Medical practice executives are at the center of responsibility for the operational aspects in the medical practice. The practice executive’s ability to analyze, diagnose, and improve operational issues is vital to the success of an organization. Whether building a business plan, leading practice improvement activities, establishing and coordinating the process of purchasing and asset management, demonstrating knowledge of industry benchmarks and best practices, or building a provider compensation that aligns organizational goals, the practice executive must master myriad skills and develop proper protocols to lead the operational functions in a medical practice.