Health Insurance

FRACTIONAL CTO FOR HEALTH INSURANCE

Senior Technology Leadership for Health Insurance Companies

Health insurance runs on data: enrollment, claims, provider networks, pharmacy, and a growing list of partners who each need a piece of it. At many plans and benefits companies, technology strategy belongs to an IT director or operations leader who also keeps claims and enrollment running every day. Interoperability rules, vendor renewals and AI pitches all land on that same desk, and each decision carries privacy and compliance risk with no one to check the call.

Dave Cassel has spent 30 years building software and leading the teams that build it, with much of that work in data management and integration. As a fractional CTO, he gives your company senior technology leadership for a fraction of the cost of a full-time executive. 4V Services takes no vendor commissions and isn't tied to any platform, so every recommendation is based on what fits your members, your team and your budget.

  • Technology and AI decisions you can make with confidence and explain to your board, auditors and regulators
  • Member, claims and provider data your team can use together
  • Security practices that hold up when a large employer group sends its vendor questionnaire
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HOW DAVE HELPS

Technology Decisions That Serve
Your Members and Your Business

Every technology choice should help you pay claims accurately, serve members well and grow without the platform holding you back. Dave works alongside your team to set that direction, then stays involved to help carry out the plan. Engagements run month to month, and your company owns every roadmap, document and line of code.

AI can speed up claims review, prior authorization and member service, and nearly every vendor in your inbox now says they offer it. In health insurance the follow-up questions matter: where member data goes, how a decision gets explained, and who reviews it when the model gets it wrong. Dave helps you pick the uses worth pursuing and puts the guardrails in place before members or regulators ask.

  • A data strategy for member, claims, provider and pharmacy data, starting with the questions your business needs answered
  • A plan for interoperability requirements, including the FHIR APIs that CMS rules call for
  • An AI roadmap with clear rules for protected health information and for any decision that affects coverage
  • A Production Readiness Review for an internal tool or prototype: what it needs before people depend on it
  • Build, buy or partner decisions on core administration, claims and analytics platforms
  • HIPAA, security and vendor-risk practices your team can keep up with
  • Technical due diligence for investors, an acquisition, or a large employer group's security review
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WHY 4V SERVICES

A CTO Who Knows Health Data

Dave has led software teams for three decades, and much of that work has centered on bringing data from many sources together securely. For a healthcare coordination company, he led a data hub project that takes incoming data from scores of partner sources and turns it into a single format the business can use. He has also managed technology projects for a health insurer.

Vendor Neutral

Recommendations come from what fits your members, your team and your budget, with no vendor commissions behind them.

Hands-On Experience

Dave has written the code, run the servers and led the teams, so his advice reflects how systems behave with real data and real deadlines.

Plain Language

Clear explanations of trade-offs, costs and compliance risk, so you can make the call with confidence.

A Stronger Team

Dave works alongside your team to build their skills, sharpen your processes and improve decisions over time.

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GET STARTED

Start with Ask a CTO

Bring the question that's on your plate right now: an interoperability deadline, a vendor proposal with AI in it, a data project that stalled, or a team that's outgrowing how it works today. Ask a CTO is a free 30-minute conversation with Dave, and you'll leave with a clearer view of your options. If you decide to work together, the next step is a 30-day assessment and a roadmap your team can follow, with Dave alongside to help carry it out.

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Ready to Chat?

Book your 30-minute Technology Clarity Call. I offer a free, no-obligation consultation to learn about your business and explore whether a Fractional CTO engagement is the right fit.