No handoff to a new management team after the deal closes. The leaders who set SCALE’s standards are the same ones accountable for your results — backed by 120+ operators who do the work every day.
SCALE is private and independent. There’s no PE firm steering toward an exit, and no revolving door of leadership. When you meet the team, you’re meeting the people who will still be here in three years.
Co-Founder & CEO
Roy sets SCALE’s overall strategy and the standard for how the firm operates alongside its clients. As a trusted advisor to MSO CFOs, private-equity-backed groups, and multi-site physician organizations, he has guided dozens of organizations through RCM turnarounds and financial stabilization. He stays close to SCALE’s executive clients — the ones who need a partner with the credibility to operate at the leadership level, not just manage billing.
Co-Founder & President
Jason owns how SCALE delivers. He oversees RCM service delivery and client partnerships, making sure every engagement carries the same operational discipline that built the firm’s reputation. Known for stepping into complex, high-pressure situations and quickly installing the processes and accountability that restore performance, he’s the reason clients feel the difference in weeks, not quarters.
Founders set the direction. These leaders are accountable for what clients actually measure — across service, technology, finance, and the community that connects them.
Head of AI & Technology Services
Rajeev leads the technology behind SCALE’s services — the AI tools for denial prediction, charge capture, and analytics that make the operating teams sharper. His mandate is to build tools that solve the workflow problems operators actually have — not idealized ones.
Head of RCM Services & Solutions
Anita runs RCM service delivery across SCALE’s client base, accountable for the numbers clients judge us by — collections, denials, AR, and cash. When a revenue cycle needs to perform, her teams are the ones who make it happen.
Managing Director, Office of the CFO
Jim leads SCALE’s Office of the CFO services, bringing finance-leadership rigor to the revenue cycle — the reporting, controls, and discipline that growing multi-site organizations depend on. He turns revenue cycle performance into the financial clarity CFOs and investors need.
Vice President
Rauf brings 8+ years across clinical health strategy, EHR implementation, insurance logistics, and workflow optimization. Before SCALE, he was a Strategy Consultant at Baylor Scott & White Health — the largest not-for-profit health system in Texas — applying clinical strategy to deliver solutions for physician and hospital clients. As VP, he leads the SCALE Community initiative.
MBA, Healthcare Management — UT Dallas BS, Kinesiology — Penn State
Behind the leadership is a team built entirely around one market — multisite physician enterprises — across two global hubs.
We don’t hire RCM generalists and hope they adapt. Every person we bring on is calibrated to the specific complexity our clients face — distributed sites, multiple specialties, different EHRs and payer contracts under one roof. That focus is the difference between a vendor who learns on your account and a partner who has seen your problem before.
It’s also why our people stay, and why our clients meet the same faces year after year. Continuity isn’t an accident here. It’s how we’re built.
The leaders you just read about are the same ones accountable for your results. No bait-and-switch after signing.
