About Us

We are healthcare subject matter experts and have provided consulting, IT, and BPO services to healthcare organizations for over 25 years.

We help clients develop, manage, and execute complex healthcare information programs and infrastructure.

Our CORE focus areas include health consulting, health analytics and integration, and health operations.

Michele Kang

"At Cognosante, we fundamentally believe we can create a better healthcare environment where everyone benefits. We are dedicated to applying our knowledge and innovation to help produce a healthier population.”


Cognosante is committed to delivering high quality products and services. We have earned industry-leading and globally recognized certifications that demonstrate repeatable, documented and successful systems and processes.

CMMI Maturity Level 3 for both Services and Development

Cognosante, LLC, has been successfully appraised at Maturity Level 3 of the Capability Maturity Model Integration (CMMI®) for Services and for Development. (CMMI for Services v1.3 Exp. 2016-12 / Appraisal #21270, CMMI for Development v1.3 Exp. 2018-06 / Appraisal #24456)

CMMI® is an industry recognized process improvement approach used worldwide to achieve product and process improvements. An appraisal at CMMI® Maturity Level 3 indicates Cognosante executes on standards, procedures, tools, and methods that are well-defined, understood, and improved over time.

AWS Partner Network Consulting Partner

Cognosante has achieved status within the Amazon Web Services (AWS) Partner Network (APN) as an APN Consulting Partner.  The acheivement of this partner status validates Cognosante's proven ability to define, design, architect, develop, deploy, and sustain complex solutions within the AWS Commercial and Government clouds (AWS GovCloud (US)). Cognosante has demonstrated AWS Cloud hosting expertise and engagement with AWS Commercial and AWS GovCloud (US) as the backbone of many services it develops and maintains.

Cognosante Foundation

As a company, we believe our responsibility to our clients and our community go hand in hand. Committed to giving back and doing more, we launched the Cognosante Foundation in 2012 to deliver on our promise of active corporate citizenship and corporate caring.


The Cognosante Leadership Team includes trailblazers who have led start-ups, small businesses, Fortune 500 companies, and large government contractors. With more than 15 decades of combined experience, Cognosante's leaders are at the forefront of healthcare reform to help guide our customers to the right solutions no matter what challenges they face.

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Chief Executive Officer

Michele Kang is Cognosante’s founder, Chair of the Board and Chief Executive Officer.  A visionary in the field of health information technology, Michele founded Cognosante in 2008 to address a critical gap she had identified in the health IT market – the need for a smart, nimble company, unencumbered by legacy systems and unafraid to challenge accepted wisdom.  Under her leadership, Cognosante has emerged as one of the most trusted partners to key federal and state health agencies, growing significantly year over year and providing a unique set of business and technology expertise and innovative solutions central to carrying out national

Susan Fox, PhD., serves as Senior Advisor. Dr. Fox was the founder and Chair of the Board of FOX Systems, which merged with Cognosante in 2010. Fox Systems name formally changed to Cognosante in July 2011. With more than 25 years of experience assisting public and private health care programs, Dr. Fox is a nationally-recognized Medicaid, managed care, and HIPAA subject matter expert. She serves as Cognosante’s subject matter expert for the development of the Medicaid Information Technology Architecture (MITA) for the Centers for Medicare & Medicaid Services (CMS).
General Manager of Health Data and Communications
Davis Foster is General Manager for Cognosante’s Health Data and Communications Business Unit. In this role, she manages the company's BPO and IT services, solutions, and growth strategies.  She previously served as Cognosante’s Chief Growth Officer, overseeing the direction of the company’s business development, marketing, capture and strategic pursuits. She has extensive experience in both operations management and business development. Her expertise includes sales, operations and client management for both small and large health IT companies.
Executive Vice President
Mark Shishida, Senior Advisor, is an expert in health and human service programs and supporting systems. He has 30 years of experience with federal, state and county Medicaid, Medicaid Waiver, Medicare, Aid to Families with Dependent Children/Temporary Assistance for Needy Families (AFDC/TANF), child welfare, child support enforcement, social services, managed care, public health, mental health/behavioral health, WIC, and developmental disabilities programs.
General Manager of Health Consulting Services
James Joyce leads the company’s delivery of health information technology consulting services to state human service agencies. He has provided oversight for over 30 large state IT projects. He leads a team of six Directors managing contracts in 18 states and is the Account Executive for two states.  His recent experience includes conducting MITA 3.0 State Self-Assessments and overseeing several state MMIS PMO projects and IV&V assessments with multiple MMIS solution vendors to ensure that states meet federal policies, standards and certification.
Chief Innovation Officer

Ms. Julie Boughn serves as Chief Innovation Officer, and heads the Cognosante Solutions Lab. Through a process of relentless experimentation guided by project management disciplines, the Solutions Lab will focus on developing and enhancing capabilities for Cognosante’s current programs and customers, building new products and new capabilities, and partnering with innovative start-up companies with products and ideas closely aligned to Cognosante’s vision.  By harnessing data, power and technology, The Lab will implement solutions and capabilities to address the needs of the rapidly changing US health care system.

Chief Growth Officer

Len Discenza is Cognosante’s Chief Growth Officer. In this role, he oversees the direction of the company’s business development, marketing, capture, and strategic pursuits. He has extensive experience in both operations management and business development, and he specializes in process improvement and information management.

Chief Financial Officer
Aaron Daniels, Chief Financial Officer for Cognosante, is a dynamic, growth-focused executive with more than 26 years of experience in building and transforming companies. He has a proven track record in successfully growing companies, unlocking value and creating scalable operations. Together with Cognosante’s leadership team, he is responsible for executing the company’s aggressive growth and mergers and acquisitions plans, while continuing to build out a rapidly-scalable company infrastructure.
Chief People Officer
Brent Younce is Chief People Officer for Cognosante. In this role, Brent leads the Human Resources function of the company and is responsible for acquiring, managing and developing talent; building and advancing organizational capabilities; driving employee engagement; and structuring our organization to advance our aggressive growth plans. 
Chief Legal Officer
Sean M. Gallagher serves as Chief Legal Officer for Cognosante. In his current role, Sean has overall managerial responsibility for the operation of the Company’s legal, contracts and compliance departments, and provides legal advice on a wide array of substantive areas impacting the Company and its subsidiaries, including corporate governance, acquisitions, litigation, government contracting, ethics, labor/employment, intellectual property, benefits and real estate.
Chief Performance Officer

Anita Griner serves as Chief Performance Officer for Cognosante. In her role, Anita will drive operational excellence throughout the company through performance and program management discipline and solutions. Her team will run the Program Management Office (PMO) and program evaluation functions, in addition to quality and continuous process improvement initiatives across the business units.

General Manager of Health Operations Services
Jean-Marc is General Manager of Cognosante’s Health Operations Services. In charge of developing and executing the Company’s business growth strategy for business process outsourcing solutions and services across public sector healthcare markets, he focuses on delivering operational excellence to state and federal customers, and generating superior outcomes for their constituents.
Chief Technology Officer

Erick Peters serves as Chief Technology Officer, and is responsible for aligning Cognosante's strategy, innovation, and solution development with current and emerging technology trends. Working within the Cognosante Solutions Lab, and across the firm for direct client engagement, Erick supports numerous teams to lead Cognosante's technology evolution. He ensures the solutions we develop for our customers and the role we play in modernizing healthcare delivery are built upon a smart, integrated foundation of proven and emerging technologies.

Chief Marketing Officer
Jeff Irby is Chief Marketing Officer for Cognosante. In this role, he oversees all aspects of the company’s marketing.  Jeff, a seasoned Marketing Executive, brings a wealth of experience and perspective to the role. 
Chief Security and Privacy Officer

Dr. Stephen Gantz serves as the senior official responsible for corporate information security and privacy programs and for developing and leading the delivery of security-related services to customers spanning all business units. He has responsibility for building an accountable, security-conscious culture and for protecting company and customer information assets and infrastructure with effective administrative, operational, and technical controls.

Senior Vice President of Corporate Development
Robert Norcross is Senior Vice President, Corporate Development for Cognosante. As a seasoned strategy and development executive, he drives revenue growth through the design and launch of new businesses, product/service offerings, partnerships, and corporate combinations. 
Board Member

Senator Thomas Daschle has served as one of Board Members since May 2014.  He is one of the country’s leading experts on health care reform, having participated in the development and debate of almost every major health reform public policy issue of the last three decades.  He has written extensively on the health care issues facing the country, including the publication of: Critical: What We Can Do About the Health-Care Crisis and Getting It Done: How Obama and Congress Finally Broke the Stalemate to Make Way for HealthCare Reform.

Board Member

Senator Bill Frist, M.D., has served as one of our Board Members since October 2014. Dr. Frist is both a nationally recognized heart and lung transplant surgeon and former U.S. Senate Majority Leader. He is uniquely qualified to discuss the challenges and solutions in health care and the implications for the application of information technology. Dr. Frist is consistently recognized among the most influential leaders in American health care.

Board Member

Susan Fox, PhD., serves as Senior Advisors. Dr. Fox was the founder and Chair of the Board of FOX Systems, which merged with Cognosante in 2010. Fox Systems name formally changed to Cognosante in July 2011. With more than 25 years of experience assisting public and private health care programs, Dr. Fox is a nationally-recognized Medicaid, managed care, and HIPAA subject matter expert. She serves as Cognosante’s subject matter expert for the development of the Medicaid Information Technology Architecture (MITA) for the Centers for Medicare & Medicaid Services (CMS).

Business Analyst

"I am working on the implementation of the Affordable Care Act with our customer, the Centers for Medicare and Medicaid Services to help create software solutions for the Federally Facilitated Exchange.

Director of Strategic Solutions

"I started as a senior consultant at Cognosante in 2011 and became a program manager. A typical day for me is spent supporting my client to implement a care management and claims system. I also work on proposal efforts for the HIE, HIX, and Eligibility practices. Recently, I had an opportunity to meet and get to know the company’s executive and senior leadership. It was very rewarding to learn that the “real” folks behind the logo and brand are indeed real! They are welcoming, supportive, and forward-thinking. There is a strong sense of family at the company."

Team Manager

"For the past seven years, I have been a team manager where I have overseen call center and mail fulfillment activities, provider outreach and procedure development. I enjoy working at Cognosante because there is never a dull moment. I have been given so many opportunities to learn new things and to be able to work with other employees and customers outside of Fargo, North Dakota. I have figured out what it takes to run a successful operation. For that, I am very proud to be part of the Cognosante organization."

Network and Support Operations Manager

“I am the Network and Support Operations Manager and have been with the company since 2006. My primary responsibility is overseeing my team to ensure our network, servers, and applications are always available to our users and that we provide the best possible service. I was drawn to work for Cognosante because of our long-standing healthcare relationships in the federal and state governments, the great workplace, and our executive management. I am very proud to say I work for Cognosante, and feel our management team is top notch and always putting the employees before anything else.”