Caelan Gander

caelangander.com · caelan.gander@gmail.com · linkedin.com/in/caelangander

Experience

1. Apr 2024 – PresentOverland Park, KS

   Sr. Solutions Analyst, Revenue Cycle

   WellSky healthcare software for post-acute and community care

   • Led requirements discovery and solution design on a Fortune 500 legacy-to-SaaS migration – solution integration and implementation consulting for a post-acute revenue-cycle replacement
   • Ran biweekly feedback workshops with the client, diagnosing production issues through custom reports
   • Product owner for a dedicated scrum team – translated business needs into a prioritized backlog spanning 200+ system components, driving engineering delivery of 15+ reports, 50+ configurable billing rules, 20+ contract variables, 3 new bill forms and an 8-wave go-live
   • Designed 30+ platform-wide insurance payer decision rules – eligibility gating and limit enforcement, a tiered rate engine computing payment amounts, and a real-time API keeping authorization and insurance verification in sync
   • Owned release readiness, drafting acceptance criteria, process documentation and user guides, and driving user acceptance testing
   • Shipped every build onto a multi-tenant platform – made the customize-vs-generalize call for each reimbursement workflow, gating client-specific behavior behind configuration for backward compatibility

   Case study ↓
2. Mar 2023 – Apr 2024Remote

   Program Analyst

   Aptive Resources federal health consultancy serving the VA

   • Embedded client-side consultant on a national enterprise system deployment (VA EHR modernization) – facilitated stakeholder councils of senior end users whose input drove key design decisions on the vendor’s build
   • Reviewed current-state workflows to identify gaps and next steps, and tracked design, build and test actions across project teams
   • Brought hands-on Cerner delivery experience to the customer’s side of the enterprise implementation, bridged vendor and customer perspectives on scope, feasibility, and rollout sequencing

   Case study ↓
3. Sep 2021 – Mar 2023Kansas City, MO

   Implementation Consultant

   Oracle Health electronic health records, formerly Cerner

   • Lead consultant on 16 full-cycle go-live implementations, each a legacy-system migration for a small-to-mid-size healthcare provider, on time and compliant
   • Ran on-site requirements and configuration across each client’s scheduling, billing, and AR modules, carrying every engagement through to first clean claims and posted payments via the TriZetto clearinghouse
   • Owned the last mile of every migration: trained superusers, won front-line staff adoption at cutover, and closed the loop from requirements through live operations on each engagement
   • Rookie of the Year 2022, Ambulatory Consulting

   Case study ↓
4. Oct 2019 – Sep 2021Columbia, MO

   Project Manager, Business Development

   EnergyLink renewable-energy design and build

   • Ran full-cycle pre-sales for solar PV as project lead – RFP analysis, proposals, financial projections, and utility bids
   • Closed 6 government and commercial contracts worth $1.18M and sourced $3.3M in pipeline
   • Won public-sector bids, including a first-of-its-kind 474 kW array on a water tank and pump station for Aurora, CO Water, and a $1.8M, 46-site, 6.8 MW program for Buncombe County, NC that opened the firm’s first North Carolina office

   Case study ↓
5. 2017 – 2019

   Earlier roles

   Manager, Delivery Driver at Hot Box Cookies · Merchandising Clerk at Southern Glazer’s Wine & Spirits

Selected Work

Case Study WellSky · Specialty Care

A Fortune 500 revenue-cycle migration

Senior Solutions Analyst at WellSky and the solutions point of contact on the program, forward-deployed as the hub between Solutions, Engineering, Professional Services, PM, and the client.

Impact

15+ financial and compliance reports and 3 bill forms, all net-new for this migration. The platform now runs high-volume, mixed-model authorization billing with step-downs and intricate requirements.

The full story

Challenge

A Fortune 500 post-acute provider needed to move its billing off a legacy system onto WellSky Specialty Care. Requirements changed week to week, and reporting definitions weren’t settled until late.

My role

• Run the team’s backlog. I write its Jira stories and prioritize the work for a team of four developers and an engineering lead, taking implementation requirements from Salesforce intake to production in weeks.
• Defined eligibility gating and a new hour-based authorization and reimbursement engine (day, week, and total-hour limits across step-downs and rollups).
• Specified a bi-directional, real-time authorization-sync API between the two platforms.
• Authored 50+ billing rules across CMS-1500 and UB-04 and 3 new bill forms. Wrote the acceptance criteria and testing scenarios that supported go-live readiness.

Forward-deployed with the client

I am embedded with the client, running biweekly working sessions and carrying their decisions into engineering as the point of contact between the client and the build. If requirements are ambiguous, I build mockups with AI to settle it before writing the ticket. I also own release communications, every release note and user-guide update, including the prospect-facing docs.

The difficult systems

• Multi-level, hour-based authorization engine. Total-hour limits sit above per-week, which sit above per-day, with hours that can be shared across a group of disciplines for the patient. Getting the precedence and the step-down configuration right is what decides whether a visit is authorized, whether it can be billed, and whether my client gets paid.
• Tiered, configurable reimbursement engine. Rates vary by program, payer, and service line, so the engine had to be data-driven rather than hard-coded, with the tiers and contract variables exposed as configuration the client could perform themselves. It’s a multi-tenant platform, so I often have to decide how a change affects my client while keeping the platform as a whole in mind, and what opening up a capability means for them and for others.
• Authorization-sync API. I specified the updates to the bi-directional, real-time API keeping authorizations in sync between the two systems – specifying field mappings, sync triggers, and conflict behavior, including mapping each discipline to the correct procedure codes.

Tracking the money from billed to paid reimbursement

• End-to-end authorization tracking. Complex authorizations need full visibility from charges to bills to payments. I designed the tracking that keeps each claim accurate as charges roll up into one code and bill out as timed units, so the amount owed is correctly billed and reimbursed.
• Two reimbursement-review reports, built from scratch with the client. Each compares expected reimbursement against what actually landed on the claim. Every column is a claim-relevant field or value, built with the client, several calculated from existing data to surface insights the client didn’t have before. Operations and billing review differently, so I split the work into an hourly authorization report for operations and a claim review report for billing, each with its own submission criteria.
• A charge inquiry window I designed. Sort and pick a bill, and a pop-out shows exactly which charges hit it and traces each one back to the General Ledger.

Go-live support and ongoing testing

I owned testing readiness for the cutover, providing many pages and screenshots of explanatory notes and testing scenarios for their go-live facilities; I also facilitated off-cycle release to solve go-live issues at live sites in an urgent manner.

• Revenue Cycle
• Reimbursement Engine
• API Integration
• CMS-1500 / UB-04
• Forward-Deployed

Case Study Oracle Health · Aptive / VA

Both sides of the table

Implementation Consultant at Oracle Health (formerly Cerner), then Program Analyst on the VA’s EHR modernization through Aptive Resources.

Impact

Two angles on the same vendor: I’ve implemented live revenue-cycle systems on-site, and I’ve sat with the senior clinicians who shaped what the program had to deliver. The Cerner side was volume – 16 migrations, each carried through to first clean claims and posted payments. The VA side was access and judgment, turning what veteran care actually needed into prioritized requirements.

The full story

Challenge

I worked the same vendor’s software from two sides. First I implemented revenue-cycle systems at Cerner. Then I went to the VA and carried senior clinicians’ input into the vendor’s design and build.

What I did

• Lead consultant on 16 ambulatory implementations at Cerner (now Oracle Health), each moving a client off an end-of-life product onto the supported suite, from workflow review and data migration through go-live.
• Implemented the whole revenue-cycle loop, starting at the front desk: check-in and copay collection at the counter, charge capture, claim submission through the TriZetto clearinghouse, and payment posting. All 16 went live on time and compliant, and I sat beside front-desk staff through their first live checkouts.
• 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, carrying clinician change requests into the vendor’s design, build, and test pipeline and tracking them through to rollout.

• EHR Modernization
• Ambulatory
• Implementation
• Clinician Workflows
• Federal / VA

Case Study EnergyLink · Aurora, CO Water

Lead on a first-of-its-kind solar array

Project Manager and Business Development at EnergyLink, project lead for bid submission and design.

Impact

A first-of-its-kind 474 kW array for a municipal water utility, plus a county-scale program that expanded the company into a new state.

The full story

Challenge

Aurora, CO Water wanted solar on a city infrastructure build that no firm would have experience with: the Robertsdale Water Tank and Pump Station. It needed a design-build partner that could win the bid and deliver a 474 kW array on an unusual structure, with a performance guarantee behind it.

What I did

• Led the bid that won EnergyLink the sole design-build contract, named “EnergyLink’s lead on the project” in the July 2021 announcement.
• Closed 6 government and commercial RFPs for $1.18M and sourced $3.3M in pipeline, developing every brief, pitch deck, and bid with utility partners.
• Closed the $1.8M, 46-site, 6.8 MW Buncombe County, NC program, which opened the firm’s first North Carolina office.

The public proof

• PRNewswire, July 1, 2021 ↗ – Aurora Water selects EnergyLink, naming me as the lead on the project.
• EnergyLink’s own case study: City of Aurora ↗ · archived copy ↗

• Project Lead
• Solar & Storage
• RFP / Bid
• Govt / Municipal
• Publicly Verifiable

Research Raven · 2026

Raven, a technology atlas ↗

A research site that measures how far an idea has moved toward a product from the public record alone, with every number printed beside its denominator and the rule that produced it.

Impact

Four published chains – orbital debris, humanoid robots, quantum entanglement and wearable computing – and 23 downstream products, with every score’s components printed beside it and an evidence score that never calls itself a probability. The same machinery measures the next chain.

The full story

Challenge

I wanted to say how far a technology has moved toward market using only public data, without mistaking the whole literature growing for a boom, a keyword match for relevance, or a score for a forecast.

What I did

• Measured four layers by stated rules: research counted per year beside the whole index, with funding and regulation alongside; citation dependency with a negative control; hand-checked barriers typed by whether they can lift; and speculation kept apart and labelled.
• Fixed two controls before any chain ran, so a product’s growth is a position between a literature that matured and one that boomed, never a bare number.
• Built a hand-checked truth set, negatives included, that every automation is scored against. The keyword baseline recovered 1 of 7 barriers; the model layer is built and has not yet run.

• Research Design
• Python
• OpenAlex
• Evaluation
• Publicly Verifiable

Education

B.S. & B.A. 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 Feb 2019 – May 2019
• Business Development Intern Senior Benefit Services · Columbia, MO May 2016 – Aug 2016

Get in touch →

Research

Raven

Public Site

A technology atlas: how far an idea has moved toward a product, measured from the public record alone – research, funding, regulation and citation dependency, scored against two pre-registered controls. Four chains so far: orbital debris, humanoid robots, quantum entanglement and wearable computing. Python, no framework, every number beside its denominator.

• Python
• OpenAlex
• Static HTML
• SVG Charts

Public Demos

Violencetown

Public Demo

Browser 2D RPG in vanilla JS and Canvas – top-down, turn-based combat wrapped in a burger-delivery quest loop. Mobile-friendly touch controls; demo currently at v0.22.1.

• JavaScript
• Canvas
• ES Modules
• Mobile Touch
• Turn-Based

Clown City

Public Demo

HTML5 unicycle auto-runner with a custom physics loop – steer, jump, and spray through an endless run under the dark big top. Currently at v0.3.0.

• HTML5
• Canvas
• Auto-Runner
• Physics

Source