Dynamic healthcare industry leader with a proven track record of enhancing operational efficiency and expanding market presence. Skilled in strategic planning and fostering a culture of continuous improvement in both start-up environments and mature organizations. Passionate about bringing innovation and value based healthcare to underserved populations. Seeking new opportunities that offer challenging operational complexities and strategic growth potential.
· Partners Health Plan: Duals FIDA Managed Care Organization (MCO)
· Association for Integrated Care of NY: Medicare Accountable Care Organization (ACO)
· Care Design NY: Medicaid Health Home
· Partnerships Solutions LLC: Managed Services Organization (MSO)
· Provided oversight to an Independent Provider Association (IPA) comprised of health and social care providers
· Maintained all managed care plan relationships and worked with multi-disciplinary teams to establish VBC arrangements between health plans and provider partners
· Responsible for developing, implementing, monitoring and measuring performance of public health initiatives aimed at improving NYS Medicaid Delivery System Reform Incentive Program (DSRIP) objectives
· Developed and implemented programs to increase IPA performance and enhance managed care relationships
· Created two-year organizational strategic plan designed to drive program progress and employ predictive analytics on provider performance, securing $19 million in government-funded performance incentives
· Directed a remote, multi-disciplinary team responsible for provider relations and engagement, strategy and innovation, provider performance improvement, project management, and performance measurement
· Built and nurtured an environment based upon LEAN principles of continuous improvement, high efficiency, and collaboration amongst teams
· As a leader within the NY State Office of the Medicaid Director, led a blended team of government staff and consultants in providing project management, business analysis, and claims system development activities for integration with several State initiatives include DSRIP, VBP, Health Homes, and other Medicaid Redesign programs
· Assisted in the creation and management of a division-wide enterprise Project Management Office (PMO) by creating processes to streamline project and change management activities across multiple bureaus and systems
· Provided direct management of the State Medicaid fiscal agent (100+ contractors; $250 million contract) and ensured vendor deliverables were completed and submitted in a timely manner
· Supported management of the NYS project portfolio by reporting to and interacting extensively with NYS Government Executive leadership
· Validated vendor level of effort for deliverables, work products, and evolution projects
· Assessed work and provided feedback/coaching to consultants and analysts involved in project deployment
Press spots associated with recent work/initiatives
https://www.healthcareitnews.com/news/telehealth-tool-keep-people-disabilities-out-hospital
https://empirereportnewyork.com/breast-cancer-a-health-equity-issue-for-women-with-intellectual-and-
https://empirereportnewyork.com/vax-season-is-even-more-critical-for-people-with-intellectual-and-de
https://capitolpressroom.org/2023/11/01/supporting-vaccination-needs-of-new-yorkers-with-disabilitie