Tracy Brubaker
Nathrop
Summary
Passionate c suite executive, change strategist, and licensed clinician leading people and organizations on a mission to scale innovative, tech enabled health and wellness services that amplify what matters most to the patient
Overview
31
31
years of professional experience
1
1
Certification
Work History
CHIEF OPERATIONS OFFICER / CHIEF CLINICAL OFFICER
VITA HEALTH
04.2023 - Current
- Executed multiyear operational strategy resulting in 2025 acquisition of Vita Health, a venture backed, national telehealth firm specializing in suicide care and behavioral health services by Valera Health, a venture backed virtual behavioral health start up.
- Grew revenue by 1400% and instituted KPI's that improved gross margins by 130%
- Expanded suicide care offering and tripled clinical workforce to support national payer network
- Consistently achieved 4.9/5 patient satisfaction scores
CHIEF OPERATIONS OFFICER
Vital Decisions / Evolent Health
01.2020 - 01.2023
- Executed multiyear operational strategy resulting in 2021 acquisition of Vital Decisions, a privately held, national telehealth firm delivering advance care planning and end of life care navigation services by Evolent Health, a $1B publicly traded specialty healthcare leader in value-based care
- Successfully facilitated first year integration efforts post acquisition (HR/Recruiting, Communications, Clinical Operations, Product Innovation) prioritizing retention of workforce, minimal business disruption, executing early strategy for risk sharing contracts
- Led scaling, efficiency of clinical workflows and staffing models through period of high growth resulting in 53% gross margins, 24% adjusted EBITDA,134% revenue growth
- 95% client retention during tenure as COO with 21 national and state health plans
- Employed human capital and DEI strategy that demonstrated employee engagement rating of 84% (up from 79% in 2020); 83% inclusion rating
CHIEF CLINICAL OFFICER
Vital Decisions, LLC
12.2018 - 01.2023
- Led all product innovation efforts for digital/telehealth services; expanded portfolio from 1 to 5 revenue generating programs, delivering 3:1 ROI for national health plans, maintained patient satisfaction scores of 4.6/5 (NPS 57)
- Led transition to virtual recruitment, onboarding, learning and development of workforce and operational efficiencies that improved gross margins 50%; net margins 13% in 2019
- Redeveloped digital platform/content and capabilities to increase patient and physician engagement and access to care plans
VICE PRESIDENT CLINICAL OPERATIONS
Vital Decisions, LLC
01.2017 - 12.2018
- Executive leadership responsible for P/L over business operations at 4 national service centers
- Performed organizational restructure consolidating leadership; comprehensive redevelopment of policy and procedures to standardize service delivery
- Optimized margins and transitioned workforce to fully remote
- Established quality monitoring, training programs for behavioral health staff and scaled clinical services for patients from Medicare Advantage, Medicaid, and Commercial plans
DIRECTOR OF OPERATIONS
Vital Decisions, LLC
09.2015 - 01.2017
- Strategic change leader responsible for scaling operations in behavioral health startup organization (held by PE firm since 2014)
- Rapidly scaled workforce/clinical services to national footprint, from 1 to 4 service centers
- Redesigned recruitment and onboarding process/workflows adding 115+ staff bringing total workforce to 250
- Oversaw clinical and business operations with responsibility for P/L, margin improvement
EXECUTIVE DIRECTOR BEHAVIORAL HEALTH
Green Tree School & Services
06.2013 - 06.2015
- Strategic change leader brought in to evaluate and execute program and organization redevelopment after period of significant decline
- Multi-site, school-based, and outpatient in person behavioral health services for children and families; responsible for P/L
- Resulted in successful transaction in 2016 by for-profit owner New Story Schools
- Total workforce redevelopment of 150+ bachelor & master level clinicians and doctoral staff; multi-disciplinary treatment teams
- Built comprehensive compliance and training program
- Led Client Service function with managed care organizations
CLINICAL DEPARTMENT LEAD FOR SOCIAL WORK SERVICES
The Pathway School
02.2009 - 06.2013
- Executed on organizational change strategy and clinical program development resulting in 50% enrollment growth
- Managed and supervised clinical staff and program offerings
- Delivered group, individual, and family therapy for students with acute behavioral, emotional, and neuro-developmental needs
EXECUTIVE COACH AND CHANGE LEADERSHIP CONSULTANT
Self-employed
07.2007 - 06.2013
- Executive coaching and change management consulting services
- Facilitated outdoor/wilderness leadership experiences
FOUNDER
Group Practice, Coaching and Counseling
01.2004 - 06.2007
- Established private counseling practice with 4 providers including nurse practitioner
- Delivered individual, family, group counseling services, medication services, and referrals
- Provided coaching and EAP services
- Developed and executed growth strategy for group practice
LEAD CLINICIAN AND PROGRAM SUPERVISOR
University Of Massachusetts Dept. Of Psychiatry
09.1995 - 06.2001
- Rapid progression of program supervisory and clinical provider roles within 2 hospital based Intensive Residential Treatment Centers serving young adults with high acuity mental health conditions, behavioral or emotional disturbances, and their families
- Performed individual, group, family therapy during lengths of stay averaging 9-12 months and managed treatment teams
- Managed staffing, daily operations, therapeutic program schedules of highly resourced units; led multidisciplinary treatment teams
ADMISSIONS COUNSELOR
Eastern University
02.1994 - 05.1995
- Led sales and marketing efforts for private liberal arts university/public speaking
- Recruitment of high performing and diverse prospective student body resulting in 100+ enrolled students
Education
Master of Science - Organizational Development & Change
Case Western Reserve University - Weatherhead School of Business
Cleveland, OH01.2013
Master of Social Work - undefined
Salem State University
Salem, MABachelor of Arts - Youth Work
Eastern University
St. Davids, PASkills
- Strategic Change Management
- Organizational Leadership
- Scaling Operations for Efficiency & Improved Margins
- Clinical Program Development in Healthcare, Behavioral Health, Wellness
- Product Innovation for Digital and Telehealth Organizations
- Executive and Senior Leadership Development and Coaching
Certification
- Licensed Clinical Social Worker in PA - CW015740
- Certificate in Social and Emotional Intelligence in Leaders
COMMUNITY LEADERSHIP
- Former President, Board of Directors Homeowners Association
- Volunteer Trail/Stream/Roadside Litter Clean up at Natural Lands Trust and Watershed Conservancy
- Former Vice Chair, Board of Directors Federally Qualified Community Health Center
Timeline
CHIEF OPERATIONS OFFICER / CHIEF CLINICAL OFFICER
VITA HEALTH
04.2023 - Current
CHIEF OPERATIONS OFFICER
Vital Decisions / Evolent Health
01.2020 - 01.2023
CHIEF CLINICAL OFFICER
Vital Decisions, LLC
12.2018 - 01.2023
VICE PRESIDENT CLINICAL OPERATIONS
Vital Decisions, LLC
01.2017 - 12.2018
DIRECTOR OF OPERATIONS
Vital Decisions, LLC
09.2015 - 01.2017
EXECUTIVE DIRECTOR BEHAVIORAL HEALTH
Green Tree School & Services
06.2013 - 06.2015
CLINICAL DEPARTMENT LEAD FOR SOCIAL WORK SERVICES
The Pathway School
02.2009 - 06.2013
EXECUTIVE COACH AND CHANGE LEADERSHIP CONSULTANT
Self-employed
07.2007 - 06.2013
FOUNDER
Group Practice, Coaching and Counseling
01.2004 - 06.2007
LEAD CLINICIAN AND PROGRAM SUPERVISOR
University Of Massachusetts Dept. Of Psychiatry
09.1995 - 06.2001
ADMISSIONS COUNSELOR
Eastern University
02.1994 - 05.1995
Master of Social Work - undefined
Salem State University
Bachelor of Arts - Youth Work
Eastern University
Master of Science - Organizational Development & Change
Case Western Reserve University - Weatherhead School of Business
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