Rechtin started his career at an Indianapolis health and human services nonprofit clinic, Horizon House, where he ran its operations. He also spent over two years with the
Peace Corps. Rechtin worked for
Bain & Company for 14 years, rising to partner. In his role as a regional president for DaVita, Rechtin oversaw 4,000 clinicians and 11,000 employees. While in this position, DaVita Medical Group was acquired by
OptumCare, at the time a subsidiary of
UnitedHealth Group and Rechtin became a president at OptumCare.
Envision In 2020, Rechtin joined
Envision Healthcare, where he was president and CEO. Following his appointment, Envision ended the practice of
surprise billing. Rechtin was CEO of Envision during the
COVID-19 pandemic. He said that he used his experience in the Peace Corps to inform the company's response during this time. Rechtin received $15.6 million in total compensation in 2024.
Board membership and recognition In 2024, Rechtin was ranked 18th in
Modern Healthcare's 100 most influential people in healthcare. He is a member of Humana's board of directors. Rechtin was a board member for the Center for Health Care Strategies, Colorado Succeeds, DePauw Board of Visitors and Envision. ==Personal life==