer
- The Food Bank of Missouri
- The Salvation Army
Internships
- Legislative Intern Missouri State Senate · Jefferson City, MO February 2019 – May 2019
- Business Development Intern Senior Benefit Services · Columbia, MO May 2016 – August 2016
Public Demos
Violencetown
Public DemoBrowser 2D RPG built in vanilla JS and Canvas. Mobile-friendly touch controls; sewer demo currently at v0.4.2.
- JavaScript
- Canvas
- ES Modules
- Mobile Touch
Clown City
Public DemoHTML5 platformer with a hand-built physics loop and tile-based level design. Currently at v0.1.1.
- HTML5
- Canvas
- Platformer
- Tile Maps
In Development
Pain Mountain
Coming SoonFirst-person open-world game with a PSX aesthetic, built solo in Godot 4.6. Source repo is private – paid asset packs (PSX Textures, Nature, Mega Pack II) ship with the build but not the source tree.
- Godot 4.6
- Open World
- PSX Style
- First Person