Robert Goldstein

Fractional COO & Growth Leader 20+ Yrs. | Build, Turnaround & Scale | COO (2x) | Full P&L | Early-Stage, High Growth & Mid-Market | Helping Organizations Execute with Operational Clarity & Confidence

Nashville, Tennessee, United States

About

Transforming Operational Chaos Into Scalable Growth Whether you're a healthcare provider, managed services organization, technology-enabled business or investor-backed company, growth creates new challenges: operations become fragmented, teams lose alignment & focus, technology investments underperform and financial results stall. That's where I help. As a Fractional COO and transformational growth executive, I partner with founders, CEOs, leadership teams and investors to improve operational performance, accelerate revenue growth and create the infrastructure needed to scale successfully. My experience spans healthcare services, revenue cycle management, contact centers, SaaS product development, managed services organizations (MSOs) and enterprise transformation initiatives. From scaling early-stage companies and launching new service lines to leading enterprise turnarounds and operational redesigns, I help organizations move from complexity to clarity. I am often engaged when organizations need to: • Improve operational performance and accountability • Scale revenue cycle, service delivery or shared services functions • Build or redesign operating models, governance structures and leadership frameworks • Integrate people, processes and technology following growth, acquisitions or organizational change • Implement AI, automation and analytics to improve efficiency and decision-making • Accelerate growth while maintaining operational discipline and profitability My approach combines: • Hands-on executive leadership and operational expertise • Data-driven decision making and measurable performance improvement • Organizational design and leadership development • Revenue cycle and financial performance optimization • Technology enablement, automation, and AI-driven operations • Cross-functional alignment that balances business objectives, customer experience and employee engagement Over the course of my career, I have helped organizations generate millions in revenue growth, improve operational efficiency, launch new business models, optimize revenue cycle performance and build scalable platforms capable of supporting long-term growth. #healthcare #operations #data #machinelearning #AI #AgenticAI #strategy #businessprocessimprovement #clientsuccess #startups #techenabledservices #healthtech #digitalhealth

Experience

  • Fractional COO | Strategic Advisor at Independent Operations & Growth Executive
    Aug 2025 - Present · 1 yr

    As a strategic advisor and fractional COO / executive operator, I partner with leadership teams in high-growth environments—from early-stage startups to established enterprises. I help organizations accelerate growth, scale operations and integrate technology to achieve measurable results.

  • Managing Consultant | Client Executive at InfoWorks, Inc.
    Jun 2022 - Aug 2025 · 3 yrs 3 mos

    Managing Consultant & Client Executive for InfoWorks, a 25 year old award winning agile business services consulting firm in Middle Tennessee that is a trusted partner for more than 250 healthcare organizations, financial service companies, universities, non-profits and manufacturers. We tailor strategies that focus on growing clients revenue, create technology solutions that help leapfrog competitors, provide role-based work to augment existing projects and work with company leaders to create metrics & dashboards that enable data-driven decisions that provide successful, lasting results.

  • COO | Chief Operating Officer at Care Sherpa
    Jun 2019 - Mar 2022 · 2 yrs 10 mos

    Executive Operations lead for an early-stage healthcare tech-enabled services startup that grows patient procedure volume and revenue with marketing lead follow up and new patient concierge services. Care Sherpa's Patient Engagement services is the best partner to converting digital marketing efforts into patient procedures while increasing patient and provider satisfaction.

  • AVP | Associate Vice President | Business Planning & Execution at AMSURG
    May 2011 - Oct 2018 · 7 yrs 6 mos

    Corporate strategy executive for AMSURG, a $1.5B+ division of ENVISION, a $9B+ healthcare leader in development & management of outpatient ambulatory surgery centers (ASCs) and hospital-based multispecialty physician services. Created Enterprise Program Management Office (EPMO) and governance structure; provided large-scale strategic program portfolio management & internal Lean Innovation process improvement consulting for initiatives ranging from department-centric projects to $5M+ cross-functional, enterprise-wide programs and post-merger corporate integrations. Product owner and lead evangelist of Patient Connect; a comprehensive SaaS based patient outreach program that exceeded industry recall metrics, delighted providers & patients, drove organic growth and increased corporate profit.

  • Director | Director of Implementations & Client Connections Services at Medical Reimbursements of America
    Mar 2010 - May 2011 · 1 yr 3 mos

    Executive Operations lead for $30M+ healthcare BPO & revenue cycle provider (RCM) of complex medical claim services that increase health systems’ revenue and reduce total cost of operationss.