Marnee has more than 17 years of experience practicing lean, and brings firsthand expertise on the application of the Toyota Management System to health care organizations. She serves a wide range of health care clients, from those with ambulatory services to large integrated systems, guiding them on leadership development, kaizen, innovation, and access services. Marnee has received several health care awards and has presented to the health care community nationwide on topics including lean and the Toyota Production System as it applies to ambulatory care, process improvement, patient access, supply and demand, and quality.

Marnee’s experience gives her a firsthand perspective of the challenges in transforming health care. She has managed the strategic planning, operations, and financial performance of multiple suburban satellites offering primary, specialty, ancillary, and ambulatory surgery services; department of medicine; department of pediatrics; and ambulatory surgery centers. She understands present-day health care challenges, including the obstacles faced by providers in implementing successful electronic health records (EHR) programs. Marnee provided leadership and direction for the accelerated development of EHR with Providence and its ambulatory partners. She has led employed-physician practices across a five-state system including more than 3,100 physicians and advanced practice clinicians.

Marnee was previously on the faculty of the Institute for Healthcare Improvement and held roles as chief of community outreach and business development, chief operating officer, and ambulatory vice president for regional medical centers. Marnee served as a principal at Rona Consulting Group (RCG) until it combined with Moss Adams in 2017. RCG’s founders were early adopters of the Toyota Management System in the health care setting.

Professional Affiliations

  • Member, Group Practice Improvement Network
  • Member, Medical Group Management Association


  • BA, communications, University of Washington
  • MHA, University of Minnesota

Insights from Marnee Iseman