History and Team

About Pediatric Management Institue

PMI's Beginning


Paul Vanchiere, the founder of PMI, embarked on his healthcare journey with 20 years of experience, starting from working alongside his father, Dr. Buzzy Vanchiere, at a pediatric clinic in Lake Charles, LA. As the Managing Partner of an 18-provider pediatric practice in Southwest Louisiana, Buzzy served as a mentor to Paul, imparting invaluable insights into running a successful pediatric practice. Paul's education at Loyola in New Orleans further deepened his understanding of the financial and operational aspects of practice management.

Working closely with his father, who was a practicing physician, Paul witnessed firsthand the true purpose and mission of healthcare executives, emphasizing the patient's well-being. Buzzy instilled in him the significance of exercising fiscal prudence while striving to enhance practice management success and deliver higher-quality care to all children.

Acknowledging the profound influence of Buzzy on his life, Paul recognized the importance of sharing his knowledge and assisting others in effectively managing their practices to enhance patient care. Establishing enduring connections with individuals like Bryan Sibley and Richard Lander, Paul aims to collectively provide valuable insights into efficient pediatric practice management. He envisions a future where pediatricians can leverage PMI's services to optimize their practices, enabling them to offer superior care to their patients.

In August 2012, Dr. Bryan Sibley and Paul Vanchiere crossed paths while conducting a seminar on Pediatric Practice Management. This meeting marked the beginning of a collaboration that has since expanded to encompass a wide range of services spanning the healthcare industry, from physician care to managed care networks and hospital financial operations. Through their collective creativity, they have been offering seminars, consulting services, and specialized accounting software tailored for hospital recruitment arrangements. Given Bryan's background as a Pediatrician and Paul's roots in pediatrics, their focus remains on the area of healthcare they know best: Pediatrics.

Paul D. Vanchiere, MBA

With over 15 years of healthcare management and finance experience, Paul has worked with physicians specializing in pediatrics, cardiology and pathology practices. Combined with his experience working for a physician-owned health network and his involvement with physician practice acquisitions for the largest not-for-profit hospital network in Texas, Paul has a unique perspective on healthcare. He specializes in completing a comprehensive set of financial analyses, including practice cost, physician compensation, and managed care contract negotiations.​

Paul founded the Pediatric Management Institute to provide an array of services for pediatric practices of all sizes and maturity, focusing on financial and operational issues. He is involved in a variety of advocacy efforts related to ensuring access to healthcare and education for children with special needs.​

Paul is married to Laura Williamson Vanchiere, and they have three daughters, Anna Beth, Camille and Eloise.
Sr. Consultant
Brandon Betancourt, MBA
Brandon has an extensive background in business strategy, marketing, financial analysis, operations, and organizational behavior. With over 20 years of leadership and management experience, Brandon brings unique insight and a wealth of experience to the Pediatric Management Institute.

​In 2004, with his wife - and pediatrician - Brandon co-founded Salud Pediatrics, a private practice in the wester-suburbs of Chicago. In this role, he oversees and manages all administrative responsibilities for the practice.

Fiercehealth, Medical Economics, AMA News, and Medscape have spotlighted Brandon. He has also contributed articles on practice management to Pediatric Consultant 360 online, KevinMd.com and AAP News. Brandon has been a faculty member for the American Academy of Pediatrics, National Conference and Exhibition - as well as local AAP chapters - lectured at the Pediatric Institute Conference and other industry events.

As a business management consultant, Brandon works closely with organizations to help them become competitive, sustainable and healthy. He excels at quickly framing business problems, prioritize root cases and lead multidisciplinary teams team both in strategic and implementation engagement.

Brandon and his wife Joanna live in Chicago. They have three children, Brianna, Alexandra, and Alan. When Brandon is not busy with parental duties, analyzing Salud Pediatrics account receivables or coaching leadership teams, you can find him writing professional bios in the third person.
Consultant & Conference Speaker
Susanne Brennan, MBA, CEC
Susanne’s career has spanned across several areas of the healthcare industry. Prior to founding The Verden Group, she was employed by United Healthcare in the area of physician network management and spent several years as an independent healthcare consultant specializing in business development, revenue cycle remediation, vendor management, and process improvement. Formerly a practice administrator and billing manager, she understands the many different challenges facing practices today. With an MBA in both Management Systems and Information & Communication Systems, she has applied her formal learning to understanding the principles of knowledge management and how information can be transformed into comprehension at all levels with the right facilitation.
Consultant & Conference Faculty
Richard Lander, MD, FAAP
Richard Lander, MD, FAAP has been in private pediatric practice for over 35 years. He practices with three colleagues in two locations in the Livingston, NJ, area. Through his efforts teaching about CPT coding and documentation, he has strived to bring to Pediatricians fair and equitable compensation for the work they do. Through seminars, publications and consulting, he works to help all Pediatricians increase their practice management skills.​

Richard has been active in the American Academy of Pediatrics (AAP) both on the national and state level. He has served on the national committees on Child Health Financing, the Private Payors Advisory Advocacy Committee and served as the national chair of the Section on Administration and Practice Management (SOAPM). He has also represented the AAP on numerous task forces on reimbursement and is a CPT coding trainer.

Richard has published articles on CPT coding and practice management appearing in publications such as Infectious Diseases of Children, Pediatric Annals and Medical Economics. He currently serves on a variety of CPT coding boards and lectures extensively on related matters throughout the United States.
Bryan Sibley, MD, FAAP
Bryan Sibley, MD, FAAP is a graduate of the LSU School of Medicine in Shreveport and, since completing his training at the University of Texas Medical School in Houston, has been in the private practice of General Pediatrics in Lafayette, LA for over 20 years.

His professional interests include the care of children with special healthcare needs, use of electronic health records in the pediatric office, and improvements in pediatric practice management. Throughout his career, he has presented on each of these topics to his peers and other experts in a variety of settings.

Bryan has served as a member and leader of his church as well as many professional and community organizations. He is currently the President of the Louisiana Chapter of the American Academy of Pediatrics.

Bryan is married to Shelley Sibley, and they are the proud parents of Lauren, Garrett, and Blair. His personal interests include all his children’s activities, exercising, and spending time with family and friends.