Stephanie Subbio
Lansdale,PA
Summary
Quality professional with extensive experience in spearheading quality assurance and control processes. Proven track record of fostering team collaboration and ensuring compliance with industry standards. Known for adaptability and delivering consistent results through strategic quality management.
Overview
26
26
years of professional experience
Work History
Director of Quality & Value Based Program Optimization, Primary Care Service Line
Penn Medicine Medical Group
05.2021 - Current
- Lead and manage sustainable strategy development of advance primary care model.
- Lead primary care transformation efforts from fee-for-service to value based care model.
- Develops and leads complex interdepartmental and multi-entity performance improvement projects that address identified gaps in performance or aspirations for higher levels of outcomes.
- Leads the assessment and action planning of all relevant internal and external comparative data for quality, and efficiency, relative to patient care and patient experience outcomes to support primary care practice transformation, patient-centered medical home, and population health management.
- Continually monitors the external environment for changes/new developments that affect quality and works with leadership to make proactive changes so the organization is on track to meet the changing environment.
- Aligns internal and external comparative data relevant to quality, efficiency, and innovation for improving patient outcomes and improving the overall patient experience. Responsible for reporting metrics to various executive committees and relevant stakeholders.
- In conjunction with leadership, organizes the population health and quality teams including working with physicians and other leaders to risk stratify and empanel the patient populations, develop clinical pathways, expand care teams, integrate wraparound clinical services, track quality metrics, align and support incentive programs.
- Assesses educational needs of practice sites in relation to quality metrics and improvement initiatives. Develops, leads and coordinates training programs related to quality metrics, acts as the subject matter expert (SME) in this area; supports process redesign; facilitates sharing of best practices.
- Provides support for accountable care initiatives such as CPC+ and other mechanisms designed to drive value-based care.
- Oversees and assigns population health staff to facilitate efforts of quality improvement in the development of clinical pathways and other components of practice transformation and patient-centered medical home implementation.
- Serves as co-chair of the Primary Care Service Line Quality Committee, with physician lead.
- Develops and leads complex interdepartmental and entity performance improvement projects.
- Collaborates with PMMG and service line leadership, Corporate Performance Improvement and Penn Medicine Academy to ensure that key learning from PI efforts are disseminated and adopted across the service line.
- Assures that performance improvement projects in the ambulatory setting are aligned with priorities that have been established by the Clinical Operations Steering Committee and subcommittees on clinical quality, access and service excellence.
- Provides coordination of quality improvement and practice transformation efforts with other initiatives across UPHS, including UBCLs and Practice Based Clinical Leadership (PBCL).
- Coordinates and aligns clinical registries/databases across the entities.
- Oversees all certifications and external data requirements for patient-centered medical home and accountable payment programs, as well as provider incentive programs
- Director of Practice Transformation, Penn Medicine, PMMG-PPC/PSP (May 2019 – May 2021)
- Responsible for departmental budgeting, project planning, management and staffing related to the entity-wide implementation of practice transformation efforts that facilitate enhanced performance in alternative payment models in which Penn Primary Care participates.
Director, Clinical Integration Network Development
Tower Health Partners
04.2018 - 05.2019
- Responsible for the design, implementation, and maintenance of a comprehensive provider network aligning multiple physicians and hospital systems through a clinical integration strategy.
- Works closely with internal and external stakeholders to execute the organization’s network development and growth for key positioning to service broad value-based contract arrangements while maintaining best practice, quality improvement, and managing costs.
- Manages the development and growth of strategies for targeted regional network expansion.
- Oversees clinical integration alignment initiatives aimed at establishing a comprehensive provider network.
- Develops workflows and coordinates interdisciplinary services to streamline service offerings to community practices and hospital systems.
- Implements/maintains a comprehensive practice/alignment strategy among employed and community physician practices.
- Develops relationships with all affiliated hospitals and community practices to optimize growth and network impact on clinical integration initiatives.
- Oversees associated work plans around the physician network involvement in value-based contracting arrangements, including self-funded employers, government and commercial payors, and Joint Venture initiatives to ensure contracts adhere to regulations for clinically integrated organizations.
- Guide and participate in Provider Network, Credentialing, and Enrollment (PNCE) committee activities. Maintain active involvement in committee projects.
- Supervise, direct, and oversee Network Liaison staff. Ensure responsibilities align with organizational goals and objectives.
- Develop and support internal controls to be effective and compliant with current laws and regulations.
- Oversee network and provider communications develop material and provider communications to ensure material is effective and accurate and organize dissemination to providers.
- Review and maintain provider participation contracts. Ensure compliance with CLIO policies and procedures.
- Provide support in evaluating opportunities to expand or change network needs to meet goals.
- Implemented Microsoft Dynamic CRM for network management.
Director of Operations & Primary Care Network Development
Holy Redeemer Health System
07.2013 - 03.2018
- Direct day to day operations for the Innovative Wellness Alliance clinically integrated network.
- Target new providers, participate in practice evaluations, plans, coordinate all recruitment and on-boarding efforts.
- Provides leadership for primary care practice program development and quality improvement initiatives, operational efficiencies and customer service that are consistent with the mission, goals and vision of HRHS/IWA, as well as with community needs.
- Participates in the HRPAS strategic initiatives around primary care physician alignment, including relationship development and management of identified primary care providers/practices who align with or become employed by HRPAS consistent with the strategic plans, goals and objectives of the Holy Redeemer Health System.
- Monitor and support execution of annual operations plan.
- Maintain an in-depth understanding of requirements for CMS MSSP programs & commercial payer shared savings/risk contracts.
- Review for updates and maintain current familiarity with all resources and instructions available by other payor contracts.
- Participate in the development of specific actions and strategies to satisfy all contractual and regulatory requirements and create an early warning system to identify gaps, approaching deadlines and other potential missed opportunities.
- Assist in the completion of annual CMS program application updates, physician membership in ACO and annual participant agreement updates as well as new program applications such as ACO Track 1+ and other payor contracts.
- Develop, update and maintain provider database including tracking program participation, contract status, creating and updating practice profiles and membership.
- Maintain current IWA Board, Committee and Workgroup contact lists, and vendor and HRHS personnel contacts.
- Maintain regular contact with value-based program payor leaders.
- Serve as IT implementation lead with regular contact with vendor(s)
Regional Manager-Physician Alliances
Walgreens Co., Take Care Health Systems Division
05.2008 - 06.2013
- Responsible for managing 300+ Collaborative Physician relationships across the United States.
- Responsible for recruiting, contracting, and training physicians to work in partnership with Take Care Nurse Practitioners (TCNPs) & Collaborative Physicians (CPs)
- Assist in management of department P&L.
- Actively participate in the development of B2B partnerships with major health/hospital systems across the United States
- Develop policies and procedures as it relates to the roles and responsibilities of the Collaborative Physician.
- Work in conjunction with the Compliance department to maintain individual state regulatory compliance as it relates to collaborative relationships.
- Manage and conduct monthly Collaborative Physician webinars
- Assists in the development and implementation of strategic initiatives to support the relationship of Collaborative Physicians and Physician Alliances within Take Care Health Systems (TCHS)
- Manage and resolve escalated market issues proactively.
- Collaborate with the credentialing team to maintain the NCQA requirements as it pertains to accreditation and physician credentialing standard.
- Creates and delivers the quarterly TCHS Collaborative Physician report card and other reports that provide support for Take Care Health’s value proposition.
- Develop local market provider referral networks for Take Care Health Centers (TCHC)
Program Manager
Fibromyalgia & Fatigue Centers Inc.
07.2005 - 05.2008
- Implement policies and procedures, standards and guidelines necessary for safe, efficient and effective program operations.
- Develop and maintain professional relationships locally and with peers in other locations to maximize program success.
- Review and analyze daily, weekly, monthly, annual operations results and instituting QI initiatives for program success.
- Regularly report recommendations for Program success to Regional Director.
- Manage, recruit and hires staff, i.e. Physician(s), RN, LPN, MA, Receptionist, & Medical Records personnel.
- Complete all performance appraisals; discipline; staff development; and adherence to company policies and procedures.
- Work to ensure adequate space, equipment, supplies, and services.
- Complete annual Program evaluation with an action plan for improvements.
- Quality Management
- Ensure the accuracy and completeness of patient data entry.
- Ensure that the Quality Management Program is adhered to by all clinical staff.
- Ensure that benchmarks/outcomes fall within acceptable Program parameters.
- Ensure timely review of clinical charts by appropriate nursing and medical staff.
- Conduct regular Quality Management meetings with medical and clinical staff.
- Monitor and ensures compliance with Program algorithms and Clinical Pathways.
- Serve as corporate consultant, traveling to ailing centers, troubleshooting, and identifying problem areas and formulating action plan for improvements for corporate implementation.
- Trainer of all new Program Managers
- Billing and Collections
- Grew centers gross income from $40K to $140K per month in two-year period.
- Consistently in the top two for total revenue out of twelve centers across the United States.
- Develop, implements, and monitors annual Program budget.
- Ensure Program revenue results per annual budget.
- Manage the billing and collections process for completely cash based medical facility.
- Ensure the timely and accurate submission of patient charges and collections.
- Assist with all Company audits of billing and collections.
- Assure assistance for patients who are billing their insurance companies.
- Track and report all consult and procedure revenues.
- Review and report on Program profitability status monthly, quarterly & annually.
- Follow all Company policies and procedures to maximize program collections.
Corporate Services Manager
Hilsoft Notifications
06.2004 - 05.2005
- Researched and prospected new business opportunities.
- Managed client relations for large class action cases.
- Implemented promotional outreach projects.
- Coordinated multiple speaking engagements and assisted in the development of presentation materials.
- Oversaw and organized all legal materials incoming/outgoing.
- Researched and developed case histories for notice development
- Maintained several databases for internal use.
Senior Marketing Specialist
Advance Newsmagazines, Merion Publications Inc.
05.2000 - 06.2004
- Implement promotional marketing campaigns, reflecting industry trends.
- Cultivate strong relationships with prospective clients/already existing clients.
- Work with editors to ensure target market exposure.
- Assist in sales training, and trade show/job fair/PR event planning.
- Showcase publications at trade shows.
- Oversee all requests for advertising proposals before presented to clients.
- Coordinate projects that involve multiple in-house departments.
- Liaison between sales management/sales team and other in-house departments (project management)
- Marketing Specialist
- Perform qualitative and quantitative competitive market analysis.
- Design subscriber survey’s testing client’s ad effectiveness.
- Initiate state-of-the-market projects to further develop publications.
- Work with outside advertising vehicles to increase the publications exposure.
- Knowledgeable of the allied healthcare fields, and nursing
Senior Marketing Specialist
Advance Newsmagazines, Merion Publications Inc.
05.2000 - 06.2004
- Implement promotional marketing campaigns, reflecting industry trends.
- Cultivate strong relationships with prospective clients/already existing clients.
- Work with editors to ensure target market exposure.
- Assist in sales training, and trade show/job fair/PR event planning.
- Showcase publications at trade shows.
- Oversee all requests for advertising proposals before presented to clients.
- Coordinate projects that involve multiple in-house departments.
- Liaison between sales management/sales team and other in-house departments (project management).
Education
Master of Health Administration -
Louisiana State University
Shreveport, LA01.2021
Bachelor of Arts - Communication Studies, with a concentration in Journalism/PR
West Chester University
West Chester, PA05.2000
Skills
- Microsoft Word
- PowerPoint
- Publisher
- Excel
- Microsoft Outlook
- Microsoft Teams
- Salesforce
- Microsoft Dynamic CRM
Affiliations
- American College of Healthcare Executives
- The National Society of Leadership & Success
- Delta Phi Epsilon Sorority
Technological Skills
- Microsoft Word
- PowerPoint
- Publisher
- Excel
- Microsoft Outlook
- Microsoft Teams
- Salesforce
- Microsoft Dynamic CRM
Phone
cell, 267-210-3438
Personal Information
Title: Director of Quality & Value Based Program Optimization
Timeline
Director of Quality & Value Based Program Optimization, Primary Care Service Line
Penn Medicine Medical Group
05.2021 - Current
Director, Clinical Integration Network Development
Tower Health Partners
04.2018 - 05.2019
Director of Operations & Primary Care Network Development
Holy Redeemer Health System
07.2013 - 03.2018
Regional Manager-Physician Alliances
Walgreens Co., Take Care Health Systems Division
05.2008 - 06.2013
Program Manager
Fibromyalgia & Fatigue Centers Inc.
07.2005 - 05.2008
Corporate Services Manager
Hilsoft Notifications
06.2004 - 05.2005
Senior Marketing Specialist
Advance Newsmagazines, Merion Publications Inc.
05.2000 - 06.2004
Senior Marketing Specialist
Advance Newsmagazines, Merion Publications Inc.
05.2000 - 06.2004
Bachelor of Arts - Communication Studies, with a concentration in Journalism/PR
West Chester University
Master of Health Administration -
Louisiana State University