About Signature Performance

Since our founding in 2004, our Signature team has applied our unique expertise, insights, and experiences to solve both Payer and Provider challenges in the Federal and Commercial spaces. Our team offers a one-of-a-kind, 360-degree perspective of the revenue cycle to help drive meaningful healthcare transformation.


A History of Excellence
The company was founded in 2004 by Allen Fredrickson to provide business processing services to the healthcare industry. Within the first year, Signature was selected to provide full business services to 40 medical facilities across the United States.

A History of Excellence
Signature expanded its suite of solutions by providing Health Information Management services including coding, auditing, and training, as well as referral management, authorization support, and case management to a health system of more than 34 hospitals and clinics.

A History of Excellence
Signature celebrated our fifth anniversary and was the recipient of two coveted community awards, the Omaha Best Places to Work award and the Omaha Chamber Excellence in Business Award.

A History of Excellence
To fulfill our mission, Signature Performance expanded our market segment to include serving payers. Our first payer engagement included providing claims processing services for one of the nation's largest healthcare payers.

A History of Excellence
On our 10th anniversary, Signature expanded services again, this time in the private sector, and by doing so, Signature now supports all quadrants of healthcare: payers, providers, private, and public.

A History of Excellence
Signature was one selected by Cerner to help modernize the VA and DOD's electronic health records. Signature was also one of six companies to be identified as a premier partner. This project was the largest healthcare project to date in our nation's history.

A History of Excellence
Signature launched a first-of-its-kind Customer Experience Center. The contact center fields multi-channel communications from healthcare providers across the country, providing guidance on claims submissions and inquiries about provider payments.

A History of Excellence
Signature launched a first-of-its-kind claims adjudication platform, Claims Experience Management (ClaimsXM). ClaimsXM uses a data-driven approach, streamlines tasks, and reduces challenges related to claims administration while operating in a secure government cloud.

A History of Excellence
Signature acquires Atwater Solutions, LLC based out of Philadelphia, Pennsylvania. Atwater Solutions provides an exceptional level of talent, expertise, and proven outcomes. This union offers a strengthened commitment to serving the healthcare industry.
Where Healthcare Expertise Meets Execution.
Signature's leadership team is built on real-world healthcare experience and a commitment to delivering performance outcomes that change the status quo.

Allen Fredrickson
Founder and Executive Chairman
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Karen Hudgins
Executive Advisor to the Chairman

David Isaacks
Chief Executive Officer

Chris Vairo
Chief Business Development Officer, Provider

Dawn Wierzbicki
Chief Business Development Officer, Federal

Dr. Leo Greenstone
Chief Medical Officer

Josh Klein
Chief Operations Officer, Federal

Matt Leshy
Provider Practice Leader

Matt Mason
Chief Operations Officer, Provider

Nikki Carritt
Chief of Staff

Rick Pane
Chief Financial and
Administrative Officer

Zach Fain
Chief Technology Officer
The Signature Experience
At Signature Performance, our people are at the center of everything we do. The Signature Experience is built on our culture, collaboration, and commitment to optimizing the business of healthcare.

Our Mission
At Signature Performance, our mission to improve the health of our clients' business and make the lives of the people we work with better is what drives us to continue asking more of ourselves and of healthcare.

"As an Operations Experience Manager, I’ve had the privilege of connecting with many Signature Associates throughout their careers! It’s rewarding to be part of an organization dedicated to ensuring Veterans receive the healthcare support they deserve."







