About my Work

I am a fractional executive operator with deep expertise across healthcare delivery, specialty care, and digital health.  I work across the full lifecycle of a company—launch, scale, and stabilization—to help founders and leadership teams build operational clarity, financial discipline, and multi-unit execution that holds up under real-world pressure. My background includes leading complex multi-site organizations, hybrid virtual + brick-and-mortar models, and specialty care programs requiring tight integration between clinical, operational, and financial systems.

Launch & Early-Stage Build

  • Building business models, visit economics, and unit-level assumptions
  • Designing clinic or market launch playbooks for brick-and-mortar or hybrid care models
  • Structuring early-stage teams with clear roles, scope, and workflows
  • Identifying immediate gaps and risks across clinical, operational, and RCM functions
  • Establishing foundational processes including scheduling, patient access, care pathways, and RCM setup
  • Selecting and configuring EHR/RCM systems that support scalable growth



Scaling & Multi-Unit Growth

  • Planning multi-site expansion and establishing operational standards
  • Optimizing provider utilization and modeling capacity
  • Improving patient funnel performance, retention, and experience
  • Integrating systems and scaling cross-functional workflows
  • Developing leaders, strengthening hiring strategies, and creating team leverage
  • Calibrating talent to identify high performers, misaligned roles, and emerging leaders
  • Resolving bottlenecks and redundancies that emerge during early growth
  • Evaluating vendor ROI and workflow impact as volume increases
  • Consolidating duplicative tools and renegotiating pricing based on scale

Stabilize, Turnaround & Operational Clarity

  • Diagnosing financial and operational health quickly
  • Stabilizing cash, restructuring costs, and improving contribution margin
  • Accelerating top-200 claims and redesigning revenue cycle workflows
  • Establishing a weekly operating cadence and data discipline across teams
  • Supporting crisis response and restructuring, including clinic consolidation
  • Right-sizing the organization to current revenue and margin realities
  • Auditing performance, scope clarity, and leadership gaps
  • Simplifying structure and removing low-impact or redundant roles
  • Streamlining the vendor list and eliminating non-essential spend

If your healthcare company is navigating a pivotal moment, I bring the operational leadership and structure you need to launch, scale, and stabilize with confidence.

If you'd like to explore working together, reach out to me  to schedule an initial call. We’ll review your business, clarify your needs, and identify whether my support is the right fit for your next stage. 


alexbuchholz@shoretosummitops.com





Shore to Summit Operations is structured as a fully insured LLC with comprehensive general liability and E&O protection.