ROCKY EDMONDSON
Arrington,TN
Summary
Senior Healthcare Operations Leader and Influential, Top-Producing Business Executive, with strong qualifications in guiding corporations in identifying and capitalizing on market opportunities to drive revenue and profit growth. Highly analytical with verifiable accomplishments delivering record setting results. Excels at guiding companies through uncharted waters—leading rapid implementation, transforming performance, and driving profitability. Expertise in critical phase restructuring and realignment of operational efforts to achieve the desired outcome. Ability to build consensus across the whole system, motivate and maintain teams and develop partners to achieve system wide goals. Successfully manage relationships across all levels of leadership and among both internal and external partners. Willing to relocate.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Corporate Vice President of Population Health
Community Health Systems
12.2017 - 06.2025
- Oversee clinical and business operations, patient care delivery, quality, patient safety, and patient and provider satisfaction for 15 Accountable Care Organizations (ACO), and 2 Clinically Integrated Networks (CIN) caring for over 200,000 covered lives in 12 states with 84 hospitals and over 500 physician practices.
- Currently responsible for guiding development, payor contracting, implementation and performance of an additional 4 CINs.
- Achieved more than $100 Million in shared saving revenue disbursed over the past 7 years through various Value-Based programs by developing care pathways, processes, and practices that reduced total cost of care for patients while ensuring quality and safety standards were achieved.
- Directed development of reporting analytics that ensures performance monitoring and accountability
- Responsible for quality reporting, monitoring, and improvement activities for over 4500 employed and independent staff and providers.
- Achieved MIPS exceptional quality bonus for all practices
- Spearheaded budget analysis and forecasting to align operating costs with business strategy, saving more than $2 million per year.
- Serve as a corporate liaison and subject matter expert (SME) between staff, case managers, nursing, hospital executives, post-acute providers, and physicians, providing support and guidance on care delivery, patient satisfaction, quality, and best practices.
- Developed and refined the long-term vision and objectives, resulting in the addition of numerous CINs designed to improve contract terms, generate additional revenue, and increase network utilization.
- Achieved a 10% decrease in GMLOS across 84 hospitals by working with Case Management to standardize discharge criteria and utilize a preferred network of PAC providers.
- Achieved a reduction in 30 Day All Cause Readmissions in excess of 20%, increased practice revenue, and improved patient satisfaction by directing the planning and execution of nursing projects that resulted in patient post discharge follow-up visits scheduled prior to hospital release.
- Conferred with board members, organization officials and staff members to discuss issues, coordinate activities, and resolve problems.
- Implemented corrective action plans to solve organizational and departmental barriers.
- Analyzed legislation, laws, and public policy and recommended changes in Value Based Care, MA, and commercial programs to promote and support interests of all stakeholders.
- Represented organization and promoted objectives at networking events.
- Directed upper management operations to proactively address and resolve challenges.
- Resulted in an increase in Network Utilization by 10%
- Interpreted and enforced policies and regulations to maintain alignment with corporate objectives.
- Presided over and served on boards of directors, management committees, and other governing boards.
- Analyzed operations to evaluate performance and to determine areas of potential improvement.
- Corporate SME on business intelligence, market growth, innovative programs, value-based contracting, vendor contracting, program implementation, and metric development to evaluate performance
- Developed high-performing teams by recruiting top talent and fostering a culture of continuous improvement.
- Managed cross-functional teams to drive organizational growth and achieve key objectives.
Senior Director, Healthcare Consulting
XG Health Solutions, Management Advisors
01.2016 - 01.2017
- Developed strategic direction for national and regional health systems by revamping business operations through innovation, process improvement, operational excellence, product development, marketing, and client relations
- Deliver target driven performance in areas of building high performance nursing, physician and hospital teams and introducing strategic and tactical thinking throughout various channels
- National speaker and sought after SME on care delivery systems, change management, and performance improvement activities, resulting in consulting arrangements with multiple national and regional health systems
- SME and driver of the development and implementation of commercial bundle programs, and direct to employer programs.
- Provide leadership in advancing the capacity and capabilities of the services and products offered
- Delivered 6.5% or $1073 savings per episode for xG clients
- Reduced readmission rates from 24.0% (2009-2012) to 18.0% in (2016Q3), 24.9% reduction
- Decreased Post-Acute utilization by 15.7% across all covered lives
- Optimized project timelines by effectively delegating tasks and prioritizing workload among team members.
- Cultivated a culture of innovation by promoting creative thinking and encouraging employees to take calculated risks in pursuit of solutions.
Director of Clinical Operations
Remedy Partners
01.2015 - 01.2016
- Served as the key member of the Operational Leadership Team for CMS Bundle Payment for Care Improvement (BPCI)—largest CMS Bundle Payment Convener
- Full operational and P&L responsibility for $225 million in BPCI program
- Identified and developed new market segments, created business strategies and communicated corporate vision for the entire business
- Spearheaded the development, commercialization and product positioning within the emerging markets
- Developed and managed budget—resource planning and allocation of funds
- Served as Nursing/Clinical Subject Matter Expert and liaison between Remedy staff, case managers, nursing, hospital executives, post-acute providers, and physicians
- Directed program implementations across multiple sites. Educating, monitoring, and holding accountable staff, nursing, providers, and hospital executives
- Responsible for staffing, development, and performance evaluation.
- Enacted strategic business plans to foster growth in revenue, sales and market share.
- Ensured regulatory compliance by staying informed of industry standards and maintaining thorough documentation practices.
- Championed patient advocacy initiatives, upholding ethical principles in all aspects of clinical practice management.
Clinical Supervisor - Nursing
Eastern Idaho Regional Medical Center
01.2003 - 01.2015
- Full management responsibilities over 70-80 nursing FTE's with staffing, training development, and performance evaluation responsibilities
- Served as Nursing Subject Matter Expert for all nursing related requirements, gatherings, and dissemination of information to functional areas
- Implemented policies, procedures, and controls which resulted in 95% scanning compliance for the entire staff
- Collaborated with multidisciplinary teams to coordinate care for clients with complex needs, ensuring comprehensive support was provided across all domains of life functioning.
- Assessed patients, determined needs, and managed care.
- Responded to crisis situations with calm and professional approach to optimize support.
- Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
Charge Nurse – ICU
Maui Memorial Hospital
01.2001 - 01.2003
Staff Nurse - ICU
Providence
01.1998 - 01.2001
Education
Masters of Business Administration - MBA
Boise State University
Boise, IDBachelor of Science in Nursing - BSN
Boise State University
Boise, IDAssociate of Science in Nursing - ADN
University of Hawaii
Wailuku, HISkills
- Managing Cross Functional Teams
- Leadership and People Development
- Change and Growth Management
- Corporate Strategy and Development
- Approachable and Outgoing
- Market Analysis—ROI, Executing Business Plans
- P&L Optimization
- Performance Monitoring and Evaluation
- Process Improvement
- Operational Oversight
- Program implementation
- Performance improvement
Certification
Registered Nurse
MILITARY EXPERIENCE
Recon Team Leader, United States Marine Corps
Timeline
Corporate Vice President of Population Health
Community Health Systems
12.2017 - 06.2025
Senior Director, Healthcare Consulting
XG Health Solutions, Management Advisors
01.2016 - 01.2017
Director of Clinical Operations
Remedy Partners
01.2015 - 01.2016
Clinical Supervisor - Nursing
Eastern Idaho Regional Medical Center
01.2003 - 01.2015
Charge Nurse – ICU
Maui Memorial Hospital
01.2001 - 01.2003
Staff Nurse - ICU
Providence
01.1998 - 01.2001
Bachelor of Science in Nursing - BSN
Boise State University
Associate of Science in Nursing - ADN
University of Hawaii
Masters of Business Administration - MBA
Boise State University
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