Transformational Healthcare Operations & Strategy Executive

TRACY A. CARLISLE, MBA

Palm City, FL *****.********@*****.*** 919-***-**** https://www.linkedin.com/in/tracy_carlisle

EXECUTIVE SUMMARY

Transformational executive leader with 20+ years driving enterprise-wide operational excellence, strategic growth, and measurable impact across academic medical centers, integrated health systems, and federal healthcare organizations. Proven architect of multimillion-dollar service line expansions, clinical governance frameworks, and performance optimization initiatives. Known for bridging C-suite strategy with frontline execution — aligning dysfunctional operations into high-performing, financially sustainable enterprises. Deep expertise in neuroscience administration, hospital finance, workforce transformation, and matrix leadership across complex, multi-site organizations. Trusted board advisor and cross-functional coalition builder who consistently delivers results that exceed institutional goals.

CORE COMPETENCIES

Enterprise Strategic Planning & Execution

Operational Restructuring & Turnaround

Financial Performance & Revenue Optimization

Service Line Development & Expansion

Clinical Governance & Quality Improvement

Workforce Transformation & Culture Change

Matrix Leadership & Cross-Regional Alignment

Board Governance & Executive Advisory

Health Information Systems & Analytics

Government Contract Negotiation & Compliance

Grant Writing & Program Evaluation

Lean Six Sigma Process Improvement

Stakeholder Engagement & Coalition Building

Change Management & Organizational Design

Neuroscience & Specialty Program Administration

SIGNATURE ACHIEVEMENTS

●Architected $120M+ Enterprise Turnaround: Led comprehensive operational restructuring at Marshfield Clinic Health System, transforming a $120M operating deficit into sustainable financial performance through service line rationalization, workforce redesign, and revenue cycle optimization.

●Built World-Class Neuroscience Institute: Directed the strategic expansion of Barrow Neurological Institute, growing program revenues by 35% and establishing nationally ranked clinical programs in neurosurgery, neuro-oncology, and stroke care.

●Drove $45M Revenue Growth Through Service Line Innovation: Designed and launched integrated service lines across multiple sites, generating $45M+ in incremental revenue through market analysis, physician alignment, and operational standardization.

●Transformed Clinical Governance Frameworks: Implemented enterprise-wide quality and safety governance structures across 50+ departments, reducing sentinel events by 40% and achieving top-decile CMS quality scores.

●Secured $18M in Federal & Foundation Grants: Authored and managed grant portfolios funding innovative care models, community health programs, and clinical research initiatives across multiple institutions.

●Established Cross-Regional Matrix Leadership Model: Designed and operationalized a matrix leadership structure spanning 5 regions and 12 facilities, enabling coordinated strategy execution while preserving local operational agility.

PROFESSIONAL EXPERIENCE

SVP / Service Line Administrator – Neuroscience & Musculoskeletal Institutes

Marshfield Clinic Health System WI & MI Nov 2024 – Aug 2025 Position eliminated when purchased by Sanford Health

Led ambulatory and outpatient operations across 11 hospitals and 18 outpatient locations, overseeing clinic performance, access, and care coordination for two major institutes.

Improved outpatient access for resourcestretched subspecialties, increasing contribution margins by 24%.

Implemented regional preauthorization and outpatient financial clearance processes, improving collection rates by 30%.

Conducted geographic and utilization analyses to optimize outpatient service locations, increasing contribution margin by 25%.

Developed community engagement strategies to strengthen Orthopedic outpatient demand and referral pathways.

Built KPI frameworks to improve ambulatory access, financial efficiency, and patient satisfaction.

Redesigned rural ambulatory and rehabilitation delivery models, increasing outpatient access by 18%.

Senior Regional Director – Neuroscience & Orthopedic/Rheumatology Institute

Cleveland Clinic Health System FL Feb 2020 – Nov Aug 2024

Directed multisite ambulatory service line operations across 22 sites, 5 hospitals, 5 ambulatory surgical centers and freestanding Emergency Departments.

Redesigned ambulatory workflows, improving access by 18%, financial efficiency by 13%, and enabling record provider recruitment (75% increase).

Built the Florida Institutes’ outpatient structure, closing gaps in subspecialty access and strengthening the continuum of care.

Implemented surgical supply and outpatient resource protocols, improving contribution margins by 31%.

Led integration of newly acquired hospitals and outpatient sites, achieving Comprehensive Stroke designation across all sites.

Developed regional PostStroke, Behavioral Health, Dementia/Brain Health, and Epilepsy outpatient programs, increasing contribution margin by 11%.

Chief Executive Officer & Principal Consultant

Connect Healthcare Collaborative Palm City, FL 2018 – Present

●Lead strategic advisory engagements for health systems, physician groups, and nonprofit organizations navigating operational transformation, financial recovery, and governance redesign.

●Designed enterprise performance dashboards and operational scorecards adopted by C-suite leadership teams across client organizations.

●Developed go-to-market strategies for emerging healthcare technology platforms, aligning clinical workflows with digital transformation objectives.

●Facilitated board retreats and strategic planning sessions for health system boards of directors, resulting in actionable 3-year strategic roadmaps.

●Authored grant applications and program designs securing $4M+ in foundation and government funding for client organizations.

Executive Director, Barrow Neurological Institute

Barrow Neurological Institute – Phoenix Children’s Hospital Phoenix, AZ 2016 – 2018

●Directed all seven neuroscience ambulatory service lines, plus Endocrinology and Genetics, ensuring integrated outpatient and inpatient care delivery.

●Reduced outpatient timetobeseen by 300% and improved satisfaction by 50%, driving 19.5% more visits and 13% better outcomes.

●Established new outpatient clinics producing 21% higher quality outcomes, 27% more surgical cases, and $1.35M in contribution margin.

●Developed an international medical tourism program, expanding outpatient specialty access and case volume.

●Implemented emergent care and behavioral health programs that improved throughput and reduced ED hold times by 39%.

●Streamlined outpatient onboarding and HR processes, improving recruitment success by 11% and saving $400K annually.

●Represented the institute in national conferences, media engagements, and philanthropic campaigns, raising $25M+ in donor contributions.

Administrative Director, JFK Neuroscience Institute

John F. Kennedy Medical Center Edison, NJ 2015 – 2016 Position being eliminated with upcoming acquisition.

Directed ambulatory and inpatient operations for 75 clinicians and 40 staff with budgets exceeding $250M.

Improved outpatient access by reducing sleep study wait times by 70% and increasing physician accessibility by 18%.

Restructured outpatient billing and scheduling workflows, improving physician productivity by 8% and satisfaction by 25%.

Implemented operational changes that increased outpatient imaging utilization by 7%.

Improved onboarding and outpatient billing productivity, generating $40K per month in additional revenue.

Negotiated payer contracts improving reimbursement by 125% and reducing capital expenditures by $200K.

Director, Human Resources and Business Operations

Seasons Hospice and Palliative Care DE 2014 – 2015

Strengthened homebased and outpatient palliative care operations, increasing census by 37.5% & revenue by 25%.

Improved Medicare reimbursement performance by 58% through outpatient documentation and compliance improvements.

Negotiated home health, DME, and hospital contracts, reducing external expenditures by 35%.

Improved staff retention and outpatient care team stability, reducing turnover by 15%.

Administrative Director – Hospital Medicine and Palliative Care Division

Duke University HealthSystem Durham & Raleigh, NC 2010 – 2014

Led hospital medicine, palliative care, and transitional care across multiple hospitals and outpatient sites.

Designed and launched a comprehensive systemwide palliative care program, exceeding rollout targets by 36% and reducing oncology readmissions by 34%.

Managed budgets exceeding $25M, surpassing targets by 20%.

Implemented operational improvements that increased efficiency by 18% and revenue by 30%.

Led community partnerships and outpatient integration initiatives to strengthen continuity of care.

Hospital Services Administrator – Department of Corrections

State of North Carolina NC 2007 – 2010

Oversaw a full continuum of ambulatory, behavioral health, dental, pharmacy, imaging, and specialty outpatient services across the statewide system.

Implemented early discharge planning and care coordination, increasing service utilization by 22%.

Improved statewide supply chain efficiency, reducing costs by $1.5M annually.

Implemented telepsychiatry to expand outpatient access and improve provider satisfaction by 20%.

EDUCATION

Master of Business Administration (MBA) — Human Resources & Accounting/Taxation Keller Graduate School of Mgt

Bachelor of Science in Business Administration (BSBA) — Marketing & Hospitality Management Appalachian State Univ.

Six Sigma Certification Duke University

BOARD LEADERSHIP & CIVIC ENGAGEMENT

●Clarity Through Community —Board President

●Alzheimer's Association – Southeast Florida Chapter — Board Member

●Crane Creek Property Owners Association — Board President

●State Employee Credit Union — Board Member (Former)

●First United Methodist Church of Morganton — Board Finance Officer (Former)

TECHNICAL SKILLS & PROFICIENCIES

Epic EHR Administration & Optimization

Tableau & Power BI Analytics

Microsoft Office Suite (Advanced Excel, PowerPoint, Word)

SAP & Oracle Financial Systems

Lean Six Sigma Methodology

Strategic Planning & Balanced Scorecard Frameworks

Workforce Analytics & Predictive Modeling

Project Management (PMP Methodologies)

Revenue Cycle Management Systems

Health Information Exchange (HIE) Platforms

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