Alera was born from lived experience. Liz Buno brings more than two decades of frontline primary care practice alongside leadership roles in quality, clinical operations, and outcomes-focused care strategy.

Having served as a practice owner, Provider Champion, and clinical leader within large multi-practice groups, Liz has seen firsthand how performance-based care can succeed — and why it so often doesn’t. Too often, the burden of transformation falls disproportionately on primary care providers, contributing directly to burnout.

Alera exists to change that.

Founder's Story

liz buno | founder

Our Philosophy

Alera’s approach is practical, collaborative, and grounded in respect for clinical autonomy. The goal is not to check boxes, but to create systems that improve outcomes, support providers, and deliver sustainable financial performance.

With the right structure and support, value-based care can be a win for patients, practices, and payors alike.

Clients often thank Alera...

“Liz consistently distinguished herself as a trusted provider champion and quality leader. She partnered closely with providers to improve documentation, coding, and population health workflows in ways that were practical, executable, and impactful. Providers trusted her guidance — and changed behavior as a result.”

For listening deeply — and for the ability to see both the big picture and the critical details that drive meaningful change:

former medical director, medfirst primary & urgent care

For listening deeply — and for the ability to see both the big picture and the critical details that drive meaningful change:

“Liz consistently distinguished herself as a trusted provider champion and quality leader. She partnered closely with providers to improve documentation, coding, and population health workflows in ways that were practical, executable, and impactful. Providers trusted her guidance — and changed behavior as a result.”
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Let’s start with a conversation.

Thank you for reaching out. We look forward to learning more about your organization and exploring how Alera Healthcare Consulting can help. You should feel hopeful — because clarity is possible.