©2018 by Switch RCM, LLC

About Us

Our years of experience in healthcare have taught us that most healthcare technology is built in a task-oriented manner with little or no thought given to user experience. Function over form. We believe you can have both form and function, and the better the form, the better the function.


Knowing and solely focusing on the Physician and Hospital Revenue Cycle allows our products to go beyond just the exchange and transformation of data, to become tools that provide guided insight and the opportunity for user discovery. Discoveries in data lead to data-driven decisions within the organization. Data-driven decisions lead to changes in workflows, staff's priority, and long-term goals allowing the organization to focus on areas that will create the most value.

While we understand the value of healthcare experience, we also know the importance of bringing fresh perspective into the healthcare revenue cycle technology space. Many healthcare technology teams only have experience in healthcare technology. Our technology team and partners were chosen - in part - due to their experience outside of healthcare. We feel that the only way to make machine learning more than a buzzword in health tech, requires having a real data scientist on the team. We think that one way to bring in fresh concepts to healthcare technology is to engage with a partner that has worked on technology for casino gaming, hospitality and political action (to just name a few). We're also proud to have board certified physicians that are able to provide us feedback on what clinicians want to see in healthcare business technology.


Meet The Team



Nathan Pluke serves as the head of products for Switch RCM, where he conceptualizes and designs the products within the portfolio. Mr. Pluke has an extensive background in healthcare revenue cycle in both technology and business operations.


Mr. Pluke previously served in product management capacities for Passport Health (now Experian Health) and Healthcare IP and has a wide range of experience in bringing new products to market. Prior to his work in product management, Mr. Pluke worked at Epic on the Claims team, working on such implementations as Sutter Health, Mercy Health (fka Sisters of Mercy), UCSF, and the NYU School of Medicine. Mr. Pluke has also served as a consultant in both IT and business operations for various Epic clients around the country.


Most recently, Mr. Pluke served in a senior management role for the Cedars-Sinai Medical Delivery Network, overseeing the Revenue Cycle Strategy and Analytics team.

In addition to his work on products, Mr. Pluke is also one of the founders and owners of Switch RCM.

Mr. Pluke graduated with a B.A. in English from the University of Arizona in 2004 and despises writing about himself in the third person.

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Melissa Pluke serves as the head of operations for Switch RCM, where she is responsible for running the day-to-day operations of all things related to the business, including application development and client services. Ms. Pluke is the resident expert on User Experience and takes great pride in creating applications that are functional, easy to use, and yet extremely powerful.

Ms. Pluke previously worked in product management for Passport Health (now Experian Health), where she oversaw the development for the Patient Payment Estimator (PPE). Prior to her work at Experian Health, Melissa was a project manager at Epic on the Claims team. Her clients at Epic included UCSF, Riverside Medical Clinic (CA), Washington Hospital Healthcare System (CA), Santa Clara Valley Medical Center, Methodist (IN), Rockford Health System.

In addition to her work on the operations of Switch RCM, Ms. Pluke is also one of the founders and owners of Switch RCM.

Ms. Pluke graduated with a B.S./B.A. in Finance from the University of Pittsburgh in 2010.

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Technology and Data Science

Ryan Clark wears many hats at Switch RCM. Mr. Clark works as a Software Developer working with projects that involve turning large amounts of data from machine usable to human readable and usable data, mining large data from public and private sources, and development projects related to receiving and sending ANSI/EDI healthcare transactions.


Mr. Clark also serves as the primary system architect for Switch RCM's secure, HIPAA-compliant cloud infrastructure.

Mr. Clark also happens to be Switch RCM's resident data scientist as he received his Bachelor of Science in Electrical and Computer Engineering with a focus on Machine Learning from the University of California, San Diego in 2018. Mr. Clark is currently pursuing his Master of Science degree in Data Science and Machine Learning with an expected completion date in 2019. 

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Dr. Steve


Dr. Stephen Reis, M.D., is a Board Certified Interventional Radiologist at Columbia University Irving Medical Center. His practice and research focus on interventional oncology, where he is extensively published. Dr. Reis has a keen interest in the business of medicine and is pursuing a Master’s in Business Administration from Columbia Business School with a focus on operations and finance. He is currently serving as a subject matter expert for the implementation of Epic EHR across the entire New York Presbyterian Hospital System.

Dr. Reis received his Bachelor of Science degree in Biochemistry and Cellular Biology from the University of California, San Diego in 2003. He received his M.D. in 2007 from the Medical College of New York. Prior to his work at Columbia University, Dr. Reis was both a fellow and an assistant professor in Interventional Radiology at UT Southwestern Medical Center - Dallas.

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Dr. Will


William B. Harris, D.O., R.P.V.I., F.A.C.S. is a vascular surgeon who practices in San Antonio, TX.  He completed a general surgical residency at Keesler Medical Center at Keesler AFB, MS. Dr. Harris then completed a fellowship in vascular and endovascular surgery at the University of Tennessee, Chattanooga. He is board certified by the American Board of Surgery in both General and Vascular Surgery. He has written several articles published in peer-reviewed journals and has presented at conferences around the United States. He is a fellow of the American College of Surgeons and a member of both the Society for Vascular Surgery and the Society for Clinical Vascular Surgery. His interests include, but are not limited to complex endovascular revascularization and limb salvage, open and endovascular carotid interventions and aortic aneurysmal disease management.  He presently serves as a surgeon in the United States Air Force.

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Brandon Peterson and his company objectstudio provide comprehensive end-to-end development services, with expertise in web applications, cross-platform mobile apps, API development, SQL database development, front-end user interfaces and cloud-based infrastructures. Brandon generally focuses on entrepreneurial projects and initiatives and loves working with innovators looking to bring to products to life. Mr. Peterson served a critical role in Switch RCM's creation, serving as both head of technology along with developing the application framework that Switch clients use every day. Mr. Peterson and object studio continue to work with Switch RCM on technical projects and application development.

Mr. Peterson received his Bachelor of Science degree in Computer Science in 2004 from the University of Arizona, where he had the distinct pleasure of being roommates with Mr. Pluke. 

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Christina, Esq.

Outside General Counsel

Christina Lewis serves as outside general counsel for several companies and advises businesses of all types and sizes, from the entity formation of a start-up to dissolution, mergers and restructuring. Ms. Lewis has extensive experience in drafting and negotiating contracts for all aspects of business and business formation including but not limited to: partnerships (formation and dissolution); hiring and terminating employees and contractors; raising capital; purchase and sale of assets; licensing and distribution rights; and complex deal structures. After working several years at a top international law firm, Ms. Lewis also has gained significant experience working with major banks, insurance companies, as well as a number of Fortune 500 companies in connection with numerous secured and unsecured leveraged buyouts, recapitalizations, debt restructurings, guaranteed investment contract backed notes, and other securitizations and structured financings.


Ms. Lewis received her J.D. from Loyola Law School in 2004 and her B.A. from the University of California, Los Angeles in 1998.  Ms. Lewis is an active member of the American Bar Association and is licensed to practice in the State of California.

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