Ramin’s career is highlighted by his decades of pragmatic and transformative leadership at world-class organizations (UCSF Health, UCSF Stanford Healthcare, University of Pennsylvania, American University of Beirut, and Weill Cornell Medicine). He has successfully navigated these entities through periods of significant change. Throughout his career, he has developed and led the implementation of numerous strategic efforts that have transcended borders to balance sustainable financial and organizational frameworks to achieve aspirational objectives. These collaborations have led to unprecedented results; large-scale mergers of academic health systems, revitalization of major academic institutions, rise in national rankings, and international efforts to foster sustainable and innovative institutions.