Healthcare Finance Leadership When the Stakes Are High
I provide executive finance leadership and advisory support to health plans, provider organizations, and healthcare companies navigating leadership transitions, financial transformation, growth, and complex operational challenges.
With more than 20 years of healthcare finance and operational experience, I bring an operator’s perspective to financial leadership—connecting strategy, financial performance, and execution to help organizations make better decisions and achieve measurable results.
Areas of Expertise
Executive & Financial Leadership
CFO Leadership · FP&A · Financial Transformation · Board Reporting · Strategic Planning
Healthcare Economics
Medical Economics · Cost of Care · Network Strategy · Reimbursement · Claims Analytics
Government Programs
Medicare Advantage · Medicaid · Risk Adjustment · Stars · Medicare Bids · Regulatory Finance
Growth & Value-Based Care
Delegated Risk · Value-Based Arrangements · M&A · New Markets · Product Expansion
Where Can I help?
Leadership Transition
Provide experienced interim or fractional finance leadership during an executive finance vacancy, organizational transition, or period of rapid change.
Financial Transformation
Strengthen financial operations, forecasting, reporting, controls, and decision support when existing processes are not meeting the needs of the organization.
Performance Challenges
Identify the financial and operational drivers behind underperformance and translate analysis into actionable strategies for improvement.
Growth & Strategic Change
Support new markets, M&A, value-based care strategies, product expansion, and other initiatives requiring experienced financial operational leadership.
Experience & Impact
Michael Smigielski
CPA · CMA · MBA
I bring more than 20 years of healthcare finance and operational experience across health plans, provider organizations, value-based care, and healthcare services. My background spans executive finance leadership, financial transformation, Medicare Advantage and Medicaid, medical economics, strategic planning, and organizational performance.
Throughout my career, I have partnered with executive teams, boards, and operational leaders to translate complex financial and healthcare data into actionable strategies and measurable results.
$85M
EBITDA improvement
$3.3M
Medical cost reduction
$6.8M
Risk-adjustment revenue improvement
$100M+
Financial impact across executive roles