Care Unbound: Operational Strategies for the Future of Home-Based Healthcare

Client Overview

Our client is a tech-enabled, value-based provider of at-home, comprehensive care for seniors and other adults with unmet health and social needs. The company deploys physician-led interdisciplinary teams—supported by its proprietary population health platform and clinical decision support tools—to manage the country’s most medically and socially complex and costly patients in ways that keep them in their homes and out of the hospital. The result is better health outcomes, reduced costs, and a more personalized and integrated experience for patients and their families.

The company works with a variety of payers and can either partner with a patient’s current primary care physician or serve as the provider of record. Led by a world-class team of home-based care physicians, population health technology experts, former policymakers, and senior health plan executives, the client serves seniors nationwide.

The Challenge/Mandate

Our client needed a Healthcare Operations Consultant to help scale operations in advance of four major contracts launching the following year. The consultant’s core responsibilities included:

• Designing and implementing scalable operational processes, particularly focused on workforce scheduling.
• Evaluating and recommending both short-term and long-term technology solutions to drive operational efficiency.
• Developing and deploying risk stratification methodologies that improve resource allocation and operational decision-making.

This role required a tactical operator with hands-on experience implementing operational improvements in healthcare organizations, particularly within home-based care models.

Search Strategy

The ideal candidate needed a hybrid background of consulting and healthcare operations. Our search focused on individuals with prior experience in top consulting firms like Deloitte or Accenture, complemented by in-house operational roles at healthcare providers. Expertise in workforce management, healthcare scheduling tools, and risk stratification was required.

Candidates were prioritized based on their ability to roll up their sleeves and execute, not just strategize. Experience with value-based care models, RFP evaluations for workforce management tools, and operational transformation within home care or health plan settings was highly desirable.

The Placement

The placed candidate was a former Deloitte consultant and Wharton MBA with extensive experience in home healthcare operations. She had worked across both payer and provider settings to operationalize workforce scheduling, deploy call centers, and clean provider data to streamline risk adjustment and scheduling workflows.

She had led solution architecture assessments and implemented roadmaps that improved operational efficiencies in care management, population health analytics, claims adjudication, and AI-driven workflow optimization. Her work spanned engagements with over 20 payers and numerous risk-bearing providers, with deep expertise in risk stratification and population health models.

Her combination of consulting pedigree and practical operational leadership made her an ideal fit for the client’s urgent and complex needs.

The Outcome

Since placement, the consultant has played a critical role in standing up scalable operational processes that are key to managing the company’s rapid growth. She designed and implemented an optimized scheduling model that significantly reduced provider idle time while improving patient coverage.

She evaluated and selected a new workforce management system, leading the RFP process and vendor selection, which streamlined staffing operations across multiple geographies. Additionally, her development of risk stratification frameworks enabled better resource allocation—ensuring that the highest-risk patients received priority care.

Her contributions have directly supported the successful onboarding of four new payer contracts while setting the operational foundation for continued national expansion. The client is now better positioned to deliver high-quality, cost-effective care at scale, with improved patient outcomes and operational efficiency.