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 Midsized Firm to Work For 2026 by Consulting Magazine. Working exclusively in healthcare, our people consistently solve challenges for providers and achieve better patient outcomes. Across our eight office locations, we seek individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide.

About ECG

ECG is a national consulting firm redefining healthcare together with its clients. We provide strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including 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, and are committed to fostering an inclusive and supportive work environment.

About the Role

Join our Health System Performance 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 to each situation, delivering proven results. We partner with clients throughout their journey, tying our success to theirs every step of the way.

Within HSP Transformation, we have identified hundreds of millions of dollars in improvement opportunities for health systems through a detailed, proven approach to performance transformation. Our team of subject matter experts and former health system executives customizes solutions to align with clients’ overall strategy and market. We support clients with proprietary diagnostic tools to target practical and sustainable improvements that drive revenue, reduce costs, and unlock growth. During implementation, we bring together experts from payer strategy, finance, clinical operations, labor, supply chain, patient access, and revenue cycle, supported by dedicated delivery teams and implementation specialists to ensure exceptional performance and accelerated growth tailored to unique goals.

Responsibilities

• Client Service and APP Project Leadership
  • Oversee complex, multifaceted projects, ensuring high-quality deliverables and strong alignment with client goals.
  • Provide guidance on market best practice approaches, helping teams manage and interpret complex data, trends, and insights.
  • Offer strategic counsel to client executives, facilitating sensitive, high-stakes conversations and supporting consensus-building across stakeholders.
  • Identify and remediate communication risks and develop recovery plans when communications do not achieve desired outcomes.
  • Anticipate project needs, direct communications and engagement strategies, and ensure critical messages are delivered by the most effective ECG or client stakeholders.
  • Lead major or complex change management efforts and navigate organizational dynamics, political considerations, and competing priorities.
• Leadership and People Development
  • Coach and mentor colleagues, helping them build capability, confidence, and professional judgment required for senior roles.
  • Provide actionable, timely feedback to team members and support senior leaders in taking on expanded leadership and practice contributions.
  • Identify emerging leaders and create opportunities for them to grow through mentorship, sponsorship, and stretch assignments.
  • Build and sustain an environment of trust, collaboration, and high performance that supports 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 the rollout of communication strategies.
  • Gather input from relevant stakeholders to ensure communications are accurate, strategic, and appropriately tailored.
  • Develop recovery strategies when communications fail to achieve desired outcomes and guide teams on adaptations needed.
  • Support colleagues and clients in navigating new or unfamiliar topics, drawing on broad professional experience and cross-industry insights.
• Strategic Thinking and Firm Leadership
  • Lead or design major strategic initiatives that shape ECG’s long-term direction specific to APP service capabilities and market presence.
  • Identify gaps in existing APP methods and proactively direct teams to refine or replace approaches to improve effectiveness.
  • Guide risk mitigation in highly 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 that align with ECG’s priorities.
• Problem-Solving
  • Serve as an APP and physician enterprise thought leader in diagnosing complex systemic problems and recommending courses of action.
  • Lead transformative APP initiatives based on deep problem-solving expertise and influence organizational strategy.
  • Guide the development of creative, feasible APP solutions that integrate diverse stakeholder perspectives across organizations.
• Project Management and Operational Excellence
  • Provide oversight for project budgets, team performance, and project outcomes across multiple engagements.
  • Guide project staff and managers on improving or adjusting project management approaches where needed.
  • Lead after-action reviews, debriefs, and continuous improvement efforts to elevate project quality and organizational performance.
  • Strategically manage complex dependencies across projects to mitigate risks and optimize delivery.
• Business Development and Market Growth
  • Lead major 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 across service lines.
  • Assist in generating new APP-related business and bringing net-new clients, organizations, 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 ensure the right internal teams are activated 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 $255,000.00 - $300,000.00 annually. It represents a good faith estimate of the range that ECG reasonably expects to pay at the time of the job posting. The actual salary paid will vary based on multiple factors, including but not limited to years of experience, special skills, and market changes. This job is eligible to participate in ECG’s annual incentive compensation program, reflecting ECG’s pay-for-performance philosophy.

Benefits

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