Strategic Consulting

Strategic consulting services to help businesses enhance efficiency, streamline operations, and drive sustainable growth.

CONTACT BRAD ►

Healthcare Revenue Cycle Consulting

  • Managing Payer EDI (Electronic Data Interchange) is critical for seamless claims processing, eligibility verification, and payment transactions in the healthcare industry.  Brad Booher Consulting brings deep expertise in EDI strategy, implementation, and optimization to help payers and healthcare organizations improve efficiency, compliance, and interoperability.

    My approach ensures:

    • Streamlined EDI Transactions – Reducing errors, delays, and rejections in claims processing.

    • Regulatory Compliance – Ensuring adherence to HIPAA, X12, and other industry standards.

    • Optimized Workflows – Automating and enhancing data exchange between payers, providers, and clearinghouses.

    • Scalability & Performance – Designing systems that handle high volumes efficiently.

    • Seamless Integration – Connecting EDI with existing IT infrastructure, EMR/EHR systems, and APIs.

    Whether you need to implement, modernize, or troubleshoot your Payer EDI processes, I deliver tailored, high-impact solutions that improve accuracy, reduce costs, and enhance operational performance.

  • Let's face it.  Working with clearinghouses and their complicated networks can be challenging.  Strong trading partner and clearinghouse relationships are essential for health insurance companies to ensure seamless electronic transactions, reduce errors, and enhance operational efficiency.  Brad Booher Consulting specializes in optimizing payer-clearinghouse interactions, streamlining connectivity, and improving data exchange reliability to support claims processing, eligibility verification, and remittance management.

    My expertise delivers:

    • Seamless EDI Connectivity – Enhancing EDI 837, 835, 270/271, and 276/277 transactions.

    • Improved Trading Partner Collaboration – Strengthening payer-provider data exchange.

    • Error Reduction & Faster Processing – Minimizing transaction failures and rejections.

    • Regulatory Compliance & Security – Ensuring adherence to HIPAA, X12, and state regulations.

    • Automated Monitoring & Issue Resolution – Proactively addressing data exchange challenges.

    Whether you need to enhance partner relationships, optimize clearinghouse workflows, or resolve connectivity issues, I offer tailored, high-impact solutions that drive efficiency, accuracy, and compliance.

  • Navigating the complex landscape of healthcare regulations and industry standards is essential for health insurance companies to maintain compliance, avoid penalties, and optimize operations.  Brad Booher Consulting provides expert guidance in industry and regulatory management, helping payers stay proactive, compliant, and efficient in an evolving regulatory environment.

    My expertise delivers:

    • Regulatory Compliance Assurance – Ensuring adherence to HIPAA, CMS, CAQH, SOC2, ACA, and state-specific mandates.

    • Proactive Policy Monitoring – Keeping your organization ahead of legislative and industry changes.

    • Reactive Audit Management - Helping you navigate CMS complaints and Operating Rule compliance issues.

    • Operational Risk Reduction – Minimizing compliance risks through strategic audits and assessments.

    • Seamless Implementation of New Standards – Guiding transitions to new EDI, interoperability, and reporting requirements.

    • Process Optimization & Training – Equipping teams with the knowledge and systems to maintain compliance effortlessly.

    Let's face it.  Keeping up with healthcare industry and regulatory regulations isn't the average person's passion, but it is for me and my network of nerds!  Whether you need compliance strategy development, regulatory risk assessments, or streamlined reporting solutions, Brad Booher Consulting eagerly delivers tailored, forward-thinking strategies to keep your organization compliant and competitive.

  • Strong contracts between payers, clearinghouses, and trading partners are essential for seamless data exchange, cost efficiency, and regulatory compliance.  Brad Booher Consulting provides expert contract review and advisory services to help health insurance companies negotiate favorable terms, mitigate risks, and ensure operational alignment with key industry partners.

    Our expertise delivers:

    • Comprehensive Contract Analysis – Identifying hidden risks, inefficiencies, and compliance gaps.

    • Strategic Negotiation Support – Ensuring favorable pricing, performance guarantees, and SLAs.

    • Regulatory & Compliance Alignment – Verifying adherence to HIPAA, CMS, and industry mandates.

    • Performance & Dispute Resolution – Clarifying expectations to prevent costly conflicts.

    • Operational Efficiency Optimization – Aligning contracts with business goals and data exchange best practices.

    Whether you need new contract guidance, renegotiation strategies, or risk mitigation insights, I provide the expertise and negotiation leverage to help payers maximize value and minimize liabilities in their clearinghouse and trading partner relationships.

Business Consulting

  • In today’s competitive market, an effective Product Development Life Cycle (PDLC) is the key to delivering innovative, customer-centric solutions while optimizing resources and driving profitability.  Brad Booher Consulting specializes in strategic product management and process improvement, helping businesses refine their product vision, streamline development, and accelerate time to market.

    My expertise delivers:

    • Product Strategy Development – Aligning business goals with market opportunities for sustainable growth.

    • Agile & Scalable Processes – Implementing efficient workflows to enhance productivity and adaptability.

    • Customer-Centric Innovation – Leveraging insights to create high-value, market-driven products.

    • Cross-Functional Alignment – Breaking silos between product, engineering, sales, and customer success.

    • Performance Metrics & Optimization – Driving continuous improvement through data-driven decision-making.

    A strong product management function ensures alignment, efficiency, and innovation in delivering value to both customers and your business.  Whether you need to revamp your product roadmap, improve execution, or optimize team efficiency, I deliver tailored solutions that enhance innovation, reduce friction, and maximize business impact.

  • Successful project execution requires strategic planning, seamless execution, and cross-functional alignment, all of which Brad Booher Consulting delivers with precision.  Whether your business is struggling with missed deadlines, scope creep, inefficient workflows, or lack of stakeholder alignment, I bring expertise, proven methodologies, and a simplistic project management approach.

    I go beyond traditional frameworks.  Over engineered PMP and Six Sigma methodologies tend to bog down projects, but the fundamentals remain key.  My approach blends the useful components of these methodologies and a simpler "make a list and do the things on the list" style.  My focus is on maximizing efficiency, improving collaboration, and ensuring project success, from initiation to completion.  With a deep understanding of both technical and business landscapes, I help organizations streamline processes, mitigate risks, and drive results.

    Partnering with Brad Booher Consulting means gaining a trusted advisor who can align your teams, improve visibility, and accelerate project delivery, all while keeping costs under control and stakeholders engaged.  Let me help you turn your projects into success stories.

  • Navigating the RFP (Request for Proposals) and RFI (Request for Information) process can be complex, time-consuming, and highly competitive.  Brad Booher Consulting brings real-world experience and deep expertise to help businesses streamline, strengthen, and succeed in their RFP initiatives, whether as the requestor or the respondent.

    For organizations issuing RFPs, I ensure clear, strategic, and well-structured proposals that attract the right vendors, maximize value, and minimize risk.  For respondents, I can help you craft compelling, high-impact proposals that differentiate your business, align with client needs, and increase win rates.

    From developing requirements and evaluation criteria to proposal writing, review, and negotiation support, I provide end-to-end RFP/RFI management that drives efficiency and delivers measurable results.  Partner with me to take your RFP strategy to the next level and secure better business outcomes.

  • In today’s fast-moving business landscape, operational efficiency is the key to sustainable success.  Brad Booher Consulting specializes in identifying inefficiencies, optimizing workflows, and implementing scalable process improvements that drive productivity, reduce costs, and enhance overall business performance.

    Operations by Design™ (ObD) is an operations analysis process developed by Business Executive, Dave Watson that is rooted in common sense principles.  What work is being done, who's doing the work, and what changes should be made to make it mo' faster, and mo' cheaper, and mo' betta!?

    I apply a data-driven, results-oriented approach to streamline operations, eliminate bottlenecks, and enhance cross-functional collaboration.  Whether you're looking to refine existing processes, implement automation, or develop a culture of continuous improvement, my expertise ensures practical, measurable, and lasting results.

    By partnering with me, businesses gain customized solutions tailored to their unique challenges, helping them operate more efficiently, adapt to market demands, and achieve a competitive edge.  Let’s transform your operations and unlock new levels of success.

  • In an unpredictable world, business continuity planning is essential to safeguard operations, protect critical assets, and minimize disruptions.  Brad Booher Consulting specializes in developing and enhancing business continuity plans (BCPs) that prepare organizations for unexpected challenges, whether from cyber threats, pandemics, natural disasters, supply chain disruptions, or operational failures.

    I take a proactive, strategic approach to identifying risks, assessing vulnerabilities, and creating actionable, scalable, and resilient plans that keep your business running smoothly under any circumstance.  From risk assessments and response strategies to recovery planning and testing, I ensure your organization is prepared, protected, and positioned for long-term success.

    By partnering with me, businesses gain a customized, comprehensive business continuity strategy that reduces downtime, protects revenue, and strengthens stakeholder confidence.  Don’t wait for a crisis, future-proof your business today.

  • In today’s fast-paced business environment, continuous quality improvement (CQI) is essential for maintaining competitiveness, enhancing efficiency, and delivering superior products and services.  Brad Booher Consulting partners with organizations to develop and refine CQI programs that drive measurable improvements across processes, operations, and customer experiences.

    My simplistic approach focuses on identifying inefficiencies, implementing data-driven strategies, and fostering a culture of continuous learning and innovation.  Whether you're building a CQI program from the ground up or optimizing an existing initiative, I can provide proven methodologies, hands-on guidance, and actionable insights to help your organization achieve sustainable success.

    By working with me, businesses can reduce waste, enhance productivity, improve compliance, and boost customer satisfaction, all while fostering a mindset of ongoing excellence and adaptability.  Let’s transform quality into your competitive advantage.

Technical Consulting

  • According to a recent study by Citrix, a business unit of Cloud Software Group, 42% of organizations surveyed in the United States are considering or already have moved at least half of their cloud-based workloads back to on-premises infrastructures, a phenomenon known as cloud repatriation.

    Whether you are in the early stages of evaluation, regretting a decision, or anywhere in between, I am well versed in the pros and cons of all models and can provide advice that will help you achieve your objectives.

  • Despite the risks of potential disasters, businesses are not taking adequate precautions.  A 2021 study by Computing Research found that only 54% of organizations have documented disaster recovery plans in place.  And worse, according to available data, only a small percentage of companies fully pass a disaster recovery test, with estimates suggesting that less than half of organizations with disaster recovery plans actually successfully execute them during a test. This is largely due to issues like inadequate testing frequency, poor plan execution, and lack of employee training.

    Brad Booher Consulting is well versed in creating and testing effective DRPs (Disaster Recovery Plans).  Insisting on and committing to a solid disaster recovery strategy should start here.

  • In 2024, cyberattacks increased globally, with a rise in hacking, ransomware, and phishing attacks. The costs to companies to prevent and react to cybercrime is projected to increase.

    Cyberattack statistics

    • Frequency: A cybersecurity breach occurs every 39 seconds, and 30,000 websites are compromised daily.

    • Cost: Cybercrime costs are projected to reach $8 trillion globally in 2025.

    • Ransomware: 65% of financial organizations worldwide reported experiencing a ransomware attack in 2024.

    • Phishing: 26% of phishing attacks targeted public-facing applications in 2024.

    • Data breaches: The average total cost of data breaches in 2024 was $4.88 million.

    I've personally had a front-row seat to the most devastating healthcare cyber-attack in US history.  From discovery to restoration, I have first-hand experience.  Don't let your business fall victim to a business wrecking cyberattack.  Call Brad Booher Consulting.

  • Identity-based attacks are rapidly increasing, accounting for the majority of security breaches.  According to CrowdStrike, five out of the top ten cyberattacks observed between July 2023 and June 2024 were identity-based attacks.  Taking a unified identity protection approach is the bedrock of a strong cyberdefense strategy and critical to preventing modern cyberattacks.

    What's more, a well-established IDM (Identity Management) strategy provides several benefits, particularly for businesses and organizations managing multiple users, applications, and security protocols: 

    • Enhanced Security

    • Improved User Experience

    • Regulatory Compliance & Audit Readiness

    • Operational Efficiency & Cost Savings

    • Better Integration & Scalability

    • Minimized Insider Threats & Data Breaches

    From the initial development of an IDM strategy, to fixing an ineffective or disjointed approach, Brad Booher Consulting can help with plans and even make recommendations for specific IDM solutions based on your business needs.

  • According to available data, a majority of companies, estimated to be around 55%, have an established incident and problem management function, with this figure often cited in reports related to IT service management practices.

    Brad Booher Consulting brings expertise in streamlining IT operations through effective Incident and Problem Management strategies.  I can help businesses reduce downtime, enhance system reliability, and improve service delivery by implementing best practices aligned with industry frameworks like ITIL.

    Our approach focuses on:

    • Rapid Incident Resolution – Minimizing disruptions and ensuring smooth business operations.

    • Root Cause Analysis & Prevention – Reducing recurring issues through proactive problem management.

    • Customized Solutions – Tailoring processes to fit your unique IT environment and business needs.

    • Process Optimization & Automation – Enhancing efficiency with automated workflows and clear escalation paths.

    • Compliance & Reporting – Ensuring adherence to regulatory standards with robust tracking and reporting.

    Whether you’re implementing a new Incident & Problem Management framework or refining existing processes, I deliver practical, results-driven solutions that keep your business running smoothly.

  • Brad Booher Consulting helps businesses design, implement, and optimize shared-service and micro-service architectures for improved scalability, agility, and resilience. Whether transitioning from an antiquated system or refining an existing microservices approach, I can provide tailored strategies that align with your business goals.

    My expertise ensures:

    • Scalable & Flexible Architectures – Enabling seamless growth and adaptability.

    • Improved Deployment & Performance – Accelerating development cycles with CI/CD and containerization.

    • Resilient & Fault-Tolerant Systems – Enhancing uptime and minimizing service disruptions.

    • Secure & Efficient API Management – Ensuring smooth communication between services.

    • Cost-Effective Modernization – Optimizing infrastructure to maximize ROI.

    From strategy to execution, I can deliver practical, high-impact microservices solutions that empower your business to innovate and scale efficiently.

  • Traditional Agile methods don’t always deliver the efficiency and adaptability modern businesses need.  Brad Booher Consulting goes beyond Agile to create a customized, results-driven approach that blends the best of Agile, Lean, DevOps, and real-world execution.  I help companies move faster, reduce waste, and deliver higher-quality software without the common pitfalls of Agile fatigue.  I.e.; Procrastination and waste.

    My methodology focuses on:

    • Outcome-Driven Development – Prioritizing business value over rigid Agile methodology.

    • Streamlined Processes – Cutting unnecessary meetings and documentation to speed up delivery.

    • Cross-Team Collaboration – Aligning business, development, and operations for seamless execution.

    • Continuous Improvement & Adaptation – Iterating based on real user feedback, not just "sprints".

    • Automation & Scalability – Leveraging modern tools to improve efficiency and reliability.

    If Agile isn't working for your business or you need something faster, smarter, and truly effective, I can help you implement a methodology that delivers real speed, flexibility, and innovation.

© 2025 All rights reserved. | Brad Booher Compaines, LLC | Privacy | Terms