Management Directions

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At Management Directions, we have more than 50 years of experience in leadership roles with physician practices, managed care organizations, academic practice plans, and closely held companies. All of our associate consultants bring special skill sets in their areas of expertise. As a client of Management Directions, you can be assured that one of our principals will be thoroughly engaged in your business and will serve as your primary contact.

Richard Spires is a Certified Public Accountant and Certified Medical Practice Executive with more than 20 years of financial management experience. He previously served as the director of physician practice management for the Dallas office of a multi-state physician management company. His clients range in size from solo practitioners to large physician organizations. He has developed and represented group practices, physician networks, Management Service Organizations (MSOs) and Independent Physician Associations (IPAs).

Mark Engler has 12 years of experience working with physicians and physician groups in the Dallas/Fort Worth area. He is an active member of the Medical Group Management Association (MGMA). He serves in a business development role for the Medical Clinic of North Texas (MCNT) where he developed and manages the organization's skilled nursing program, which generates ancillary income for the physicians. He also served as the director of contracting and director of network development for two large IPAs in the Dallas/Fort Worth area. Together, these IPAs comprised more than 2,000 physician members.

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