Stay Independent. Gain Collective Strength.

Win Together.

Independent rheumatologists deserve the power to scale without giving up control. The Leaders Rheum delivers real, transparent partnership. Group benefits without the group.

Scale smarter. Stay independent.

Stay Independent. Gain Collective Strength.

Win Together.

Independent rheumatologists deserve the power to scale without giving up control. The Leaders Rheum delivers real, transparent partnership.

Group benefits without the group.

Scale smarter. Stay independent.

WHAT WE DO

Independent-First Support

Everything Your Practice Needs. Nothing It Doesn't.

Pick the services that fit your practice today. Add more as you grow. You stay fully independent, we handle the rest.

Revenue Cycle Management

Maximize what you collect. Optimize billing, reduce denials, and speed up payments built specifically for rheumatology coding and payer rules.

  • Faster Payments
  • Fewer Denials
  • Rheum-Coded

Drug Purchasing & Rebates

Access aggregated purchasing power without joining a group. Keep 100% of your rebates and discounts. Experience transparent pass-through savings.

  • Pass-Through
  • Keep Rebates
  • Transparent

New Revenue Streams

Turn missed opportunities into income. Grow profit margins with ancillary services such as infusion optimization, in-house labs, dispensing, and generate more from what you already do.

  • Infusion
  • In-House Labs
  • Medically Integrated Dispensing

Sustainable Practice Growth

Proactive financial planning, data initiatives, HR administration and compliance support. End to end support that protects your independence.

HOW IT WORKS

Simple Process.

Powerful Results.

You choose what
you need

One solution or full support.

We partner with
your practice

Seamlessly and efficiently.

You stay
fully independent

You're in control. Always.

We optimize & grow everything around you

Better performance. Stronger future.

Flexible Add-Ons

À La Carte Services

Not ready for a full package? Pick exactly what your practice needs right now.
  • Chronic Care Management
  • Medically Integrated Dispensing
  • RheumLogic AI Tools
  • Compliance & Regulatory
  • HR Administration
  • Data Initiatives

Real Results for real practices

20%

Increase in collections

10-30%

Reduction in overhead

15+

Hours saved per week

"We chose The Leaders Rheum because of the unbelievable team of experts in Rheumatology they’ve assembled. Their expertise has helped SERA achieve significant advancements. Our providers and staff feel reinvigorated, and we are so excited to embark on this journey with The Leaders Rheum!"

-Southeastern Rheumatology Alliance

Stop choosing between growth & control.

Get the support you need without giving anything up.

the Leaders Rheum

Strategic Partners

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À La Carte Services

  • Aggregated Pass-Through Purchasing
  • RCM/Billing
  • Infusion Optimization
  • Financial/P&L Guidance
  • HR Administration
  • Data Initiatives
  • Compliance & Regulatory
  • RheumLogic AiT
  • Chronic Care Management
  • Medically Integrated Dispensing
  • In-House Labs

Eliot Appel

Director of People & Process

Eliot brings over 35 years of experience in all aspects of physician practice management, growth, and sustainability.

Having worked with some of the most successful rheumatology practices all over the country, he has played an integral role working directly with partnering practices to provide guidance on financial performance, human resources, EMR systems, the billing cycle, purchasing, compliance, practice expansion, succession planning, ancillary services, etc.

Eliot’s previous work experience and accomplishments include managing the growth and development of a national rheumatology practice in nearly 30 states. He was also the Executive Director of Gastro Health, P.L., a 40+ provider Gastroenterology practice based in South Miami and was instrumental in its start-up.

Prior to Gastro Health, Eliot was the Executive Director of South Florida ENT Associates, a 35+ provider group practice in Miami-Dade and Broward Counties. He has worked in the multi-specialty group setting as the Chief Financial Officer for the Florida Institute of Health and in his early career he gained CPA experience from Grant Thornton, a large, international C.P.A. firm. Eliot earned his B.S. in Accounting from the University of Florida.

Leila Ballard

Director, Revenue Cycle Management

Leila Ballard is a seasoned healthcare business professional with over 30 years in roles ranging from Certified Medical Assistant to Practice Manager.

She has a bachelor’s degree in healthcare administration along with multiple certifications under her belt. Leila has worked as a consultant for the last two years in software system management within multiple specialties.

One of her most significant contributions to the rheumatology space is when she helped grow a single doctor practice to one of the largest rheumatology groups in the country. Leila is excited to shift her focus to achieving our clients’ practice and financial goals.

Leila lives in the low country of South Carolina with her husband and teenage son. She is a foodie and loves to travel.

Victoria Giambattista

Chief Creative Officer

Vicky brings 15 years of marketing, branding and creative services to the healthcare space, beginning her career with agency experience and moving to medical device, surgical accreditation, and SaaS software organizations.

She has a proven track record of standing up marketing departments and building sustainable growth models within creative teams. She is well-versed in sales enablement, operations, client engagement and retention programs, along with tech stack development and optimization. Vicky’s efficient and effective strategies and tactics create workflows that save time and help streamline and shorten the sales cycle.

Outside of work, she enjoys watching historical documentaries, wine tasting and interior design.

Scott Gilomen

CHIEF FINANCIAL OFFICER

Scott Gilomen brings over 25 years of executive management experience in the healthcare industry with a heavy focus on rheumatology and oncology. His primary areas of expertise include financial analysis, pharmaceutical and supply contracting, implementation of new ancillary services, direct management of revenue cycle, medical real estate acquisitions and oversight, physician and advanced practice provider hiring, and management of facilities and staff.

In 1996, Scott joined an oncology practice in Gastonia, NC as the Executive Director. That’s where he developed expansion plans and opened new clinics in multiple locations. He implemented patient care initiatives including chronic care management (CCM) and physician dispensing, technology initiatives including electronic health record (EHR) and patient self check-in.

Scott’s multi-faceted experience as a leader drew the attention of ION Solutions GPO Advisory Panel and was invited to serve in 2008. He collaborated with other panel members to review and advise pharmaceutical companies on current and proposed GPO contracts, patient assistance/access programs, and product launches.

Scott moved from oncology to rheumatology as CEO for a 15-provider group in 2019. Five months in, and despite great obstacles and unprecedented variables with COVID, Scott quickly pivoted to implementing telehealth in less than a week. The infusion suite never closed and patient care was maintained with little to no delay. Other implementations included patient self check-in, CCM, physician dispensing, new insurance verification and prior authorization systems, and clinical trials.

Outside of work Scott enjoys walking, swimming, gardening, golfing, and spending time with his family and pets.

Mike chavez

President & Co-Founder

Mike Chavez is a nationally recognized healthcare executive with deep expertise in the independent specialty care space. For more than a decade, he has been a driving force behind the creation and expansion of some of the largest rheumatology provider networks in the country, partnering with hundreds of clinics in virtually every state across the U.S.

He also has a proven track record of leading strategic & data initiatives with pharma and life sciences, partners and chairs TLR’s CIO Board Clinical Initiatives & Outcomes Board advancing innovation in diagnostics, therapeutics, and data initiatives.

Mike is also the former cohost and regular guest of the Working Healthcare podcast. Each week, he and Host Meredith Hirsh along with guests explore topics like healthcare innovation, team leadership, policy impact, and the business of medicine bringing expert insight to help providers navigate the industry with confidence.

In recognition of his contributions to the field, Mike was named one of the Top 100 Leaders in Healthcare by the International Forum for Advancements in Healthcare and included in The Who’s Who of Top Executives in America in 2020.

Outside of work, Mike is passionate about health, fitness and martial arts including weightlifting, Muay Thai, Jiu Jitsu, and yoga and enjoys spending time with his French bulldogs, Nutella and Bella.

Ray Waldrup

CHIEF EXECUTIVE OFFICER

As a 30-year veteran in healthcare, Ray Waldrup has a broad knowledge of all aspects of medical practices. He credits his early years of owning a medical billing and consulting company for his unique understanding of where monies are made and lost. He has successfully expanded medical practices in anesthesia and critical care to multiple locations and cities while personally recruiting providers.

In 2009, Ray joined a 4-doctor rheumatology practice with one location in Charleston, SC. After a few years, he formed what became the largest rheumatology practice in the country.

Ray has also revolutionized infusion suites by aggregating purchase volume and negotiating differential contracts others could not. He has helped significantly reduce physician burnout through a 4-day work week, while still increasing practice revenue. He’s most proud of the many physician friends he has made and how they recognize him for improving their quality of life.

In 2019, Ray led the formation of a rheumatology-specific GPO that quickly grew to over 300 members in 18 months. By 2021, he was leading a practice of 26 locations in 9 states with 65 physicians and over 300 employees. In his free time, he enjoys playing golf, pickleball, and boating in Naples, Florida.