Pinkey Slade

Leads the promotion of a culture of data-driven quality improvement within partner practices, Clinically Integrated Networks, and ACOs to position provider practices for sustainable care delivery transformation and Value-Based arrangements.

Promotes accountability and follow-through for provider-specific improvement plans, continually assessing outcomes, developing intervention strategies and tactics customized for provider needs, and cross-pollinating best practices to guide change management.

Works directly with providers, administrators, and care teams to build relationships, negotiate (mutually beneficial value-based arrangements, diffuse reporting and education, and collaborate to optimize contractual performance.

• Establishes enterprise-wide infrastructure for provider-facing continuous improvement activities, identifying and developing approaches and best practices for partner action plan incorporation
• Manages Value-Based strategy and staff members for multiple markets, regularly meeting and exceeding state contract expectations for Advanced Payment Model implementations and securing withhold dollars for the associated Prepaid Health Plans
• Implements new Value-Based arrangements, progressing providers along the LAN APM continuum (including models inclusive of risk)
• Organizes and facilitates B2B enterprise data exchange efforts, servings and point of contact and relationship owner for multiple data aggregator vendors, brokering provider integrations across markets and structuring strategy for both project rollout and optimization
• Maintain familiarity with Medicare, Commercial and State Medicaid fee schedules and analyzes comparable Value-Based programs from other payors
• Implemented systems for tracking progress on key initiatives or projects.
• Cultivated strong relationships with customers by responding promptly to inquiries or complaints.
• Managed staff, financials and key performance indicators to facilitate business operations.
• Directed the organization's daily operations, ensuring compliance with applicable laws and regulations.

• Build relationships and lead the skilled nursing home network in NC, SC and TN
• Educate, monitor and address performance
• Lead Contracting strategies and support I-SNP growth and new implementation
• Establish and execute on growth strategies with new and existing clients
• Analyze data to propose contract models and fee schedules
• Partner with the Internal Product and Business Development team on planning and evaluating I-SNP market expansions
• Collaborate with Business Development to meet targets and driving company revenue
• Collaborate with Clinical to support and ensure delivery of Post-Acute priorities
• Responsible for establishing a competitive SNF network that meets all state, federal and business network adequacy requirements of 90% or greater
• Responsible for working with internal clinical staff and SNF’s to managing network performance metrics
• Work with C&S to assure network adequacy for SNF network in preparation for Medicaid Managed Care
• Work with the Health Plan for any expansion plans for new products to ensure adequacy for SNF network
• Adhere to unit cost targets, yearly forecasting, budget planning and access standards for payer clients
• Work collaboratively with colleagues and staff to create a results-driven, team oriented environment
• Provide leadership to and is accountable for the performance of managers and other team members
• Work with the Senior Leadership to monitor the Health Plan’s medical expenses
• Assist with direct development, strategizing and maintaining the physician network for the SNF’s.