Clinician
Delivered direct patient care for roughly sixteen years. I know what documentation burden and prior-authorization friction feel like from the treatment room.
Healthcare Growth & Payer Strategy
The clinician who
The clinician who
speaks payer.
Twenty years across the full healthcare value chain — treating patients, owning a practice, running clinics, reviewing utilization, and leading enterprise health plan partnerships at the vice-president level. I translate clinical, operational, and financial complexity into decisions executives can act on.
Open to senior client strategy & payer partnership roles
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20+
Years in healthcare, clinical through executive
16
Years practicing as a physical therapist
$15M+
Same-store growth across strategic payer accounts
23/30
State Medicaid plans supported on a single national account
What makes the difference
I've sat in every seat in the room.
Most healthcare growth executives have never treated a patient. Most clinicians have never carried a revenue number or negotiated a contract. Having done both is what lets me build solutions that actually hold up for the patient, the provider, the payer, and the business at the same time.
Practice owner
Founded a physical therapy clinic, grew it to about twenty employees, and sold it profitably. Payer contracting, revenue cycle, staffing, and margin were mine to solve.
Multi-site operator
Directed outpatient clinics and regional operations — budgets, hiring, productivity, clinical quality, and financial performance across locations.
Clinical reviewer
Worked inside utilization management and clinical policy, which is where most payer–provider friction is actually created or resolved.
Provider relations
Led the work of reducing provider abrasion and untangling network, claims, and reimbursement issues on behalf of health plans and their networks.
Enterprise executive
Owned vice-president-level relationships with health plan presidents, CMOs, CFOs, COOs, and network and procurement leaders across Commercial, Medicare Advantage, Medicaid, and ASO.
Track record
Where I've done the work.
Vice President, Client Relationship Executive
- Senior relationship owner for approximately nine national and regional health plan partnerships, including the company's second-largest revenue account.
- Worked across specialty programs spanning oncology, advanced imaging, musculoskeletal care, cardiology, radiation oncology, durable medical equipment, and laboratory and genetic testing.
- Rebuilt trust in strained and at-risk relationships by introducing clear governance, named escalation ownership, and accountable action plans.
- Developed roughly $10M in qualified expansion pipeline tied to validated client priorities.
- Led executive business reviews connecting utilization, clinical outcomes, claims reconciliation, provider and member experience, and financial value.
Senior Director, Strategic Growth
- Led the enterprise relationship for the company's largest national payer account, a major Medicaid and Medicare managed-care organization.
- Supported day-to-day relationships across 23 of 30 regional Medicaid plans, coordinating a team of nine-plus account managers.
- Generated or contributed to approximately $15M in same-store growth through multi-year account strategy and whitespace development.
- Converted market and client feedback into product roadmap and go-to-market recommendations.
Director of Account Management
- Progressed through clinical review, senior provider relations, and senior account executive roles into account-management leadership.
- Led or supported 13-plus health plan partnerships in Medicaid- and Medicare-focused environments, directing six-plus account managers.
- Built deep fluency in utilization management, prior authorization, clinical policy, network issues, claims, and regulated health plan operations.
- Recognized as Most Valuable Account Executive.
Practice Owner, Group Director, Director of Physical Therapy
- Co-founded and co-owned a physical therapy practice, growing it to roughly twenty employees before a profitable sale.
- Directed operations for outpatient orthopedic clinics and hospital-based outpatient care, with budget, hiring, quality, and growth accountability.
- Carried regional responsibility across approximately eight outpatient locations for a national physical therapy organization.
Capabilities
What I'm brought in to solve.
Relationship recovery
Turning strained, at-risk partnerships into stable and expanding ones — usually by fixing governance and accountability before touching the commercials.
Payer strategy & economics
Cost-of-care analysis, risk-based and delegated arrangements, capitated pricing, and performance commitments across all lines of business.
Enterprise account ownership
Retention, renewals, contracting, and expansion on complex multi-stakeholder accounts where the buying committee spans clinical, financial, and operational leadership.
Executive translation
Turning utilization data, clinical outcomes, and operational performance into a narrative an executive team can make a decision from.
Cross-functional execution
Quarterbacking clinical, product, analytics, implementation, operations, finance, legal, and contracting teams toward a client commitment.
Workflow transformation
Reducing provider abrasion and administrative burden in specialty utilization management and medical benefit management.
From the blog
The clinician who speaks payer, in five stories.
Where the instinct came from, why I left clinical practice, and what it actually looks like to rebuild trust in relationships everyone else had already written off.
Part 1 · Origin
Patients Rarely Tell You What's Actually Wrong
Who I am, the diagnose-then-build instinct, and why I'm exploring what's next.
Read the story →
Part 4 · Recovery Story
The Account Everyone Had Written Off
An account everyone internally had given up on — and what actually fixed it.
Read the story →
Part 5 · Recovery Story
Stable Isn't the Same as Healthy
A twenty-year-old client relationship that looked stable — and wasn't.
Read the story →
What's next
Where I'm looking to land.
Organizations that value healthcare depth over generic sales pedigree — where owning complex payer and provider relationships, and being credible with both clinicians and CFOs, is the point of the role.
The work I do best
- Consultative, durable growth over transactional wins
- Executive client ownership
- Complex payer and provider relationships
- Retention and expansion of existing partnerships
Location & model
Based in the Lake Norman area of North Carolina, near Charlotte. Strong preference for remote work, and open to travel where the opportunity warrants it.
Credentials
Education.
Doctor of Physical Therapy
A.T. Still University of Health SciencesB.S., Exercise Science
Montana State University
Contact
Let's talk.
If you're building a team where clinical credibility and commercial discipline have to coexist, I'd welcome the conversation.