Powering What’s Next in State & Local Government Health

Commence helps state and local government agencies modernize healthcare with data-driven solutions, clinical expertise, and people-first technology—advancing care with speed, compliance, and compassion.

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Elevating State &
Local Health Missions

Commence helps state and local agencies modernize healthcare systems, reduce fraud, and improve access—delivering data-powered solutions that serve communities with efficiency and care.

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Compliance & Transparency

We help agencies protect public funding and public trust—with AI-powered reviews and real-time insight that reduce risk and keep programs accountable.

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Enhancing Citizen Services

Commence empower agencies to reach people where they are—combining advocacy, multilingual support, and public education to expand access to care.

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Optimizing Operational Efficiency

Smarter workflows mean more time for impact. Our automation and analytics simply processes so agencies can focus on outcomes, not obstacles.

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Secure & Scalable Technology

Build for trust, built to scale. Commence connects systems securely across agencies and providers—powering faster collaboration and better care decisions.

Contract Vehicles

We make procurement easy. Learn how Commence supports fast, compliant acquisition for agencies of all sizes.

Leaders Driving Local Impact

Chief Mission Officer

Chief Growth Officer

Vice President of Sales

Vice President of Business Development
Paul Brubaker

Paul Brubaker

Chief Mission Officer

Paul Brubaker helps align emerging technologies with the mission priorities of federal health and government agencies. With decades of leadership across both government and industry, he brings deep expertise in digital transformation, technology modernization, and public sector innovation. 

Paul has held senior leadership roles across multiple federal departments, including Defense, Energy, Transportation, and Veterans Affairs. He was confirmed by the United States Senate as the second Administrator of the Research and Innovative Technology Administration at the U.S. Department of Transportation and played a key role in shaping the landmark Clinger-Cohen Act, which established the Chief Information Officer role across the federal government. 

In the private sector, Paul has led innovation and growth across major technology and government services firms, including executive leadership roles at Cisco Systems and SI International. He has also served as CEO of several government technology companies, guiding strategic expansion and successful acquisitions. Paul’s work has been recognized with numerous honors, including the Department of Defense Medal for Distinguished Public Service and two Federal 100 awards. 

Headshot of Ian Checcio

Ian Checcio

Chief Growth Officer

Ian Checcio serves as Chief Growth Officer at Commence, leading the company’s commercial growth strategy and bringing its solutions to the organizations that need them most. With more than two decades at DOMA and now Commence, he has grown from early operational roles into leadership across sales, business development, and growth—bringing a perspective grounded in both delivery and results.

Ian believes long-term success is built on trust—clients stay, teams excel, and impact happens when relationships come first. His leadership style is situational, adapting to meet people where they are while maintaining a consistent focus on accountability and performance. To him, “Greater Data for the Greater Good” means the work goes beyond the transaction—ensuring data drives real decisions and real outcomes.

Alex Payne

Alex Payne

Vice President of Sales

Alex Payne leads sales and business development across Commence’s commercial markets, building strategic partnerships that drive both growth and impact. With over 15 years of experience in technology sales and business development, Alex brings a strong track record in team building, value-based selling, and connecting innovation with outcomes.

Alex leads with authenticity, openness, and integrity. He’s motivated by progress—whether its helping customers solve challenges or supporting his team’s growth. At Commence, he’s especially proud to have launched the patent-pending On Demand Translation solution, making critical healthcare instructions instantly accessible in a patient’s preferred language. He sees his work as a catalyst for transforming health outcomes for those on the front lines of healthcare.

Bryan Dorsey

Bryan Dorsey

Vice President of Business Development

Bryan Dorsey leads Commence’s growth strategy across federal and state healthcare markets, including the Department of Health and Human Services. A Marine Corps veteran with nearly 25 years of experience in healthcare solutions and federal contracting, Bryan connects agencies with the full scope of Commence’s capabilities from quality improvement and medical review to AI and analytics.  

Bryan leads with empathy and communication, guided by lessons learned over a lifetime of service, sales, and leadership. Since joining the company, he’s helped secure over $700 million in contracts. For Bryan, “Greater Data for the Greater Good” means helping government agencies make better decisions that lead to better care. His one-word role summary? Puzzlemaker. Because his job is fitting every piece of the business into a clear, compelling picture. 

Modern Solutions Driven
by Public Good