Big Ideas,
Real Impact.
Driven by curiosity and built on purpose, this is where bold thinking meets thoughtful execution. Let’s create something meaningful together.
We built it because we ran it.
OpsKR Consulting is a healthcare operations firm built on 18+ years of clinical and healthcare experience before advising on complex operational work.
We didn't learn healthcare operations from the outside looking in. We built, managed, audited, and stabilized complex healthcare environments before ever consulting on them.
OpsKR Consulting was built from real-world experience across managed care, NCQA accreditation, credentialing, case management, utilization management, and healthcare operations infrastructure — helping organizations build, stabilize, and scale with systems designed to perform.
Today, we help healthcare organizations build systems designed to scale, perform, and withstand scrutiny.
Kio Caldana, RN, MS HSA
Founder & Principal Consultant
Kio Caldana, RN, MS HSA, is the Founder & Principal Consultant of OpsKR Consulting. Her healthcare career began in 2007 and has evolved across clinical care, healthcare administration, managed care, quality operations, and organizational leadership. Across 18+ years in the clinical and healthcare field, she has developed a practical understanding of how payer and provider operations intersect with patient care, regulatory expectations, and implementation realities.
Her work spans clinical quality, case management, utilization management, population health, NCQA readiness, HEDIS and CMS Stars, SNP Model of Care, credentialing and provider enrollment, CVO development, delegation oversight, audit readiness, and policy infrastructure. This breadth informs OpsKR’s firm-level approach without treating any one discipline as the entirety of her career.
Kio is also a U.S. Army veteran. Her service included the period surrounding September 11, 2001 and the consequential years that followed, with continued service and mission support through the National Guard. That background informs the discipline, accountability, adaptability, service, and mission-focused leadership she brings to OpsKR.
As Principal Consultant, Kio provides direct senior involvement, quality oversight, and accountability throughout each engagement. OpsKR combines that principal-led governance with structured delivery and specialist support when appropriate, keeping implementation disciplined, documented, and aligned to client operations.
A lean, principal-led operations firm
Every engagement receives direct principal involvement, senior accountability, and structured quality oversight. Delivery is organized around clear governance, documented workplans, implementation discipline, and specialist support when appropriate to the scope.
Subject-matter depth across the programs that decide accreditation, payment, and performance:
Veteran-led. Woman-owned. Minority-owned.
OpsKR holds active SAM.gov registration and current UEI and CAGE codes, positioned for federal contracting opportunities in addition to commercial healthcare engagements.
The discipline is the deliverable
Operations discipline, documentation rigor, accountability for outcomes — these are habits from service, applied to healthcare. They're also the habits regulators and accreditors look for.
Clean systems. Clear outcomes. Built for healthcare.
Book a discovery call and map the first 30 days of your practice launch, accreditation cycle, or credentialing program.
We built it because we ran it.
OpsKR Consulting is a healthcare operations firm built on seventeen years of doing the work — clinical, administrative, and federal — before advising on it.
We didn’t learn healthcare operations from the outside looking in.
We built, managed, audited, and stabilized complex healthcare environments before ever consulting on them.
OpsKR Consulting was built from real-world experience across managed care, NCQA accreditation, credentialing, case management, utilization management, and healthcare operations infrastructure — helping organizations build, stabilize, and scale with systems designed to perform.
Today, we help healthcare organizations build systems designed to scale, perform, and withstand scrutiny.
What OpsKR is.
OpsKR is a lean, principal-led healthcare operations firm. We staff engagements with people who have actually done the work — clinical, operational, payer-side, and federal. We don’t pad teams to inflate fees, and we don’t subcontract core deliverables.
Our subject matter depth covers managed care quality programs (HEDIS, Stars, NCQA), Special Needs Plans (SNP/ISNP), payer contracting and contract analysis, case management across the utilization continuum, population health, and federal contracting infrastructure.
Veteran- and clinician-owned. OpsKR holds active SAM.gov registration with VOSB designation, current UEI and CAGE codes, and primary NAICS 541611. We are positioned for federal contracting opportunities in addition to commercial healthcare engagements.
Operations discipline, documentation rigor, accountability for outcomes — these are habits from service, applied to healthcare. They’re also the habits regulators and accreditors look for.
