About Pivot Point Consulting
Solutions for Healthcare’s Pivotal Moments
Pivot Point Consulting ignites possibility with healthcare organizations and partners with them to navigate pivot points. We bring Best in KLAS managed services, strategic advisory and talent solutions so providers, payers, life sciences and technology organizations can move faster, make decisions with confidence and lead what’s next.
We are currently ranked #1 Best in KLAS: Managed IT Services and has been repeatedly recognized as a top performer by KLAS in multiple categories, including Best in KLAS: Managed IT Services (2026-2023), Best in KLAS: Technical Services (2024) and #1 Best in KLAS: Overall IT Services Firm (2020).
KLAS-Ranked, Industry Trusted
For more than a decade, Pivot Point Consulting has been recognized as a top performer by KLAS Research, the premier healthcare IT insights company—including four consecutive years as #1 Best in KLAS: Managed IT Services.
This long-term momentum demonstrates our commitment to quality, consistency, and impeccable client service, and the trust health systems place in Pivot Point Consulting to deliver flexible, end-to-end solutions at scale.
- Best in KLAS (#1) for Managed IT Services (2023-2026)
- KLAS ranked #2 in Best in KLAS for Technical Services (2026)
- Best in KLAS (#1) for Technical Services (2024)
- KLAS ranked #2 in Best in KLAS for Partial IT Outsourcing (Managed IT Services) (2022)
- KLAS ranked #2 in Best in KLAS among vendors evaluated for Overall IT Services Firm (2022)
- A strong history of KLAS performance, including: Best in KLAS (#1) for Overall IT Services Firm (2020); Consistent Top Three Best in KLAS report rankings for HIT Implementation & Support (2015-2019); KLAS ranked Top Two in Best in KLAS report for HIT Implementation Staffing & Support in Software & Services (2018); Highest-rated vendor in the KLAS Implementation Services Report (2017); and Highest-rated vendor in the KLAS Epic Consulting Report (2016)
ESG Impact Statement
Each year, Pivot Point Consulting creates professional opportunities for thousands of people and solutions for thousands of companies. People are the foundation of our mission, and we understand the significance of drawing the circle wider to broaden our perspective, to connect on a deeper level, and to be a force for positive change in our world. Through our evolving ESG initiatives, we are committed to ensuring fairness in the workplace; encouraging expression and integration of diverse views and cultures; safeguarding the health, safety, dignity and well-being of all those we serve; and pursuing responsible and sustainable sourcing and operations.
Meet Our Executive Leadership Team
Our executive team brings decades of experience, knowledge, and expertise in
both leading and working hands-on in the field of healthcare IT.
David Dyell
Managing Partner
Bio
David is a creative, results-driven technology leader with over 26 years of proven experience—20 of which were spent founding, building and then selling award-winning companies.
David is a change agent and a problem-solver with a passion for healthcare technology. He lives the culture of his organizations and leads by example, spurring people to willingly give 110% effort and loyalty. David is a sci-fi and Star Wars nerd and a Florida state finalist for the 2014 Ernst & Young Entrepreneur of the Year Award.
Marc Hirshfield
Managing Partner
Bio
Marc has over 25 years of experience in the HIT consulting industry and is known for his ability to cultivate and support strategic partnerships.
Marc has held leadership positions at Siemens and Vitalize Consulting Solutions where he developed the company’s PMO. In 2014, Marc founded Pursuit Healthcare Advisors as a managing partner and sold the business to Atos in 2017. More recently, he served as a board member and leadership team member for Jellyfish Health, LLC, which was sold to Millennia in May of 2021. Marc earned his MBA in healthcare administration from Eastern University, completed a post master’s program in MIS at Penn State, and received his PMP® from the Project Management Institute (PMI).
Rachel Marano
Managing Partner
Bio
Rachel Marano, founder of Pivot Point Consulting, is a seasoned entrepreneur and healthcare IT executive with over 25 years of hands-on experience with healthcare organizations.
Rachel has worked in all aspects of healthcare IT, both in-house and as a consultant, leading complex EHR implementations at clients including Stanford Healthcare, Advocate, and Lancaster General Health.
After a successful career as a certified Cerner and Epic implementation consultant, she founded Pivot Point Consulting in 2011. Since its inception, Pivot Point has been named #1 Best in KLAS for multiple services across multiple years.
Rachel was on the Greater Chicago Chapter HIMSS board for eight years having held the positions of President, Communications Chair and Member at Large, as well as the role of Program Chair of the Indiana HIMSS board. She has her Bachelor’s in computer science from the University of Iowa.
Max Hanner
Senior Partner, Growth & Revenue
Bio
Max Hanner is a Senior Partner at Pivot Point, where he leads the company’s growth strategy and oversees all revenue operations. Since entering the healthcare industry in 2012, Max has earned a reputation as a strategic, results-oriented leader with a strong track record in business development, client partnerships, and operational excellence.
He has held executive leadership roles across service organizations specializing in healthcare, wellness, operations, and information technology. Max holds a bachelor’s degree from the University of Iowa.
Michelle Lichte
Senior Partner, Professional Services
Bio
Michelle has 35 years of healthcare experience, including information management & process improvement, new business development, operational transformation, project management & system measurement.
She has held leadership positions at Epic, OSF HealthCare, BlueTree, and Nordic Consulting, leading the planning and management of over 25 system-wide implementations. Joining Epic in 1994, she spent ~19 years in a variety of roles, including Implementation Executive/Customer Happiness Executive, Sales, Technical Support, Learning Officer, QA leader, and Training. She also served on the WI HIMSS Board of Directors for eight years.
Joe Clemons
Partner, ERP & Operations
Bio
Joe leads the ERP/Business Systems Practice and guides the internal operations team at Pivot Point Consulting. With a strong background in different facets of healthcare IT, he ensures that the intersection of internal and client-facing operations are aligned and strengthens our team’s overall efforts.
Joe brings over 17 years’ experience in healthcare IT strategy, EHR and ERP planning and implementation, merger and acquisition execution, process improvement, change management and organizational development. His expertise intersects the clinical components of the EHR with the business components of ERP to drive organizational strategy and value.
He routinely contributes to industry articles, podcasts and video interviews and the development of methodology and best practices. Joe serves on the Oregon Chapter of HIMSS Board of Directors as the Sponsorship Chair.
He holds a BS in Healthcare Administration.
Chris Rogowski
Partner, Strategic Advisory
Bio
Chris brings executive leadership in healthcare operations, strategy, and health IT to Pivot Point. Previously, Chris held senior leadership roles with Clearsense, Nanthealth/iSirona, and Wellstack as well as prominent northeast health systems. He holds a bachelor’s degree from Drexel University’s LeBow College of Business and an MBA in Finance from Widener University.
Zachary Tisch
Partner, Portfolio Services
Bio
Zack is a dynamic healthcare IT executive leader with 15 years’ experience in leading complex, integrated healthcare information technology projects at some of the nation’s leading healthcare institutions, such as Cedars-Sinai, MD Anderson Cancer Center, UCLA Health and Stanford Heath Care. He is passionate about maximizing value out of the EHR systems to provide efficient, effective patient care.
Zack is a former Epic employee and is certified in 15 Epic applications. He is also a PMP. Zack received his BA from Duke University and has completed Executive MBA Coursework at UCLA and the University of Texas.
Jillian Wood
Partner, Client Success, Strategy & Transformation
Bio
Jillian brings over two decades of consulting experience leading strategy and service development for technology and healthcare brands. She leads initiatives to deliver engaging, high quality experiences for Pivot Point’s clients, consultants and employees, and is responsible for fostering an award-winning workplace culture. Jillian is passionate about culture and supporting women. She serves as the co-chair of “Women at Vaco Empowerment” Employee Resource Group, is a coach/mentor for organizations and has spoken at events for those communities.
Jillian received her BA from The College of William & Mary and has an MBA from Virginia Commonwealth University.
Brian Beinborn
Vice President, EHR
Bio
Brian Beinborn serves as Vice President of EHR Services at Pivot Point Consulting. Under his guidance, the team provides consulting and talent solutions, serving as trusted advisors to help health care organizations advance strategic priorities through tailored EHR enablement solutions. With 22 years of EHR experience, Brian is dedicated to crafting services that leverage the full capabilities of clients’ investments to produce meaningful outcomes for patients, providers and healthcare systems.
Prior to Pivot Point, Brian held leadership roles in healthcare software and services at Nordic, Evergreen Healthcare Partners, Guidehouse and Epic. He has partnered extensively with health systems, delivering impactful projects involving EHR optimization, clinical technology enablement, provider efficiency and population health.
He obtained his bachelor’s degree from the University of Wisconsin-Madison and lives in Middleton, WI.
Molly Kalinowski
Vice President, Managed Services
Bio
Molly Kalinowski joined Pivot Point Consulting in 2021 and currently serves as Vice President of Managed Services, where she leads the Managed Services team, including both the service desk and Epic analysts. With over 15 years of experience in healthcare, Molly’s career began in operations, where she led patient access teams and specialty clinics as an Operations Manager. In 2012, she transitioned into the IT department, bringing extensive expertise in full-cycle Epic implementations, from validation sessions and go-lives to optimization and ongoing support and maintenance.
Molly is passionate about customer service and process improvement, continually seeking innovative solutions to enhance efficiency and client satisfaction. She holds a Bachelor of Business Administration from Texas A&M University and an MBA from Texas State University. Additionally, she is certified in EpicCare Ambulatory, Clinical Documentation, and ITIL.
Residing in Liberty Hill, Texas, Molly enjoys spending her free time with her husband and their diverse array of animals, including dogs, chickens, cows, donkeys, and sheep.
Wendy Soethe
Vice President, Analytics & AI
Bio
Wendy Soethe brings over 28 years of experience in healthcare analytics, spanning payer and provider organizations. Beginning her career as a data analyst, she has worn a lot of different hats over the years, gaining extensive expertise in the field. Before joining Pivot Point Consulting, Wendy was part of a senior leadership team that elevated enterprise analytics to HIMSS AMAM stage 7, the highest level of maturity in that assessment.
Motivated by a passion for healthcare analytics and the desire to drive broader impact, she joined Pivot Point Consulting in 2022. Currently, she leads the Analytics & AI practice, collaborating with clients to address diverse analytics needs and empower healthcare systems to leverage their data effectively.
Wendy received her Bachelor of Science in Business Administration from Oregon State University and has a Master of Public Health with a focus in Healthcare Administration from University of Washington.
Ann Eichhold
Managing Director, Recruiting
Bio
Ann Eichhold is an accomplished recruiting executive and the Managing Director of Recruiting at Pivot Point Consulting, where she leads the firm’s talent acquisition strategy, delivery model, and recruiting team performance. She is known for building scalable recruiting infrastructures, managing a high-performing recruiting team, and aligning talent strategy directly to client business outcomes. Ann partners closely with leadership and delivery teams to anticipate workforce needs, develop proactive talent pipelines, and ensure clients receive highly qualified professionals who can drive immediate impact.
Prior to becoming a leader, Ann held recruiting roles, where she helped strengthen recruiting operations and elevate talent delivery standards. Her ability to combine data-driven strategy with a relationship-first approach has made her a trusted partner to both clients and candidates. In recognition of her leadership, performance, and impact, Ann was honored as Employee of the Year in 2025.
Tom Griffin
Managing Director, Business Development
Bio
Tom Griffin serves as the Managing Director of Enterprise Applications Business Development and Recruiting at Pivot Point Consulting, leveraging over 14 years of experience in healthcare staffing, consulting, and customer service leadership. Committed to delivering measurable results through strong client relationships, Tom has a proven track record in tackling complex challenges within the industry.
His journey in the healthcare IT sector included diverse roles, providing him with invaluable insights into managing transformative initiatives through the convergence of people and technology.
Tom obtained his bachelor’s degree from the University of South Florida and lives in Des Moines, Iowa.
Nick Patel
Physician Executive Advisor
Bio
Dr. Nick Patel practiced medicine for 20 years and has held various executive roles such as Vice Chair of Medicine and Chief Digital Officer until he decided to bring his clinical and digital transformation experience to management consulting in 2022 when he founded Stealth Consulting. In addition, he works with top global and U.S.-based healthcare organizations integrating clinical, consumer and operational needs with a digital-forward strategy. He is regularly sought out for speaking engagements, serves on multiple boards and has been regularly recognized as a top digital leader. Patel’s deep experience at the intersection of healthcare and business uniquely positions him to collaborate with Pivot Point Consulting clients to drive meaningful improvements in health outcomes, as well as improvements in the business.
Success Stories
Ignite Possibility
Pivot Point Consulting brings deep healthcare industry experience that drives value, growth, and innovation across a multitude of technology consulting services. Learn more about how we have provided value for our clients.
