About HealthRecon

HealthRecon offers end to end medical billing and collections services to Healthcare Providers supported by over 3 decades of deep domain expertise, cutting-edge analytics, automated workflows and compliant and benchmark defining processes. HealthRecon helps Healthcare Providers increase patient focus, accelerate & increase cashflow and manage their revenue cycle with more ease and peace of mind.

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Our Raving Fans!

Over 70% of our growth has been driven by referrals from our very own clients. Our success has been driven by helping our clients succeed.
>97% Client Retention
Rate to Date!!  

Our Services

Our revenue cycle management services are designed to address the pain points we’ve identified over many decades of working with Healthcare Providers. They are customizable, purpose built and outcome driven.

Why HealthRecon?

We are all about results. We are obsessed with redefining the Industry and driving unparalleled results that would outperform every Industry benchmark.
Typical revenue increase of 8.67% – 13.33%
> 97% Clients retained
> 98% claims collected in 90 days
> 85% denials overturned
> 75% appeals overturned

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© 2021 HEALTHRECON CONNECT LLC. ALL RIGHTS RESERVED.

Dr. Alberto J. Montero, MD, MBA, CPHQ

Compliance Advisory Panel

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Dr. Montero is clinical director of the Breast Cancer Medical Oncology Program at University Hospitals Seidman Cancer Center and an associate professor of medicine at Case Western Reserve University School of Medicine. He is board certified in medical oncology by the American Board of Internal Medicine.

 

Dr. Montero has been in academic practice for over 13 years and has demonstrated a strong track record of clinical research in breast cancer. Prior to joining the UH Seidman Cancer Center team, Dr. Montero spent seven years at the Cleveland Clinic, where he served as a staff physician in the hematology and oncology department, as well as chief quality improvement officer and patient experience officer. Before that, Dr. Montero was on staff at University of Miami Sylvester Cancer Center as Breast Cancer Site Disease Group co-leader, and at the Medical University of South Carolina Division of Hematology/Oncology.

 

Dr. Montero graduated summa cum laude with a Bachelor of Arts degree at University of Texas at Austin and earned his medical degree from University of Texas, Galveston. He also earned his MBA at University of Miami School of Business. He completed his internal medicine residency training at University of Texas Health Science Center at Houston and his hematology-oncology fellowship at University of Texas M.D. Anderson Cancer Center.

 

Dr. Montero is very active in breast cancer research and has served as Principal Investigator in numerous clinical trials. He has over 100 peer-reviewed publications. He has served on numerous committees and editorial boards, including serving as associate editor for Breast Cancer Research & Treatment, and recently has served as a reviewer and study chair for the Department of Defense Breast Cancer Research Program (BCRP). He is a member of several professional societies, including American Society of Clinical Oncology, American Association of Cancer Research, and Society for Immunotherapy of Cancer.

 

Honors and awards Dr. Montero has received include membership in the Beta Gamma Sigma Honor Society, the Papanicolaou Corps for Cancer Research Pap Corps Fellowship, and the ASCO/AACR Methods in Cancer Research Workshop and School of Breast Oncology Course travel awards.

JAKE PEDLEY

Chief Technical Officer

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Jake has over 08 years of experience working in agile teams at large organizations while undergoing the shift from waterfall development to agile. His experience includes various roles, including that of a scrum master tasked with being the thought leader on process improvements and has worked in organizations such as PBT Group Australia and Planit Software Testing. Jake is joining us from RulesLab where he held the position of Head of Technology.

Jake has a Bachelor of Science in Applied Mathematics and Astrophysics and a Honors Degree from the School of Mathematics (Astrophysics) at the Monash University, Australia.

DENVER FERNANDO

Chief Executive Officer

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Denver is a trusted advisor and an experienced Senior Management Executive with over 18 years of US Healthcare experience helping GPs, Specialists, ASCs, Hospitals, Ancillary Care and Allied Care Providers achieve sustainable revenue growth and financial stability.

 

His experience includes setting up and managing large scale global delivery centers and leveraging many reputed healthcare, IT and related service providers in enabling end-to-end Revenue Cycle Management, Revenue Cycle Transformation, Healthcare Analytics and consulting services and solutions. Denver has an expert understanding of the healthcare system, key drivers, best practices, disruptive technologies and emerging healthcare delivery models. He is passionate in the use of technology and advanced statistical modelling to drive quality outcomes in patient care and satisfaction levels while reducing costs and increasing revenue for healthcare providers.

 

Denver holds a First-Class BSc (Hons) in Technology and Computing from the University of Portsmouth, UK, and an MBA (Finance) from the University of Leicester, UK. He currently lives in Melbourne, Australia with his wife and 3 children.

BRETT WALKER

Chief Operations Officer

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Brett Walker, the founding partner and COO of HealthRecon Connect is a 25-year revenue cycle management veteran who has managed large CBOs that billed and collected for an array of ancillary and acute organizations. Through his philosophy of operational excellence and leadership development, Brett successfully increased the net revenue at all the organizations overseen by the CBOs he managed.

 

Brett has demonstrated an execution-oriented success record, improving clients’ cashflow and increasing their time to collect. Brett has seen his clients have an average reduction in time to collect of 21 days and increased up to $223 million in cash per year for organizations he has managed. His specific areas of expertise are in large CBO Management, Hospital Revenue Cycle, RCM Strategies and Solutions as well as leadership development and mentoring.

 

Brett specializes in applying his RCM expertise and industry knowledge to find unique and strategic ways to increase and maintain net revenue yield for his clients. His knowledge not only includes work with many small practices and groups, but also management with organizations such as Gentiva Health, Children’s Medical Center Dallas, and Dignity Health. Billing and collecting in multiple ancillary and acute organizations have given Brett a diversified perspective on the connections between all areas of the revenue cycle process and how to work with regional and national payers to reduce denials and increase payment adjudication timelines.

CHRIS JOINER

Chief Consulting Officer

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Chris Joiner is an innovative healthcare leader, driven to improve the healthcare process through focused on results. Experienced in revenue cycle, financial operations and management, information technology, as well as strategic planning, project management and tactical implementations, Chris has a history of creating successful business strategies, recruitment and development of powerful leadership teams, enhancing revenue streams, and reducing operating costs, while improving both internal and external customer service levels, consistently improving service levels while achieving growth in client base, market share and profit. Chris exhibits excellent communication skills to coordinate efforts between diverse groups and serving as a catalyst for positive change. Chris is focused on reaching challenging goals through collaborative interactions and open dialogue.


Chris’ past includes a 10-year engagement at the Children’s Medical Center of Dallas, where he led access, financial counseling, fifty-five OP clinics, three PFS system implementations, managed the highest volume pediatric ER in the US and ran the business office. After his time at Children’s Medical Center of Dallas, Chris moved on to Revenue Cycle consulting and sales for a period of four years at Cerner where he spent his time in the role of Revenue Cycle Consultant.


Chris’ next engagement was selling fully outsourced revenue cycle services to hospitals with Perot Systems. During his time with Perot Systems, Chris moved to the role of VP of Consulting where he ran a team of 37 consultants nationally. Optum360 contacted Chris after Dell purchased Perot Systems. Chris served in several roles at Optum360 including the creation of the Outsourcing Sales Model for Optum360, revenue cycle sales, the contracting of Dignity Health for revenue cycle outsourcing, and ultimately a role as VP of Revenue Cycle, managing 28 consultants in Sacramento, California and 24 in Phoenix, Arizona. Chris then moved to Accordias, where he focused on Revenue Cycle Turnaround projects by consulting in interim roles. Chris provided a range of $8M – $79M in true cash lift per client while engaged as an interim leader.


During his career, Chris served as President for the following professional organizations in Texas, ACHE, AAHAM, and HFMA. Chris is one of the founding members of Texas De Peru, a non-profit medical mission organization supporting free healthcare in Peru.


In his free time Chris is a sailing Captain, a Dive Master and an avid traveler. Chris enjoys time with his wife Mary and his dog Molly at their home in Grapevine, Texas.

THILINI EKANAYAKE

Chief People Officer

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As the Chief People Officer, Thilini helps shape the overall People Strategy for HealthRecon Connect. With over 15 years of experience in both HR specialist and generalist disciplines, Thilini has a deep domain knowledge of Human Capital Management within the Business Process Management Industry. While she is passionate about learning and development and technology enabled HR services, she drives the overall strategy for Human Capital Management for HRC in her current role. Her Industry experience includes 15+ years in the BPO/KPO space, Revenue Cycle Management, Finance and Accounting. During her career, Thilini has worked with multicultural teams and has supported global operations, whilst adhering to international quality and process improvement standards and industry best practices.

Thilini holds an MBA from the University of Colombo and a BA in Business Administration from the University of London.

A mother of one and an Entrepreneur, Thilini also plays an advisory role for the BPO Connect Group of companies.

WAYNE RODRIGUEZ

Vice-President - RCM Operations

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Wayne is a dynamic and accomplished business consultant with an exemplary track record of providing the vision and leadership for domestic organizations. He utilizes tireless attention to detail, insatiable work ethic, and loyalty to customers, which have yielded significant growth in customer revenue cycle and overall business productivity. Wayne possesses an aggressive drive to streamline office efficiency through innovative and detail-oriented business practices which have resurrected many client’s billing offices instantly.

Recognized for improving organizational competence and adeptness through extensive experience in all areas of the program management life cycle, Wayne has positioned himself as a leader in Revenue Cycle Management and has an expert ability to forge solid relationships and communicate with strategic partners on all levels, instilling confidence that the job will be completed perfectly.

Wayne has produced and managed millions in annual medical claims for offices spreading over multiple specialties and disciplines, supervised CBO activities for hospital chains with a combined revenue of over $600+ million and with multiple facilities in over 17 states, organized, trained and managed numerous direct reports into various SME groups including billing, denials management, high dollar collectors, underpayments, credits, refunds, EOB validation and high volume collection teams and directed all training and production essentials.

Wayne is an alumnus of the University of Texas at Austin.

DAWN BAILEY SMALL

Vice-President – Client Services

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Dawn serves as Vice President, Client Services where she is passionate for driving customer lifetime value.

With more than 20 years of demonstrated history of strategic healthcare revenue cycle operations for large, complex healthcare organizations, academic medical centers, community hospitals and medical groups. She is an energetic, poised, and articulate results-driven business and technology executive, with a track record in achieving organizational revenue cycle metric improvements. She has proven ability to build world class customer success teams promoting customer-centric mindset across organizations.

Prior to joining HealthRecon, Dawn managed multi-faceted revenue cycle account management and operation teams for McKesson and Change Healthcare. She also owned and operated an end-to-end revenue cycle management company specializing in new technology procedures.

Dawn is a zealous advocate who serves as a Long-Term Care Ombudsman and Certified Guardian ad Litem. She splits her time between the beaches of Florida and the Smokey Mountains with her husband and dogs.

CLEMENT O. FLEMING JR.

Regional Vice-President - Sales and Growth

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Clement is a passionate, strategic, and driven healthcare leader with over 17 years of qualitative and quantitative RCM Industry experience. He has worked with HealthSpring Inc and assisted with the Cigna-HealthSpring merge as a SME in business analytics, billing procedures, and employee development. He has also worked with HCA, where he led projects for his executive leadership on Payer Trends, Collections Process Improvement, and Denials Management.

Clement has been a part of the HealthRecon Connect executive leadership for close to 4 years and started out as the Quality and Training Manger for a RCM CBO based in Nashville, TN, developing SOPs, employee training material, and leadership development criteria. During his time as one of the Regional US Account Managers, Clement made a positive impact on the organization’s sales division with stellar relationship building and contract negotiations.

Clement is a graduate from the University of Phoenix and has a BA in Healthcare Administration with a concentration in Healthcare Management. He is a member of the National Society of College Scholars for his academic achievements. In the off chance that Clement is not building long lasting relationships in the Healthcare Industry, he enjoys volunteering for community service and mental health initiatives in his hometown of Nashville, TN. Clement is a professional photographer/videographer of 9 years and has a daughter, Yasmine, that motivates him to better himself daily to become a better man, father, and a business professional.

LINDA PROTOPAPAS

Executive Vice President Sales

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Linda has over 27 years of experience in the healthcare industry and has also a demonstrated history of working in home health care, skilled nursing, telehealth, banking and contract therapy. Linda ran her own non-medical home care and placement company for over seven years and is highly skilled in B2B sales, customer service, strategic planning, marketing strategy, Medicaid, and Medicare.

Linda has a Bachelor’s in Marketing and Finance from Baldwin-Wallace College and holds Series 5 and 7.

Linda currently resides in San Diego, CA with her husband.

MELISSA 'MITCH' GREENE

Regional Vice-President - Sales and Growth

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Mitch has over 20 years of sales experience with success in creating paths to grow market share and exceed goals. She is extremely passionate about the healthcare industry and has worked in the hospice and post-acute and acute space with companies like Curantis Solutions, Cardinal Health, Kinnser and CareAnyware and sold software and medical supplies in this market since 2012.

Mitch has a Bachelor of Arts Degree in Advertising from Penn State University and has Masters of Business Administration from University of Maryland University College. She lives in Pennsylvania, has four children, three dogs and spends her “free” time mostly attending kids’ sporting events.

DEREK SANZ

Regional Vice-President - Sales and Growth

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Derek is an experienced and accomplished executive sales leader with nearly 20 years experience in the healthcare and tech industries. He has been instrumental in accelerating sales growth with both large organizations, as well as smaller start up organizations and is an exceptional team builder and culture creator. He has spent the majority of his career at the forefront of bringing new technologies and value added services to the healthcare industry. Derek has also had the opportunity to create, develop, and deliver global sales strategies and execution to early stage tech companies and build the initial sales structure for globally distributed teams.

Derek is a proud graduate of Arizona State University, where he earned a Bachelor of Science in Human Resource Management. Derek lives in San Diego, where, in his free time, he enjoys outdoor activities, working out, and is passionate about international travel.

Wade McFaul

Compliance Officer

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Mr. McFaul retired after 25 years of service with the U.S. Department of Health and Human Services, Office of the Inspector General.  During his tenure with the OIG, Mr. McFaul worked various cases as a Special Agent, and supervised Special Agents as an Assistant Special Agent in Charge/Supervisory Special Agent. The matters handled by Mr. McFaul included hospitals, physicians, clinics, laboratories, durable medical equipment suppliers, diagnostic testing centers, and pharmacies. Healthcare fraud investigation subject matters included allegations of kickbacks, billing for services not rendered, identity theft, money laundering, medically unnecessary services, mail fraud, wire fraud, safe harbor violations, Stark law violations, upcoding, diversion, and unbundling.

 

Mr. McFaul supervised agents in the OIG’s Los Angeles Regional, Honolulu Field, Las Vegas Field and San Diego Field offices, and coordinated with criminal and civil prosecutors in the Central and Southern District of California, District of Hawaii, and the District of Nevada.

 

During his tenure, Mr. McFaul worked with numerous partner agencies including the Centers for Medicare & Medicaid Services, FBI, Medicaid Fraud Control Units, DEA, IRS, ICE, and DOD, and various non-governmental contractors.   Moreover, he supervised the Los Angeles Medicare Fraud Strike Force for five years, resulting in 105 indictments, 47 convictions and more than $32 million in restitution.

 

Mr. McFaul was both a case agent and supervisor for a six year joint undercover operation with the FBI and numerous other partner agencies. He provided the predication for the operation which ultimately resulted in 22 convictions and more than $13 million in savings to the Medicare trust fund.

He worked, and later supervised a joint undercover case with Immigration and Customs Enforcement involving money laundering Medicare checks through a confidential informant. The project involved monitoring more than 2,000 calls via a Title III wiretap and numerous consensually monitored informant/subject meetings.

 

He supervised HHS involvement in the Eurasian Organized Crime Task Force and the HHS/DEA tactical diversion task force.

 

After retiring he worked with the National Benefit Integrity, Medicare Drug intermediary (MEDIC) investigating Medicare Part D Prescription Drug fraud cases.

 

Mr. McFaul served as a fraud investigations and audits Subject Matter Expert helping clients understand and navigate CMS audits, audits by government intermediaries and private insurance carriers.

MELISSA SOICH

Associate Director of Operations

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Melissa has over 13 years of Revenue Cycle Management experience in Healthcare. Melissa comes to us from Envision Physician Services, where her responsibilities included the effective end to end management of Anesthesia billing for 4 hospitals and 12 Ambulatory Surgery Centers (ASCs) in Central Florida. Previously, she spent 9 years at McKesson Corporation demonstrating success in overseeing daily operations of Radiology Billing for Hospitals, Physician offices, and Mobile Imaging clients across the United States. As a visionary leader, Melissa leverages excellent leadership and teamwork skills in order to ensure that objectives are completed on time for delivery to the client.

Melissa holds AS degrees from South University in both Business Administration and Accounting. Her ability to quickly assess situations and learn on the spot has enabled her to make far reaching decisions for the company, contributing to growth and fostering a welcoming environment for employees.

Melissa is a Florida native, married with two children, and in her spare time enjoys traveling and spending time with her family outdoors.
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BENJAMIN STOKES

Associate Director of Operations

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Benjamin Stokes is an energetic, young leader in the Healthcare RCM industry. Prior to joining HealthRecon Connect he served as a dual role Business Services and Network Development Representative at Vantage Health Plan where he led the network and market expansion in the state of Mississippi and South Louisiana parishes. He has a strong passion for excellent client relations and team leadership and development.

Benjamin has strong ties to his local community of Monroe, Louisiana. He is a 2014 graduate of the University of Louisiana at Monroe where he served as the Theta Chi chapter President of the Kappa Sigma Fraternity. He is involved in the Louisiana HFMA chapter, and other local organizations. While not working he enjoys spending time with his wife, Kelsey, a local veterinarian and their children Bennett and Catherine. He enjoys upland hunting, hiking, and traveling with his family.

MICHAEL HURLEY

Associate Director of Operations

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Michael is a senior manager with 20 years of extensive experience in Healthcare Financial and Revenue Cycle Management. He is skilled in government defined healthcare management guidelines, auditing, Medicare and insurance provider practices and is experienced in developing and implementing corporate and individual facility continuous improvement initiatives for major healthcare organizations.

Michael has an excellent background in accounting process improvement, oversight of multiple location financial reporting and compliance with government guidelines, budgeting, and both, project, and team management.

Prior to joining HealthRecon, Michael was the Director of Patient Financial Services at Christus Good Shepherd in Longview, Texas.

Michael is a Texas native. While he is not working, he enjoys spending time with family and friends, attending sporting events, being at the lake, and anything outdoors.

JOY CLEVELAND

Associate Director of Operations

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Joy is a current North Carolina resident with over 10 years of experience leading all facets of Revenue Cycle Management. She began her career in her native city Los Angeles as an EPIC Analyst and clinician trainer for UCLA Health Systems. Joy’s passion has driven her to perform in several key roles during her time in the healthcare industry.

After spending most of her career in Southern California working with large hospital, lab and payer systems like CHOC, Ambry Genetics and CalOptima, Joy decided to branch out to the East Coast and offer her expertise in the field genetic and laboratory testing.

Joy is a certified CPC and CPB with the AAPC and holds a Master’s Degree in Health Administration with a focus in Health Informatics. Currently in her role as Associate Director of Operations with HealthRecon Connect, Joy is utilizing her lifelong experience and coding expertise to help clients achieve their highest potential in compliant billing.

In her free time, Joy loves to make music, play her guitar and make gourmet dog food.

WILLIAM BAUS

Director of Laboratory Services Support

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William has over 15 years of experience in healthcare revenue cycle management. His last decade had been entirely focused on laboratory revenue cycle management building onshore, offshore and hybrid teams to satisfy the needs of his clients. William has worked inside laboratories as the internal revenue cycle director with preview over every step in the revenue cycle process as well as managing RCM vendors. He has also worked outside the laboratory as the RCM company owner which gives him a uniquely balanced approach to servicing the revenue cycle for laboratories.

William is tirelessly focused on compliantly maximizing the revenue for laboratories, whether that is through the adoption of technology, application of deep state knowledge of payor and national coding policies or providing access to relationships that can change the bottom line for labs.

William is a resident of Carrollton, TX with twin boys that enjoy swimming, basketball and Roblox.

CHRISTINA MOORE-DORTCH

Associate Director of Operations

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Christina is an effective leader with over 15 years in all aspects of the revenue cycle operations, specializing in client account management, business operations and data analysis. She also has a vast knowledge in system implementation and data management.

Christina has a knack for always finding the most critical need in a situation and successfully strategizing to ensure that need is filled. She has supported and managed millions of dollars in accounts receivable for some of the largest hospital systems in the US.

Her experience includes collections, customer service, billing, cash posting, patient access, denial management, and bad debt offloads for the University of Colorado Health System, University of Pennsylvania Health System and Northwestern University Health System. Her knowledge spans through many different specialties, family practice, gynecology, oncology, sleep medicine, behavioral health, and chemical dependency; facility and physician.

Christina is best recognized for increasing cash collections and decreasing aged accounts receivable.

ANANDA SEAY

Regional Account Manager

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Ananda Seay is a healthcare expert and leader with over 20 years of experience. She has excellent management skills, which drives resolution for the completion of any task assigned. She has the knowledge and skillset to manage, as well as the coordination to execute all aspects of the revenue cycle process. Her past experiences include cycle billing, hospital, clinic, laboratory, and home health/hospice.

Ananda has over 13 years of laboratory experience including operations, clinic management, and compliance. During her time at Woodbury Clinical Laboratory and the American Esoteric Laboratory, she was able to build a company with an excellent reputation for providing cost-effective resources to the community. She was also able to forge strong client relationships and deliver excellence. During her tenure with the organization, the organization received the Future 50 Small Business Top Revenue recognition for 3 years. Ananda also served as a consultant for the American Esoteric Laboratory.

Over the past five years, Ananda has worked in different leadership roles such as account payables, receivables, and human resources and is familiar with all aspects of daily operations and functions of facilities. Ananda wore many hats; some of her roles were safety committee chairwoman, payroll administrator, and employee relations. After being in a leadership role at Accordias, Ananda joined the HealthRecon Connect account management team after a period of two years.

Ananda holds a Bachelor of Business Administration from Fisk University and loves spending time with her family. Her hobbies include swimming, reading books, and traveling.

SHELLEY DUNCAN, CPC

Associate Director of Coding

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Shelley Duncan is a result focused, highly motivated professional with a career spanning over 26 years in the medical billing and coding arena. Shelley has a background in medical billing, coding, chart review, and revenue cycle management in the following fields: physician office, ambulatory surgery center, outpatient surgery, ancillary services, inpatient, anesthesia, therapy, and chiropractic.

Shelley holds a CPC certification from AAPC, an AA Degree from Spartanburg Community College, and a BA Degree in Psychology from Converse College. She attributes her success to her ability to develop and implement a well-focused strategic approach and motivational leadership skills. Shelley has instructed over 400 students at the local community college in coding preparation to attain their CPC credentials from the AAPC.

Shelley is originally from outside of Nashville, TN but now resides in Spartanburg, SC. She enjoys spending time with her amazing husband and spoiling their 12 grandchildren.

CASEY ARNOLD

Director of Operations - RCM

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Casey Arnold comes to HRC with 25 years of experience in RCM. With a significant eye for detail and strong analytical skills, he identifies areas of focus and timely resolution, contributing to the overall financial health and success of his organization. His experience in RCM comes with a background in Home Infusion, Hospital, Cardiology, Oncology/Hematology, Ophthalmology, OB/GYN, RT/DME, Radiology, Home Health, Intraoperative Neuromonitoring, and Family Practice.

With his strategic eye for trend assessment, Casey provides critical process improvement skills. He leverages statistical data to promote individuals and strengthen team development. In his position, Casey works with a variety of vendors to improve DSO, Accounts Receivable aging and other issues, and functionality. He continuously takes advantage of any opportunities for improved customer satisfaction for both internal and external customers.

Casey holds multiple coding certifications in CPC, Medical Oncology, Radiation Oncology, and Compliance. In his spare time, he enjoys traveling abroad, attending various festivals, and practicing martial arts.

TYNISHA BANKS

Director of Operations - RCM

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Tynisha is an innovative and performance-driven leader with 25 years of hands-on experience in Revenue Cycle Management. She has a proven record of identifying and implementing process improvements to increase revenue, optimize workflows and improve client satisfaction. Tynisha has been recognized as a strong analytical problem solver consistently capable of creating solutions to meet complex, emergent and/or ambiguous challenges and needs of both clients and operations.

Tynisha is a certified six sigma master black belt and holds masters degrees in both business and healthcare administration from the University of Texas, Pan American. She resides in Dallas, Texas with her husband and four children. In her mythical free time, she shares her hobbies of sewing and photography with her friends and family.