Fractional & Interim Leadership for Behavioral Health, SUD & Healthcare Services

Executive-level finance and revenue cycle leadership — plus the team to execute it

ABOUT US
WHAT WE DO
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Capabilities

Think Outside the Cube.

The best answers rarely come from inside the org chart. Here is where we help, in more detail.

RCM shops know billing. Finance shops know the balance sheet. We’re built to run both — so the two stop working against each other.

Fractional & Interim CFO

  • Finance function build-outs — close process, controls, reporting, ERP (led NetSuite OneWorld)
  • Cash-flow forecasting, budgeting & scenario models
  • Board & founder advisory — planning, M&A and partnership evaluation
  • Interim CFO/COO coverage during transitions and rapid growth
  • Banking, liquidity & working-capital strategy
  • Fractional COO
  • Fractional Revenue Leadership
  • Full-cycle bookkeeping & accounting oversight — clean books as the foundation for every financial decision we make together

Revenue Cycle Leadership

  • Revenue cycle turnaround — denials, AR aging, collections
  • Denials & yield management — root-cause fixes that prevent recurrence
  • Payer strategy — commercial INN/OON, Medicaid, VA, Tricare, Tribal, court-directed
  • Vendor & offshore/nearshore governance under SLA
  • EMR/RCM implementations & KPI/dashboard build-outs
  • Verification of benefits
  • Audits & clinical reviews
  • Revenue Network Management – End to End Contracting/Credentialing

We work across all major behavioral health EHR, CRM, and clearinghouse platforms, with custom dashboards, automated reporting, and KPIs built to match.

Proof, Not Promises

Co-led a revenue cycle restructuring that delivered a 10x revenue increase in 18 months

Led a 20-site EMR/RCM platform conversion across a multi-state behavioral health network

Built RCM infrastructure for a startup that exceeded collections targets within seven months and opened a facility with first-attempt JCAHO accreditation

Governed a 100-person nearshore team under SLA as Interim COO on a two-year engagement

READY WHEN YOU ARE

Know the numbers aren’t adding up? Let’s talk.

How We Work: The First 90 Days

Interim engagements do not have 90 days to figure things out. Here is how we move fast without moving carelessly.

01 — Strategic Alignment (Days 1–10)

We align with leadership on direction, priorities, and what success looks like before any operational work begins.

02 — Operational & Financial Immersion (Days 10–30)

We meet the team, map the organization, and review cash position, compliance, and financing relationships.

03 — Issue Identification & Prioritization (Days 30–45)

We rank what is urgent, what can wait, and what needs immediate stabilization.

04 — Execution Blueprint (Days 45–60)

We build the tactical plan — timelines, owners, and a steady reporting rhythm with leadership.

05 — Implementation & Handoff (Days 60–90)

We deliver quick wins, build durable processes, and prepare a full handoff if the engagement is time-limited.

WHO WE ARE
GET STARTED

Bring us in for a season — and change what your numbers do.

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