About Us

Our decades of experience in healthcare and our frustration seeing revenue opportunities frequently missed by providers because of either a lack of data or data in the wrong context, led us to create Switch RCM in 2017. Our primary focus will always be to help providers with Revenue Cycle and Payment Optimization, through smart use of data.


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, to name a few. Mr. Pluke has also served as a consultant in both IT and business operations for various Epic clients around the country.


Mr. Pluke recently served in some revenue cycle roles directly for healthcare providers. He held a senior management position for the Cedars-Sinai Medical Network, overseeing the Revenue Cycle Strategy and Analytics team and also briefly served as the Director - Revenue Cycle Operational Effectiveness and Technical Services at UW Health (Madison, WI), before deciding to focus solely (from a professional perspective) on Switch RCM in 2019.

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. Most recently Mr. Clark created the machine learning processes that automatically detects unexpected payment variations for Switch RCM's Underpayment Detection System.


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

Mr. Clark is also 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 completed his Master of Science degree in Data Science and Machine Learning in the Spring of 2020. 

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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


Dr. William Harris is a vascular surgeon who recently completed service in the United States Air Force. While in the USAF, he completed tours at Keesler AFB, Nellis AFB and a final tour at San Antonio Military Medical Center at Ft Sam Houston, TX as a Vascular Surgeon and serving as director of Vascular Edcation for the largest surgical residency in the Department of Defense. He graduated with honors from University of Arizona and Midwestern University Arizona College of Osteopathic Medicine. Dr. Harris completed residency in General Surgery at Keesler Medical Center at Keesler Air Force Base, Mississippi and completed a fellowship in vascular and endovascular surgery at University of Tennessee College of Medicine Chattanooga.

Dr. Harris is board certified by the American Board of Surgery in both General Surgery and Vascular Surgery. He is an Assistant Professor of Surgery at the Uniformed Services University of Health Sciences. He is a fellow of the American College of Surgeons and the Society for Vascular Surgery and he is a member of the Society for Clinical Vascular Surgery. He presently serves as a partner and vascular surgeon at the Vascular Institute of Chattanooga in Chattanooga, TN.

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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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