← All engagements

Ongoing · 8–20 hrs/week

Healthcare operations consulting

Fractional Practice Operations Director

Operational leadership without a full-time executive salary. Scott sits inside the practice on a recurring schedule, owning the operating rhythm and reporting to ownership.

Best for practices between 4 and 40 providers with no dedicated administrator, or one who needs a senior counterpart.

What this engagement covers

Most independent practices reach a size where the operational load outgrows the physician-owner's bandwidth long before it justifies a full-time administrator's salary. The Fractional Practice Operations Director engagement slots senior operational leadership into that gap on a recurring eight-to-twenty-hour weekly schedule. Scott Dickinson steps inside the practice — on-site or remote — and takes ownership of the operating rhythm: the revenue cycle, the staffing plan, the credentialing calendar, the compliance posture, and the vendor relationships that quietly determine margin. Ownership regains a single, accountable counterpart who reports on a documented scorecard instead of a stream of ad-hoc fixes, and the practice gets executive-grade operations leadership priced to its actual scale.

  • Revenue cycle oversight — charge capture, denials, AR aging, payer follow-up
  • Staffing plans, hiring support, and credentialing calendars kept current
  • Compliance monitoring: HIPAA, OSHA, documentation and coding review
  • Vendor and payer negotiation — EHR, billing partners, supplies, contracts
Fractional practice operations director reviewing practice metrics

See it in your practice

Talk through your operations with Scott

A 60-minute introductory call to review what is happening in the practice and whether a scoped engagement makes sense. The first consultation is complimentary.

Request a conversation

Direct line

Prefer to reach Scott directly?

Engagements are available on-site and online nationwide. Send a brief note or call — we reply within one business day.