Executive Leadership

Rachel Marano — Managing Partner

Ms. Marano, Managing Partner and Co-Founder of Pivot Point Consulting, has sixteen years of consulting experience implementing and managing Healthcare Information technology projects. Rachel served as the Revenue Cycle & Ambulatory Director at Lancaster General Health as well as the Manager of Revenue Cycle at Stanford Hospital. Her primary responsibilities at both organizations were to manage, support, and direct the Epic implementation teams through all phases of their implementation. Rachel’s depth of experience with leading electronic health record (EHR) and revenue cycle projects, combined with her operational and change management skills, allow her to work in a variety venues and settings.

Rachel is a former employee of Cerner Corporation and is certified in several Epic software applications. Ms. Marano was on the Greater Chicago Chapter HIMSS board for eight years having held the positions of President, Communications Chair, and Member At Large. She is currently the Program Chair of the Indiana HIMSS board. Rachel has her Bachelors in Computer Science and is in the process of completing her Masters at Northwestern University.

Matt Simpson — Managing Partner

After completing his Master’s degree at the University of Tennessee, Matt began his professional career as a business consultant with Andersen Consulting (Accenture).  He collaborated with clients in the field of change management, including process design, organization design, training design and system usability.  In 2000, Matt left Accenture to take a role as a Client Executive with IBM where he focused on developing IBM’s relationship with leading Healthcare, Insurance and Entertainment companies in Nashville, TN.

He was responsible for IBM’s entire product portfolio including hardware, software, services and financing.   In March of 2004, Matt joined Vaco to form Vaco’s technology practice.  In 2014, Vaco created Vaco Healthcare, LLC where Matt assumed the role of Managing Partner.

Jon Melling — Partner

Mr. Melling is a management consultant with over 30 years’ experience working in health informatics in the United States and internationally. He also works with technology vendors looking to enter new markets or introduce new products into existing markets. Mr. Melling is a leading authority in planning for and implementing ICD-10, as well as health information exchange and interoperability strategy. His specialties include IT Strategies; Systems Procurement Including Negotiations; Program Management; Change Management; Vendor Business Planning and Marketing Strategies; and eHealth Strategies.

Mr. Melling is active in HIMSS.  He is the Past Chair of the Health Business Solutions Committee, Member of the ICD-10 Task Force, and the Revenue Cycle Improvement Task Force. He is also Past President of the Arizona HIMSS Chapter and was awarded the 2011 HIMSS Chapter Leader of the Year.

Peyman Zand — Partner

Peyman is a Partner at Pivot Point Consulting responsible for strategic services with key healthcare clients. As a senior level executive in a variety of companies, Peyman brings best practices to clients to solve healthcare’s complex challenges. Peyman also serves as an interim regional CIO for Tenet Healthcare.  Previously he served as a member of the University of North Carolina Health Care System leading the Strategy, Governance and Program / Project Management. Peyman oversaw major initiatives including system-wide EHR implementation, Regulatory programs and Physician Practice rollouts. Prior to UNC, Peyman formed Applied Vision Group, a firm dedicated to assisting healthcare organizations with strategic planning, governance and program and project management needed for implementation of key initiatives.

Peyman’s previous experiences include assisting The Dow Chemical Company on a variety of executive roles, including divisional CIO for the Specialty Chemicals businesses and the Global Director of IT Strategic Planning. Prior to Dow Peyman served at the pleasure of Governor John Engler of Michigan for 4 years as the Director of Office of Project Management and had the accountability to deliver the State’s most complex projects. Peyman also held senior management positions at Michigan State University Healthcare systems for over 11 years. He holds a Bachelor’s of Science in Computational Mathematics and Engineering from Michigan State University and a Master of Business Administration from the University of Michigan.

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