Fractional COO leadership

Fractional COO Retainer

Operational Leadership Without a Full-Time Hire

Ongoing operational leadership to run the operating system and execute priorities, without adding full-time overhead.

When This Is the Right Engagement

You have a solid practice with good clinical outcomes, but operational execution is inconsistent. Priorities shift, cash flow is unpredictable, and your team is stretched. You need someone to run the operating system week by week.

Priorities keep changing and nothing sticks

Cash feels unpredictable even when volume is stable

A/R aging and denials are drifting

Access, phone queues, and intake friction are straining the team

Vendor initiatives are stalled due to weak business rules and follow-through

What We Do (Weekly Cadence + Execution)

1

Run a weekly operating cadence with leadership

2

Maintain a KPI scorecard and turn it into decisions

3

Lead 90-day execution cycles with owners and dates

4

Remove bottlenecks in access, intake, authorizations, and revenue cycle

5

Coordinate vendors and internal owners

What You Get

Weekly KPI scorecard (10 to 15 KPIs)

Weekly leadership huddle agenda and decision log

Priority backlog with owners, dates, and progress tracking

Standard work for selected workflows

Monthly owner operating review with next 30-day priorities

Engagement Levels

Advisory Light

Monthly operating review and KPI review

Most Common

Fractional COO

Weekly cadence plus priority execution support

Embedded Fractional COO

Weekly cadence plus deeper leadership integration and change management

What This Is Not

This is not a substitute for clinical leadership. We run the operational side of the house so your physicians can focus on what they do best: delivering excellent patient care.

Book a Fit Call

Let’s spend 20 minutes together to understand your practice, your challenges, and whether a Fractional COO engagement makes sense. No pressure, just clarity.