•Managed multiple consulting engagements (e.g., project delivery, project budget, leading junior consultants) involving market diligence, competitive landscape analysis, and financial forecasting to inform C-Level decision-making across hospitals and large academic health systems.•Conducted market assessments across multiple service lines (e.g., orthopedics, neurosciences, spine, maternity), identifying operational risks and growth opportunities. Developed actionable strategies to improve margins for underperforming areas.•Spearheaded a five-year strategic plan for a multi-billion dollar health system, addressing complex financial structures (e.g., fee-for-service, at-risk revenue models, employed physicians, and owned health plans) to return to positive operating margin.•Developed revenue and managed care strategy for multiple large health systems, identifying over $10M of additional revenue through growth/service line strategy and alignment with managed care.•Evaluated physician networks and the financial impact of value-based models and alternative payment structures.•Analyzed physician enterprises to assess productivity, compensation, staffing, and patient access, recommending optimizations to enhance operations.•Managed and executed a physician investment analysis for a national healthcare system, quantifying downstream revenue and recommending strategic investments aligned with parent health system goals.