Steven Clark
Flowery Branch,GA
Summary
Built a robust data and analytics org from the ground up. Supporting all areas of the business - clinical, financial, operations, etc. Oversaw transition to cloud based solutions and infrastructure in partnership with IT. Deployed predictive models to target care and resource usage. Designed master data model to support a scalable and extensible suite of data product. Provided thought leadership to the org as we explored new EMR solutions and tech. Integrated Salesforce CMR and HealthCloud solutions into the business. Deep knowledge of industry trend, problems, and solutions.
Overview
18
18
years of professional experience
Work History
Associate Vice President, Data Science
Centerwell Primary Care, Humana
05.2023 - Current
Director, Data Science and Analytics -Care Delivery
Centerwell Primary Care, Humana
01.2020 - 05.2023
Associate Director, Data Science and Analytics -Care Delivery
Humana
01.2019 - 01.2020
- Built a robust data science department with a focus on MRA and Quality opportunities, working with clinical leadership to identifier areas for physician education and gap closure
- Developed and administered physician compensation structures to drive to couple quality clinical outcomes with maximum financial performance
- Built a Care Delivery, payer agnostic data warehouse to support analytics, finance, and clinical operations
- Transitioned from a single risk payer contract to a multiplayer model, working with 5 healthcare plans to successfully administer the value-based deal and drive performance
Manager, Provider Analytics - Data Science and Analytics -Care Delivery
Humana
01.2016 - 01.2019
- Developed and administered incentive plans to drive MSO financial performance
- Built and established medical economics team focus on improving revenue and reducing unnecessary medical costs
Consultant, Provider Analytics - Data Science and Analytics - Human Care Delivery Organization
Humana
01.2015 - 01.2016
- Continued support of Medicare value-based strategy through the production of numerous reports focused on membership, financial & clinical performance, and year over year provider and company development
- Developed and maintain reports outlining value-based provider performance, and offer insights into the relationship between clinical and financial metrics/performance
- Help to establish insights into which providers perform well and what drives that performance, as well as how those insights can help support under-performing groups
Analyst, Provider Development Center of Excellence
Humana
01.2015 - 12.2015
- Support Commercial and Medicare value-based strategy through the production of numerous reports focused on membership, financial & clinical performance, and year over year provider and company development
- Developed and maintain a report focused on the top 100 value-based providers, which provides insights into clinical and financial metrics affecting provider performance
- Support and maintain a report detailing value-based performance at both national and regional levels
- Developed a new value-based tracking process and report for commercial business segment
- Allows for markets and engagement strategists to track clinical and financial performance of current value-based providers, as well the performance of targeted providers
- Supported new member attribution model through analysis on the potential impact on value-based membership
Insurance Specialist and Contracts Analyst, Risk Management Dept.
Louisville/Jefferson County Metro Government
01.2013 - 12.2015
- Analyzed and advised on all Louisville Metro Government contracts in order to mitigated risk for the $500+ Million city wide budget
- Reduced exposures and losses through contractual negotiations with numerous city vendors and working in close connection with the County Attorney's office
- Managed Louisville Metro Government's over $3 Million interest in the Louisville Area Governmental Insurance Trust, and advised the 47+ departments on liability and risk related issues
- Oversaw, from a risk management perspective, all Metro Special Events, including the Kentucky Derby Festival, Light up Louisville, and the Centennial Festival of Riverboats
- As member of Metro Government Special Events Oversight Committee, strategized best practices and provided insights into Risk Management issues surrounding all events in and around the city of Louisville
- Designed and assisted in the implementation of Metro Government's Risk Management Database, which tracks vendor contractual compliance
P&C Insurance Agent
CMA Agency, Inc.
01.2007 - 12.2011
- Managed company book of business for both personal and commercial property and casualty insurance
- Serviced and expanded existing client accounts, while at the same time producing new business through new sales and upselling
- Oversaw transition to paperless workflow and managed database used to house contractual and client information
Education
MBA -
Indiana University -Southeast
New Albany, In01-2017
B.B.A - Finance
University of North Georgia
Dahlonega, GA01.2010
Timeline
Associate Vice President, Data Science
Centerwell Primary Care, Humana
05.2023 - Current
Director, Data Science and Analytics -Care Delivery
Centerwell Primary Care, Humana
01.2020 - 05.2023
Associate Director, Data Science and Analytics -Care Delivery
Humana
01.2019 - 01.2020
Manager, Provider Analytics - Data Science and Analytics -Care Delivery
Humana
01.2016 - 01.2019
Consultant, Provider Analytics - Data Science and Analytics - Human Care Delivery Organization
Humana
01.2015 - 01.2016
Analyst, Provider Development Center of Excellence
Humana
01.2015 - 12.2015
Insurance Specialist and Contracts Analyst, Risk Management Dept.
Louisville/Jefferson County Metro Government
01.2013 - 12.2015
P&C Insurance Agent
CMA Agency, Inc.
01.2007 - 12.2011
B.B.A - Finance
University of North Georgia
MBA -
Indiana University -Southeast
Similar Profiles
Stacia FebruaryStacia February
Referral, Scheduling, and Telephone Coordinator II at Humana / Centerwell Primary CareReferral, Scheduling, and Telephone Coordinator II at Humana / Centerwell Primary Care
PAULA BONFILSPAULA BONFILS
Manager, Care Integration Team at Humana/CenterWell Senior Primary CareManager, Care Integration Team at Humana/CenterWell Senior Primary Care
Shonda ReidShonda Reid
Registered Nurse Care Navigator (Hybrid) at Humana - CenterWell Senior Primary CareRegistered Nurse Care Navigator (Hybrid) at Humana - CenterWell Senior Primary Care
Walter ThomasWalter Thomas
Roofing Salesperson at United Contracting and RoofingRoofing Salesperson at United Contracting and Roofing
Gracie LeeGracie Lee
Production Control Auditor at Delta Air Lines, IncProduction Control Auditor at Delta Air Lines, Inc