Christine Farrell, FMC
Concord Hospital (formerly LRGHealthcare)
Gilford,NH
25
years of professional experience
Healthcare operations leader with 15+ years of progressive management experience spanning primary care, ambulatory care, post-acute care, and transitional care. Nearly a decade of progressive leadership within CH Primary Care and Pediatrics, with demonstrated responsibility for operational performance, financial stewardship, provider productivity, quality improvement, service-line development, revenue optimization, regulatory compliance, care transformation, and community engagement. Strategic and collaborative leader skilled at translating organizational priorities into measurable operational results. Proven success partnering with physicians, clinical and administrative leaders, IT, Finance, payers, and community stakeholders to improve performance, develop services, optimize revenue, and implement sustainable change. Known for emotional intelligence, calm and principled leadership, effective provider relationship management, and the ability to build trust while maintaining accountability in complex and challenging environments. Active engagement with the Concord Hospital Trust through the Regional Council and Lakes Region Giving Society provides additional perspective on regional healthcare needs, community priorities, and the health system's broader mission.
Work History
PRACTICE MANAGER
9 Years 6 Months- Partner with physicians, clinical and administrative leaders, IT, Finance, and system stakeholders to advance operational performance, financial sustainability, quality, access, patient experience, and strategic priorities.
- Drive provider productivity and service-line performance, with primary sites on target to meet a 34,500 RVU budget and projected to deliver approximately 18,000 annual patient visits, integrating capacity planning, provider resources, access, and operational performance to achieve financial and strategic objectives.
- Provide interim operational leadership across additional primary care practices, expanding scope from 9 to 15 providers and 22 to 42 FTEs, while maintaining continuity of operations, provider performance, access, quality, patient experience, and organizational standards during a period of transition.
- Lead performance management through oversight of provider productivity, revenue cycle, and quality improvement metrics; monitor performance against established benchmarks, identify gaps and opportunities, and mobilize teams around targeted improvement strategies.
- In 2025, identified and addressed a significant revenue-risk opportunity by developing customized reporting to proactively align appointment scheduling with insurance coverage and payer requirements, resulting in more than $250,000 in protected revenue capture.
- Lead evaluation and development of new clinical service opportunities aligned with evolving standards of care and market needs, assessing clinical value, equipment and staffing requirements, workforce education, payer strategy, coding and documentation requirements, projected reimbursement, and long-term operational sustainability.
- Translate clinical quality priorities into measurable operational initiatives, including pediatric lead and M-CHAT autism screening; establish performance measures, collaborate with IT to develop actionable reporting, and lead workflow redesign to improve screening compliance and evidence-based care delivery.
- Maintain leadership oversight of life-safety, clinical, and regulatory compliance, ensuring ongoing readiness for DNV and applicable regulatory standards; contributed to a 2026 DNV site survey resulting in zero nonconformities.
- Lead cross-functional operational change and standardization, including transition of the Provider Call Group to the CH centralized answering service, implementation of secure schedule management, and establishment of standardized provider expectations to strengthen communication, consistency, and patient access.
- Foster physician, clinical, and organizational partnerships through clear communication, active listening, emotional intelligence, and values-based leadership; effectively navigate complex provider concerns and conflicts while maintaining accountability, trust, and organizational alignment.
- Support graduate medical education and physician development as a Family Medicine Residency Program training site, collaborating with residency leadership, physicians, and multidisciplinary teams to integrate resident education into ambulatory practice operations.
- Apply LEAN principles and operational excellence methodologies to identify workflow barriers, redesign processes, and implement sustainable improvements that enhance efficiency, patient experience, and consistency of care delivery.
- Leverage payer, reimbursement, charge capture, and revenue-cycle expertise to strengthen financial performance, support accurate billing and documentation, and align operational decisions with payer requirements and organizational goals.
- Demonstrate commitment to the broader Concord Hospital Trust mission through active service on the Regional Council and participation in the Lakes Region Giving Society, bringing an operational and community perspective to regional healthcare priorities, access, quality, and strategic investment.
DIRECTOR OF CASE MANAGEMENT
5 Years 10 Months- Provided operational leadership across a complex continuum of care encompassing 132 dually licensed skilled nursing beds and 48 supported residential care beds, with responsibility for census, case mix, payer strategy, reimbursement, quality, regulatory compliance, and care transitions.
- Held operational accountability for census and case mix while balancing patient needs, payer requirements, resource utilization, and organizational financial objectives.
- Led payer and managed-care activities including contract review, reimbursement analysis, insurance certification, and renegotiation of managed care terms to optimize financial performance.
- Collaborated with clinical leadership, physicians, hospitals, home health agencies, and other care providers to improve transitions of care and reduce avoidable hospital readmissions.
- Screened referrals to evaluate payer source, clinical needs, appropriateness of placement, and alignment with census, case mix, and revenue objectives.
- Developed and implemented strategic plans and budgets supporting community outreach, marketing, and organizational growth.
- Led quality assurance activities, compliance audits, and initiatives related to CMS and state regulatory requirements, admission processes, documentation, and life-safety standards.
- Collaborated with staffing leadership to improve consistency of care delivery and resource utilization within the transitional care center.
- Directed customer-service training and initiatives designed to improve resident and family experience.
- Facilitated complex transfers and transitions while ensuring compliance with federal and state requirements.
- Served as a member of the organizational Quality Assurance Committee and contributed to continuous improvement and regulatory readiness initiatives.
ADMISSIONS, MARKETING & COMMUNITY BENEFITS
1 Year 5 Months- Managed admissions, referrals, payer requirements, and resident transitions while ensuring compliance with state and federal regulations.
- Supported hospital readmission reduction initiatives through collaboration with hospitals, physicians, home health agencies, and internal clinical teams.
- Developed and implemented community outreach and marketing initiatives supporting organizational visibility, growth, and community relationships.
- Managed resident and family concerns and facilitated timely resolution of grievances.
- Oversaw nonprofit marketing activities including social media, newsletters, website content, and traditional media.
SPECIAL PROJECTS COORDINATOR
2 Years- Conducted quality assurance and regulatory compliance audits.
- Supported accounts receivable activities involving commercial insurance payers and accounts payable operations.
- Coordinated community outreach and special organizational projects.
SPECIAL PROJECTS / INTERN
2 Years 4 Months- Supported the Southern Strafford County Community Health Coalition and contributed to a state-mandated Community Benefits and Needs Assessment through analysis of county and state health data.
- Collaborated with local businesses, nonprofit organizations, and community stakeholders on community health initiatives.
- Supported grant development and implementation of a community-based walk-in STD testing program in response to elevated community incidence.
RESEARCHER | PROJECT INHALE
9 Months- Supported a grant-funded interdisciplinary research project involving the University departments of Health and Human Services and Environmental Sciences.
- Collected pediatric spirometry data and provided data-entry and statistical analysis support.
ALUMNI SUPPORT SERVICES
10 Months- Supported alumni outreach, events, communications, and relationship development.
- Represented the student athletic department at university and alumni events.
Education
Bachelor of Arts
Skills
Primary Care & Ambulatory Operations
Strategic Planning & Service-Line Development
Financial Performance & Budget Management
Provider Productivity & Performance
Physician & Clinical Leadership Partnership
Operational Excellence & LEAN
Quality Improvement & Performance Management
Value-Based Care & Care Transformation
Revenue Cycle & Revenue Optimization
Payer Strategy & Reimbursement
Access & Patient Experience
Regulatory & Life-Safety Compliance
Change Management & Workflow Redesign
Multidisciplinary Team Leadership
Performance Analytics & Reporting
Program Development & Sustainability
Community & Regional Healthcare Strategy
Stakeholder & Provider Relationship Management
Timeline
PRACTICE MANAGER
Concord Hospital (formerly LRGHealthcare)
03.2017 - CurrentRead More
DIRECTOR OF CASE MANAGEMENT
Golden View Health Care
01.2011 - 11.2016Read More
ADMISSIONS, MARKETING & COMMUNITY BENEFITS
Golden View Health Care
08.2009 - 01.2011Read More
SPECIAL PROJECTS COORDINATOR
Golden View Health Care
07.2007 - 07.2009Read More
SPECIAL PROJECTS / INTERN
WENTWORTH-DOUGLASS HOSPITAL
06.2004 - 10.2006Read More
RESEARCHER | PROJECT INHALE
UNIVERSITY OF NEW HAMPSHIRE
04.2003 - 01.2004Read More
ALUMNI SUPPORT SERVICES
UNIVERSITY OF NEW HAMPSHIRE
02.2002 - 12.2002Read More
Unversity of New Hampshire
Bachelor of Arts
Read More
Professional Certifications & Community Engagement
- (02/2026 - Present) CONCORD HOSPITAL TRUST | Regional Council Member
- (10/2025 - Present) CONCORD HOSPITAL TRUST | Founding Member Lakes Region Giving Society
- (02/2021 - Present) AMERICAN COLLEGE OF MEDICAL PRACTICE EXECUTIVES | Member
- (02/2021 - Present) MEDICAL GROUP MANAGEMENT ASSOCIATION | Member
Cash Flow, Accounts Payable and Payroll Management Certificate
Financial Management Certificate
Financial Reporting and Budgeting Certificate
Payer Contracting Certificate
Revenue Cycle Management Certificate
- (10/2022 - Present) BLUE BIRD LEADERS | Founding Member
- (03/2010 - 9/2018) ROTARY INTERNATIONAL | Board Member, Member, Committee Chair
- (11/2016 - 06/2018) PEMI-BAKER COMMUNITY HEALTH & HOSPICE | Board Member
- (10/2011 - 11/2016) GREATER MEREDITH AREA CHAMBER OF COMMERCE | Board Member
References
Kelly Thorson, APRN, DNP | CH Lead Ambulatory Informatics Provider
E: kthorson@crhc.org
PH: (603) 225-2711, x80269
Veronica L. Rosa, EdD | CH Chief Advancement Officer
E: vrosa@crhc.org
PH: (401) 418-0048
Rebecca Woods, MHA | CIO | Founder Propel Health Advisors | Founder Bluebird Leaders
E: rwoods@bluebirdtechsolutions.com
PH: (603) 409-5841
Delitha Watts | University of New Hampshire, Institute for Health Policy and Practice
E: Delitha.Watts@unh.edu
PH: (603) 398-4353