Brian Rayl, MBA, BSN, RN, EMT-Paramedic
Clinical, Quality, & Business Specialist
Professional Summary
Performance-driven Chief Operations Officer and Clinical Leader with over 25 years of experience leading high-stakes operations across the technology and healthcare sectors. MBA-qualified strategist with a proven track record of managing $600k+ operating budgets, orchestrating successful company acquisitions, and driving significant improvements in both customer retention (20% churn reduction) and clinical outcomes (300% improvement in intubation success). Expert in Change Management and Process Optimization, adept at leveraging data to identify risks and implement scalable growth strategies.

Professional Experience
EMS Educator / CQI Specialist | Medical City – Plano, TX | 2023 – Present
- Clinical Excellence: Engineered an intensive training initiative that improved first-pass intubation rates by over 300%.
- Quality Improvement: Reduced medical protocol deviations by 74% through rigorous record reviews and corrective action plans.
- Program Development: Created and distributed proprietary training curricula to ensure regional compliance with advanced standards of care.
Flight Nurse / Paramedic | Air Methods Corp – Dallas, TX | 2022 – 2023
- Field Training: Served as a Field Training Officer (FTO), mentoring new hires and standardizing high-pressure clinical decision-making protocols.
- Stakeholder Relations: Acted as a central liaison between physicians, technologists, and families to ensure seamless care transitions.
Flight Nurse / Paramedic | Woman's Hospital of Texas – Houston, TX | 2021 – 2022
- Clinical Collaboration: Awarded 2021 "Team Member of the Year" for outstanding multidisciplinary case management.
- Quality Review: Provided critical documentation used for internal quality reviews and compliance audits.
Chief Operations Officer | Happy Grasshopper – Tampa, FL | 2020 – 2021
- Churn Reduction: Orchestrated a 20% reduction in customer churn within 90 days by performing a 5-year data cohort analysis to identify retention triggers.
- Cross-Functional Leadership: Integrated Support, Onboarding, and IT workflows; implemented automated "Early Warning" alerts via CRM triggers.
- Systems Optimization: Overhauled operational processes using Asana and Infusionsoft/Keap to optimize productivity.
RN, Pediatric Emergency Room | Texas Children’s Hospital – The Woodlands, TX | 2018 – 2020
- Crisis Triage: Worked independently as the primary point of contact for patients and families, requiring independent evaluation, rapid assessment, and prioritization of multiple patients.
- Mentorship: Acted as a Preceptor, overseeing the training and integration of new staff into a high acuity environment.
Chief Operations Officer & Co-Founder | Home Value Leads – North Hollywood, CA | 2013 – 2017
- Scale & Exit: Led the operational setup and maintenance of a real estate SaaS firm, culminating in a successful acquisition by a national firm.
- Fiscal Stewardship: Managed a $750k annual operating budget and directed all aspects of customer support, sales, and marketing.
PICU RN & Charge Nurse | Children’s Medical Center – Dallas, TX | 2010 – 2018
- Operations Management: Served as Relief Charge Nurse, responsible for evaluating patient care, prioritization, patient assignments, coordinating resources, and dispute resolution.
- Quality Improvement: Conducted detailed medical documentation reviews to ensure alignment with hospital best practices.
Emergency Room & Critical Care RN | Mission Regional Medical Center – Mission, TX | 2007 – 2010
- Critical Care: Managed high-acuity patients as a Triage Nurse, Charge Nurse, and Rapid Response Team member.
EMS Paramedic, Clinical Educator, & FTO | Medcare EMS – McAllen, TX | 2000 – 2007
- Training and QA Oversight: Led EMS training programs and medical chart reviews focusing on quality assurance and adherence to medical guidelines.
Education & Certifications
- Master of Business Administration (MBA) | Western Governors University, 2023
- Bachelor of Science in Nursing (BSN) | Western Governors University, 2018
- Associate Degree in Nursing (ADN) | South Texas College, 2007
- Certifications: Registered Nurse, CCRN (Critical Care), CFRN (Flight)
- EMS Credentials: Texas Paramedic, Texas Paramedic Instructor
Technical Proficiencies
- Operations/CRM: Infusionsoft (Keap), Happy Grasshopper, Zapier, Google Workspace
- Financial/Billing: Chargebee, Stripe, Square, PayPal
- Project Management: Asana, Trello, Microsoft Teams, Slack, Zoom, RingCentral