OPERATIONAL CLARITY. REVENUE CERTAINTY.

Consulting, Re-imagined

who we are

services

OPERATIONAL CLARITY. REVENUE CERTAINTY.

Consulting, Re-imagined

who we are

services

Who We Are

Impact Operations

Impact Operations is a strategic advisory firm which partners with healthcare organizations to scale smarter and operate more efficiently. Founded by Kim Skrainka, a healthcare strategist and operator with expertise in value-based care and tech-enabled care delivery, Impact Operations combines strategic leadership with hands-on execution to drive measurable impact.

With experience leading multi-site operations, managing transformation projects to bridge operations with revenue growth through provider and health system partnerships, Impact Operations brings practical insights and proven leadership to every engagement. Our work spans care model innovation, provider enablement, and market expansion of health systems, and payers as they navigate complexity and deliver better outcomes.

Whether providing fractional executive leadership, optimizing clinical operations, revenue cycle operations, or guiding strategic growth, Impact Operations delivers the clarity, focus, and execution needed to transform vision into results.

Consulting Re-Imagined

We work alongside you to bring

Operational Clarity and Revenue Certainty

to every engagement — from independent physician practices to health systems.

Services

Consulting Engagements

Consulting services are designed for organizations seeking thoughtful partnership in strengthening operations, leadership, and culture.

Consulting Engagements

Speaking Engagements

Consulting Engagements

Revenue Cycle Optimization

Kim speaks on leadership, organizational culture, team effectiveness, and the realities of leading in complex care and service environments. Her speaking style is practical, engaging, and grounded in real operational experience

Revenue Cycle Optimization

Identify and close revenue leakage across billing, coding, and collections. We help organizations recover lost revenue and build sustainable financial processes. The question asked and solved: What are the barriers staff and the organization face to produce clean claims?

The Impact: Operational Clarity. Revenue Certainty.

Operational Effectiveness

Revenue Cycle Optimization

Operational Effectiveness

End-to-end operational assessments to map, analyze, and redesign clinical and administrative workflows to reduce waste, improve throughput, and elevate patient and staff experience. Identified opportunities create transformation program to progress toward strategic goals resulting in measurable improvements in efficiency and financial performance.

The Impact: Operational Clarity. Revenue Certainty

Motivation and Culture

Revenue Cycle Optimization

Operational Effectiveness

What drives engagement? How do organizations create cultures that people want to be part of? This work explores the connection between leader behavior, organizational values, team experience, and workforce engagement.

Leadership

Physician Partnership Strategy

Support leaders at every stage of growth, from emerging leaders to seasoned executives. Topics may include leadership foundations, leadership style, communication, accountability, influence, and the practical habits that strengthen leadership effectiveness.

Physician Partnership Strategy

Align physician incentives with organizational goals through data-driven compensation models, engagement frameworks, and partnership structures.

Team and Culture Development

Physician Partnership Strategy

Team and Culture Development

Assess current culture, team dynamics, and leadership practices to identify strengths, gaps, and opportunities. Develop a plan to strengthen alignment, engagement, and organizational health.

Team Effectiveness

Succession Planning and Leadership Readiness

Team and Culture Development

Better teams do not happen by accident. Learn how group dynamics, communication patterns, trust, and role clarity influence team performance — and how leaders can create stronger, healthier, and more productive teams.

Succession Planning and Leadership Readiness

Build a more intentional path for developing future leaders. This work helps organizations identify leadership potential, strengthen internal pipelines, and create a more sustainable approach to succession.

About Kim

With more than two decades of leadership experience spanning, strategy, operations, and revenue cycle within multi-site healthcare environments, Kim brings a practical, grounded perspective to partnering with leaders and their teams to transform operations to bridge improved productivity to increase revenue.

Her career has reinforced a simple belief: the best results happen when leaders truly engage with their people. Through trust, clarity, accountability, and shared vision, organizations can build healthier cultures and stronger outcomes.

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Who is Kim?

Professional

Kim Skrainka is a leadership and operations executive with enthusiasm to help organizations strengthen people leadership to bridge efficiency to better outcomes & patient experience.

She began her career as a Healthsystem strategist where she developed an early foundation in clinical operations, and business planning. From there, she built a career across Ambulatory service provision in nonprofit, for-profit. She has a deep experience in revenue cycle management.

Her background includes Revenue cycle, Service Growth, Quality assurance, directorship, and multi-site leadership. Across each chapter, Kim discovered that her greatest professional fulfillment came not simply from operational achievement, but from building strong teams through skill development and creating the conditions for others to succeed.

With more than two decades of leadership. She brings a blend of operational credibility and people-centered leadership to every engagement, helping organizations navigate growth, strengthen culture, and elevate skills at every level.

“It is truly the highlight of my career to have been any small part of another’s success story.”

Credentials

Professional

Founder & COO, Impact Operations

MHA and MBA from St. Louis University

CHAM: Certified Healthcare Access Manager (National Association of Healthcare Access Management [NAHAM])

CRCR: Certified Revenue Cycle Representative (Healthcare Financial Management Association [HFMA])

PROSCI Change Management Practitioner Certification

Recipient of Highest Staff Retention Award

Servant Leader Trainer

Kim is guided by a simple philosophy:

"It is NOT your Aptitude, but your Attitude that determines your Altitude"

Library

Books:

The Greater Goal by Ken Jennings & Heather Hyde
The Serving Leader by Kenneth Jennings, John Stahl-Wert
Crucial Conversations by Patterson, Grenny, McMillan, Switzler
Crucial Accountability by Patterson, Grenny, Maxfield, McMillan, Switzler
Crucial Influence by Grenny, Patterson, Maxfield, McMillan, Switzler
The Communication Connection by Amy Narishkin, PhD
Becoming a Better Boss by Burl Stamp
The Four Obsessions of an Extraordinary Executive by Patrick Lencioni
The Speed of Trust by Stephen Covey
The five Dysfunctions of a Team by Patrick Lencioni
Overcoming The Five Dysfunctions of a Team: A Filed Guide

OPERATIONAL CLARITY. REVENUE CERTAINTY.

OPERATIONAL CLARITY. REVENUE CERTAINTY.