We’re on a mission to un-box the traditional way of doing things.
Creating space for experienced leaders to do their best work and healthcare organizations to feel the difference.
Eutemia was built by revenue cycle experts who know that how you lead is as important as what you deliver
That’s why we serve both sides of the leadership equation, simultaneously.
Healthcare organizations get right-sized, exceptional leaders for critical needs and projects. Experienced professionals trade how it’s always been done for big, bold, brave approaches to complex challenges. This creates a thriving ecosystem where everyone benefits from each others’ success. A different way to buy.
A different way to lead. A new way to make it better.
Eutemia: the sense of your own path
Eutemia was created to fill a gap healthcare organizations feel every day: critical revenue cycle work that needs experienced leadership, but not another layer of traditional consulting, a “this will work for now” slot-in option, or a rushed full-time hire.
After years working in healthcare consulting, founder Michelle DeKeyrel witnessed how work moved, where it stalled, and how decisions landed—or didn’t. On the surface she was winning. Underneath, Michelle felt increasingly tied to a future that didn’t fit.
Clients were put in boxes, forced to decide between almost-there but still ill-fitting options: embarking on a large consulting project, filling a position with a leader that “will do for now” or piecing together change on their own.
The unspoken assumption was that everything worked if no one slowed down to ask: what works for you? The irony wasn’t lost on her—she’d never questioned the living-earning-and-working-your-way-to-the-top narrative.
The name Eutemia reflects the philosophy behind our firm: the sense of your own path. Not what’s expected. Not a race. Not what everyone else is doing. Just doing what you’re meant to do with clarity and excellence.
For the organizations Eutemia partners with, that means building revenue cycle solutions that are not only effective, but sustainable.
For the leaders who work within the Unboxed at Eutemia community, it means doing exceptional work in a way that’s both rigorous and human.
If you ask Michelle, she’d tell you this is her best creation yet.
MEET THE EXECUTIVE TEAM
Michelle DeKeyrel
FOUNDER
As Founder, Michelle sets the direction and ensures every engagement aligns with what matters most: durable impact, financial integrity, and human-centered leadership.
Her superpower? Seeing how all the pieces connect—and designing the structure that allows others to execute brilliantly. Michelle is the ideas woman behind the model, the one asking, “Is this aligned?” and “Is this scalable?” She partners closely with clients and the Eutemia team to co-design solutions that outlast any one engagement. Around here, she pushes the big thinking and protects the standard.
Outside of work, she’s most alive outdoors—running, biking, swimming, lifting—or traveling somewhere new. Add strong coffee, a good book, and loud laughter with friends and family, and she’s exactly where she wants to be.
Nicole Acciavatti
HEAD OF ENGAGEMENT
As Head of Engagement, Nicole works closely with our leaders and clients to make sure expectations are clear, voices are heard, and nothing important falls through the cracks.
Her superpower? Turning alignment into action—and making it feel seamless. Nicole leads the internal rhythm of Eutemia, ensuring operations run smoothly while supporting our leaders in delivering exceptional client work. She brings structure without rigidity, accountability without ego, and a steady presence that builds trust fast. When she’s involved, people feel understood—and momentum follows.
Outside of work, she’s likely at CrossFit, exploring with her dog Mila, or planning her next adventure with her fiancé Dave. Disciplined, loyal, and fully committed—Nicole shows up all the way.
Delila Knewston
HEAD OF REVENUE
As Head of Revenue, Delila aligns financial performance with growth strategy—ensuring our goals are clear, our pricing is disciplined, and our partnerships are built to last.
Her superpower? Bringing clarity and confidence to the numbers—so decisions are grounded and growth is intentional. Delila sits at the intersection of finance, strategy, and expansion. She helps shape new opportunities, strengthen existing relationships, and ensure what we build is sustainable. At Eutemia, she protects the margin and fuels the momentum.
When she’s not steering revenue strategy, she’s raising two incredible daughters and spending time with friends and family. Grounded, driven, and fiercely steady—Delila leads with both strength and heart.
EUTEMIA LEADERS
All LaaS leaders are vetted and selected based on precise alignment between their experience and an organization’s need. Here’s what they’re bringing with them.
Enterprise Experience
15-25+ years leading revenue cycle operations
Director, VP, and CRO level backgrounds
Health systems, physician groups, and high-growth orgs
Team Builders
Built and led teams of 25-200+
Unified fragmented departments
Hired and developed leadership benches
Operational Expertise
Epic + major EHR implementations
Outsourcing → insourcing transitions
Vendor selection and recovery work
Financial Impact
Millions in recovered or accelerated revenue
Denial reduction + AR improvement
Revenue integrity + change capture optimization
The Principles That Guide Our Practice
Our guideposts aren’t aspirational. They’re operational.
Each begins with “Be” because being is an action, not just an intention.
1. Be Authentic
We show up as ourselves. Our team brings honesty, clarity, and integrity to every interaction. We say what we mean, follow through, and stay grounded in what’s right, not just what’s easy.
2. Be Human
We lead with empathy, recognizing that there are always people behind the processes and projects. We support each other, celebrate progress, and always remember that being human is a strength.
3. Be Flexible
Change is constant. We adapt thoughtfully, attempt to balance competing needs, and embrace feedback as fuel for growth.
4. Be Communicative
We believe that clear communication builds trust. That’s why we share information early and often. Staying aligned, surfacing risks, and making sure everyone has what they need is how we succeed.
5. Be Resorceful
Our team owns the challenge. We use what we know and find what we don’t. We’re committed to working smarter, staying curious, and helping things become simpler for the next person.
6. Be Excellent
We infuse quality and craftsmanship in every detail. By taking pride in our work, we raise the bar, letting our results reflect our shared standard of excellence.
Sound like a fit?
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