Accomplished Quality, Development and Change Agent with extensive operational and administrative expertise, including accreditation project management. Outstanding strategist distinguished for proven leadership, team-building skills, and excellent conflict resolution solicitation and steward skills. Experienced in all areas of mental health, ambulatory care and inpatient care. Demonstrated outcomes that enhance productivity and drive sustained organizational performance.
Highlighted Accomplishments
Provide subject SME for IBM Watson Health program framework (MIPS, APM’s, PCMH, Medicare Advantage, Direct to Employer, DSRIP) to multiple large-scale health systems working to develop quality programs through the implementation process.
• Designed clinical quality, utilization, risk models, cost benchmarks, and analytics, satisfying triple aim and program initiatives for multiple Clinically Integrated Networks (CINs), Collaboratives, and Health Systems, including population health initiatives across 5-system, stand-alone collaborative. Inclusive of Total Cost of Care (TCOC) through identification of High-Value Opportunities (HVO), MACRA, HEDIS, and measure standards.
• Led design/consultation sessions with C-suites and project team to align expectations and contract deliverables, delivered functionality, and workflow-based presentations.
• Performed gap analyses (current state vs future state), utilizing IBM EPM/PHM solutions, static reporting, risk models to determine transformation opportunities.
CMPE - Certified Medical Practice Executive. Dec. 2011