Domenico Sestito
Co-owner @Astrablue Solutions Llc
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WORK HISTORY
Co-owner @Astrablue Solutions Llc
Weymouth, MA, US
As the Owner of AstraBlue Solutions, I lead a full‑service medical billing and consulting firm focused on strengthening revenue cycle performance for independent practices, specialty providers, and municipal EMS organizations. My role centers on helping clients reduce administrative burden, improve cash flow, and operate with greater financial clarity — without requiring expensive technology investments or disruptive workflow changes.I oversee end‑to‑end revenue cycle management, including claim submission, denial prevention, A/R follow‑up, patient billing support, and real‑time financial reporting. By leveraging CMS, HIPAA, and Meaningful Use–certified electronic solutions, I ensure clients have full visibility into their billing activity from any device. This transparency allows practices to quickly identify issues, track reimbursement trends, and make informed decisions that directly improve net collections.My impact comes from simplifying complex billing processes and implementing best practices that increase clean‑claim rates, shorten reimbursement cycles, and reduce overhead. I work closely with providers to streamline operations, strengthen documentation accuracy, and optimize workflows so they can spend more time with patients and less time on paperwork.As part of a national network of revenue cycle experts, I bring access to proven tools, industry insights, and scalable solutions that support long‑term financial stability. I also guide clients through MACRA, MIPS, and APM requirements to ensure they capture all available incentives.AstraBlue Solutions is built on personal attention, responsiveness, and partnership. Clients trust me because I provide hands‑on support, clear communication, and a commitment to maximizing profitability and efficiency. My goal is simple: help healthcare organizations achieve stronger financial performance while delivering exceptional care to their communities.
EDUCATION
Scrum Alliance
Certified Scrum Master
Suffolk University - Sawyer Business School
MBA, Marketing
Florida Atlantic University
BS, Management
ABOUT DOMENICO SESTITO
Strategic Delivery Leader, Director‑level Delivery Executive, and Enterprise Agile Transformation Leader with 20+ years of experience driving modernization, cross‑functional alignment, and large‑scale technology delivery across financial services, public sector, and consulting. I specialize in enterprise Agile transformation, delivery leadership, operating model redesign, and building high‑performing teams that consistently deliver measurable outcomes.My career has focused on helping organizations modernize how they plan, execute, and deliver value. I have led enterprise portfolios, multi‑year transformation programs, and value streams of 75+ people, consistently delivering 95%+ of quarterly business commitments while improving predictability, stakeholder alignment, and customer experience. As a delivery executive, I bring a leadership style grounded in strategic clarity, disciplined execution, psychological safety, and continuous learning.I excel in environments where organizations are scaling Agile, navigating complex delivery challenges, or rethinking their operating models. Whether serving as a Director of Delivery, Agile Transformation Lead, or Consulting Partner, I focus on simplifying complexity, strengthening alignment, and enabling teams to perform at their best. My experience spans Agile coaching, PMO modernization, digital strategy, cloud and platform delivery, and organizational design — always with a focus on measurable, sustainable impact.My consulting background enhances my ability to quickly diagnose delivery issues, design pragmatic solutions, and drive adoption across diverse stakeholder groups. I am known for building trust, creating clarity in ambiguous environments, and connecting strategy to execution in a way that accelerates outcomes. I have guided executives, delivery leaders, and cross‑functional teams through Agile transformation, modernization initiatives, and enterprise‑wide change.Today, I continue to support organizations pursuing modernization, AI‑enabled transformation, and improved delivery performance. I am passionate about helping leaders build adaptive, future‑ready organizations that can respond to change, scale effectively, and deliver meaningful value to the communities and customers they serve.If you’re exploring opportunities to strengthen delivery leadership, accelerate Agile transformation, or elevate enterprise execution, I welcome the conversation.
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