Optimal Adequacy
Full-Spectrum Clinical & Provider Recruiting
Exactly enough, exactly on time.
Recruiting leadership and capacity for virtual health and provider networks, sized to demand. Not more, not less.
Fractional to full-cycle
Clinical & provider hiring
All 50 states
Pay-on-placement available
The Approach
Networks don't hold still. Neither should the team that staffs them.
A clinical network has a right size: large enough to meet contractual demand, but not so large that providers sit underutilized. We call that Optimal Adequacy. The recruiting team behind the network needs the same discipline.
Overbuilt
Idle cost between surges
Demand
Recruiting capacity
Optimal Adequacy
Capacity that matches demand
Demand
Recruiting capacity
Underbuilt
Missed obligations at the spike
Demand
Recruiting capacity
What We Do
A focused core engagement, with real range alongside it
Core engagement
Fractional & Interim Leadership
Contract-based leadership of a recruiting function, for leadership gaps, market launches, or network-adequacy pushes.
Pay on placement
Contingency-Based Recruiting
No fee unless a placement is made.
Contract staffing
Embedded Recruitment Support
Remote or onsite recruiters working inside your team.
Senior-level search
Executive Search
Senior clinical and product leadership roles.
Scalable capacity
Flexible Recruiting Bench
A vetted pool of contract clinical recruiters, scaled to demand.
Advisory
TA Function Design
Helping internal leaders build their own recruiting structure.
Evaluation
Process & Systems Review
ATS, workflow and selection reviews, including AI-driven recruiting and sourcing tools.
AI-Enabled Recruiting
AI where it saves time. People where it counts.
Clinical hiring at volume rewards good tooling. We put AI to work on the repetitive parts of recruiting, and keep experienced recruiters on every candidate relationship and every hiring decision.
AI-assisted sourcing
Faster identification and outreach to qualified clinicians across specialties and states.
Smarter pipeline workflows
Automation for follow-up, scheduling and status tracking, so recruiters spend their time on people.
In practice
An AI-based video assessment replaced in-person clinical interviews for qualified applicants, shortening selection without losing rigor.
How It Works
Sized to the work, then adjusted as it changes
01
Size the need
We start with your network's demand: the specialties, states and timelines you owe. The recruiting plan comes from that, not from a default headcount.
02
Deploy the right mix
Fractional leadership, embedded recruiters, the bench or contingency search, alone or combined, working inside your process and tools.
03
Scale up or step back
As demand moves, capacity moves with it. When your internal team is ready, we hand it over with the structure in place.
Results
Faster hiring, better candidate experience
Time in process
Full-time provider hiring, national virtual mental health network
Before
28 days
After
18 days
Time to fill
Regional health system, within one year
Before
94 days
After
38 days
Candidate experience
National virtual mental health network
Before
78%
After
98%
800+
Full-time providers hired in under two years for a national mental health network
4,000+
Contract clinicians engaged in a year for a national telehealth organization
3x
Clinical network growth in seven months for a virtual care organization
50
States covered in national clinical hiring
Who It's For
Organizations growing a clinical network
Virtual health companies
Telehealth and behavioral health
Provider networks
Health systems expanding virtually
Investor-backed health tech
About
Optimal Adequacy is led by George Ravalico, a clinical and provider recruiting leader who has built and run recruiting for national virtual health networks. The firm brings that experience, and a bench of proven clinical recruiters, to organizations that need to hire well without overbuilding.
Get In Touch
Let's talk about what your network needs next.
A leadership gap, a market launch, or a hiring surge on the way: tell me what you're facing.
george@optimaladequacy.net© 2026 Optimal Adequacy Consulting (OpAd)
george@optimaladequacy.net · (978) 226-8694