Principal, Advanced Practice Provider Executive Leader

With over 50 years of proven success, ECG is the most experienced healthcare consulting firm in the US, ranked as a Best Midsize Firm to Work For 2026 by Consulting Magazine. We specialize exclusively in healthcare, solving challenges for providers and improving patient outcomes. Across eight office locations, we seek individuals who will drive innovation and impact healthcare delivery nationwide.

About ECG

ECG is a national consulting firm redefining healthcare alongside its clients. We offer strategic, financial, operational, and technology-enabled consulting services to hospitals, health systems, medical groups, academic medical centers, children’s hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans. Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, fostering an inclusive and supportive work environment.

About the Role

Join our Health System Performance (HSP) Division, where we help healthcare organizations achieve sustainable results through strategies and tactics that drive growth, performance, and innovation. Our experienced advisers develop customized approaches for each client, partnering with them throughout their journey. The HSP Transformation team identifies improvement opportunities for health systems using a proven approach to performance transformation. We support clients with proprietary diagnostic tools to drive revenue, reduce costs, and unlock growth, bringing together experts in payer strategy, finance, clinical operations, labor, supply chain, patient access, and revenue cycle.

Responsibilities

• Client Service and APP Project Leadership
  • Oversee complex, multifaceted projects, ensuring high-quality deliverables and alignment with client goals.
  • Provide guidance on market best practices, helping teams manage and interpret complex data, trends, and insights.
  • Offer strategic counsel to client executives, facilitating high-stakes conversations and supporting consensus-building.
  • Identify and remediate communication risks and develop recovery plans when communications fall short.
  • Anticipate project needs, direct communications and engagement strategies, and ensure critical messages are delivered effectively.
  • Lead major change management efforts, navigating organizational dynamics, political considerations, and competing priorities.
• Leadership and People Development
  • Coach and mentor colleagues, helping them build capability, confidence, and professional judgment for senior roles.
  • Provide actionable, timely feedback to team members and support senior leaders in expanded leadership roles.
  • Identify emerging leaders and create growth opportunities through mentorship, sponsorship, and stretch assignments.
  • Build and sustain an environment of trust, collaboration, and high performance to support retention and advancement.
  • Contribute to talent development strategies, including succession planning and firmwide leadership excellence.
  • Model ECG’s values and hold teams accountable to shared standards of professionalism, collaboration, and integrity.
• Communication
  • Anticipate and identify the need for key communications, internally and externally, and oversee rollout strategies.
  • Gather input from stakeholders to ensure communications are accurate, strategic, and tailored.
  • Develop recovery strategies when communications fail to achieve desired outcomes.
  • Support colleagues and clients in navigating new or unfamiliar topics using broad professional experience.
• Strategic Thinking and Firm Leadership
  • Lead or design major strategic initiatives shaping ECG’s long-term direction for APP service capabilities and market presence.
  • Identify gaps in existing APP methods and direct teams to refine or replace approaches for improved effectiveness.
  • Guide risk mitigation in complex, sensitive, or political situations and lead remediation when needed.
  • Adapt ECG’s strategies and operations in response to industry trends, environmental changes, or competitive pressures.
  • Participate in APP and physician enterprise strategy development and lead aspects of strategy execution.
• Problem-Solving
  • Serve as an APP and physician enterprise thought leader in diagnosing complex systemic problems and recommending solutions.
  • Lead transformative APP initiatives based on deep expertise and influence organizational strategy.
  • Guide the development of creative, feasible APP solutions integrating diverse stakeholder perspectives.
• Project Management and Operational Excellence
  • Provide oversight for project budgets, team performance, and outcomes across multiple engagements.
  • Guide project staff and managers on improving or adjusting project management approaches.
  • Lead after-action reviews, debriefs, and continuous improvement efforts to elevate project quality.
  • Strategically manage complex dependencies across projects to mitigate risks and optimize delivery.
• Business Development and Market Growth
  • Lead initiatives to develop or improve APP services and offerings, ensuring alignment with market needs.
  • Cultivate long-term, trusted adviser relationships with client executives, leading to repeat business and expansion.
  • Assist in generating new APP-related business and bringing net-new clients and strategic relationships to the firm.
  • Play a critical role in developing and delivering APP-focused proposals and presentations that win business.
  • Identify opportunities to launch new or improved offerings and activate the right internal teams to support them.

Qualifications

• Doctoral degree strongly preferred (DNP, PhD, DHSc, EdD, or equivalent).
• Current or former Nurse Practitioner (NP) or Physician Assistant (PA) with direct clinical training and practice experience required.
• NP or PA credentials required.
• 5-10 years of progressive leadership experience within large health systems, academic medical centers, integrated delivery networks, physician groups, or clinically integrated organizations.
• Demonstrated success leading APP operations, ambulatory strategy, care model transformation, or clinical workforce optimization initiatives.
• Broad operational and strategic experience within complex health systems and across all care delivery settings.
• Experience partnering with physicians, nursing leadership, and executive teams to improve APP and care team performance, access, quality, and financial outcomes.
• Track record of leading large-scale APP operational, workforce, or organizational transformation efforts.
• Recognized leader in APP practice, healthcare operations, physician enterprise management, care delivery transformation, or workforce optimization.
• Experience evaluating and optimizing care models, provider workforce strategies, and clinical operations within healthcare organizations.
• Experience presenting at industry conferences, publishing articles, speaking nationally, or contributing to professional organizations is highly desirable.
• Established credibility within the APP community through leadership, innovation, or professional service.
• Strong experience developing emerging leaders, managing large teams, and cultivating high-performance environments.
• Exceptional strategic thinking, communication, judgment, and analytical capabilities.
• Ability to thrive in a hybrid consulting environment and travel as needed, approximately 50% of the time.

Locations

Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, or Washington, DC. Remote options will also be considered.

Schedule

Full time/exempt. Hybrid work schedule, with a minimum of two days per week in office when not traveling for a client engagement.

Pay

The estimated base salary range for this job is $255,000 - $300,000 annually. The actual salary paid will vary based on factors such as years of experience, special skills, and market changes. This job is eligible to participate in ECG’s annual incentive compensation program, reflecting a pay-for-performance philosophy.

Benefits

• Medical, dental, and vision coverage.
• 401(k) matching program.
• Unlimited PTO.
• Wellness programs.