Stuart Dubin
Cherry Hill,NJ
Summary
Seasoned public sector executive with over 14 years of leadership in New Jersey’s Medicaid program, including senior roles in both state government and managed care organizations., with 10 years of experience at the New Jersey Office of Management & Budget. Proven ability to lead large-scale operations, drive policy implementation, and foster collaboration across state agencies, health plans, and regulatory bodies. Expert in NJ FamilyCare program design, and operational processes, with a deep understanding of federal and state health insurance and Medicaid regulations.
Overview
26
26
years of professional experience
Work History
Vice President, Operations
Fidelis Care – NJ
05.2020 - Current
- Lead day-to-day operations for Medicaid, Medicare, and Health Insurance Exchange products, overseeing system configuration, provider networks, analytics, and regulatory audits.
- Spearheaded performance improvement initiatives across departments, enhancing compliance and member experience.
- Partnered with state Medicaid leaders and internal corporate teams to implement Medicaid program changes, resolve systemic issues, and align policy with execution.
Sr. Director, Operations
Fidelis Care – NJ (formerly WellCare of New Jersey)
02.2019 - 08.2020
- Led and directed day-to-day operations, including leading executive leadership team meetings designed to ensure financial and operational performance objectives are met or exceeded and determine the strategic and/or tactical changes needed to achieve health plan goals;
- Led the plan through a regulatory market conduct examination, ensuring maintenance of market-leading Medicaid encounter submission practices, and providing guidance to market and corporate business teams on methods to implement state and federal statutes, regulations, and contract provisions.
Director, Strategic Initiatives
Fidelis Care – NJ (formerly WellCare of New Jersey)
04.2018 - 02.2019
- Collaborated with CEO and senior leadership on key business strategy decisions and worked with operational staff to successfully implement these strategies;
- Developed data tools that support short- and long-term strategic planning to ensure continued business growth and improvement in financial performance;
- Merged information from disparate business areas into clear, concise business growth proposals and presented these proposals to senior staff at health plan, regional, and corporate levels.
Director, Market Compliance Officer
Fidelis Care – NJ (formerly WellCare of New Jersey)
04.2017 - 04.2018
- Served as the health plan subject matter expert on New Jersey’s Medicaid and FIDE SNP contracts;
- Collaborated with health plan leaders to identify and mitigate business and compliance risks;
- Went beyond position scope to coordinate health plan and state regulator teams to double the health plan’s Medicaid and FIDE SNP footprint by 100%.
Director of Business Intelligence
New Jersey Division of Medical Assistance and Health Services
08.2015 - 01.2017
- Led a team of 20 state and contractor staff in developing, implementing, and maintaining data deliverables and visualizations for agencies across New Jersey State Government;
- Drove New Jersey Medicaid policy and operational decision-making based on empirical data;
- Developed and enforced Medicaid managed care plan contractual requirements related to encounter data, and quality payments to health plans;
- Guided health plans on practical ways to comply with revised Medicaid and FIDE SNP contract requirements;
- Editor-in-Chief of NJ FamilyCare Annual Report;
- Provided regular data-oriented updates to the leadership of several large government divisions on the performance of New Jersey’s Managed Long Term Services and Supports program.
Manager, Performance Evaluation and Presentations
New Jersey Division of Medical Assistance and Health Services
12.2013 - 08.2015
HITECH Program Director and IT Finance Manager
New Jersey Division of Medical Assistance and Health Services
03.2011 - 12.2013
Supervisor; Budget Analyst
New Jersey Office of Management and Budget
01.2000 - 01.2011
Education
Bachelor of Arts (B.A.) - Economics
Stockton University
Galloway Township, NJSkills
- Medicaid Policy & Program Administration
- Government Operations & Interagency Coordination
- Strategic Planning & Public Sector Innovation
- Data Analytics for Policy & Performance
- Medicaid Managed Care Oversight & Contract Management
- Regulatory Interpretation & Implementation
- Medicaid Program Strategy & Oversight
- NJ State Budget Process & Terminology
Timeline
Vice President, Operations
Fidelis Care – NJ
05.2020 - Current
Sr. Director, Operations
Fidelis Care – NJ (formerly WellCare of New Jersey)
02.2019 - 08.2020
Director, Strategic Initiatives
Fidelis Care – NJ (formerly WellCare of New Jersey)
04.2018 - 02.2019
Director, Market Compliance Officer
Fidelis Care – NJ (formerly WellCare of New Jersey)
04.2017 - 04.2018
Director of Business Intelligence
New Jersey Division of Medical Assistance and Health Services
08.2015 - 01.2017
Manager, Performance Evaluation and Presentations
New Jersey Division of Medical Assistance and Health Services
12.2013 - 08.2015
HITECH Program Director and IT Finance Manager
New Jersey Division of Medical Assistance and Health Services
03.2011 - 12.2013
Supervisor; Budget Analyst
New Jersey Office of Management and Budget
01.2000 - 01.2011
Bachelor of Arts (B.A.) - Economics
Stockton University
HONORS AND AWARDS
New Jersey Healthcare Executive Leadership Academy Fellow, Class of 2020, Six-month nomination-based leadership program sponsored by the New Jersey Hospital Association, New Jersey Medical Society, and New Jersey Association of Health Plans., Board of Directors Vice-Chair, NJ Association of Health Plans, 2022
Other Experience
- New Jersey Healthcare Executive Leadership Academy Fellow, Class of 2020
- Joint initiative of the New Jersey Hospital Association, New Jersey Association of Health Plans, and the New Jersey Medical Society
- Board of Directors Vice-Chair, NJ Association of Health Plans, 2022