Summary

As an established, results-oriented professional with 17+ years of multifaceted experience in the healthcare space, this candidate is seeking to leverage their qualifications and expertise in a remote/hybrid role that will capitalize on strong organizational administration, people leadership, and strategic operational and project management skills to foster growth and development, establish valuable partnerships, and deliver better outcomes.

This candidate thrives on building strong, trust-based, professional partnerships internally and externally. They are adept in balancing data-driven strategy and execution to achieve results and enhance the efficacy of large-scale initiatives and positive financial results. They are passionate about simplifying communication and processes, helping others grown and learn, and improving relationships and experiences.

As an adept executive leader, they’ve optimized strategies across diverse settings like multi-site specialty provider offices, and provided consultative direction to and conducted both FFS and value-based contract negotiations with large health systems, accountable care organizations (ACOs), clinically integrated networks (CINs), and federally qualified health centers (FQHCs).

Journey ahead

To drive strong relationships, efficiency and effectiveness across healthcare systems directly or as a payer partner by harnessing the power of people and technology to optimize evidence-based practice and strategies in the following areas:

1. Population health and value-based care
   • Care Management & Coordination, Transition of Care, SDoH, Member/Patient Engagement, Medicare Risk Adjustment
2. Quality improvement initiatives
3. Contract performance and management (Commercial, Medicare Advantage, Medicaid, Duals)
4. Mentorship and training opportunities
   • Passionate about meeting individuals and groups where they are, and helping them to learn in ways that work for them to successfully achieve shared goals
5. Virtual care platforms and innovative tools

Key points summarizing what you’re looking for in an employer:

1. Strong, positive culture and clear company vision to include transparent communication and cooperation – breaking down silos
   • Employee engagement, retention and growth opportunities are encouraged
2. Leadership support for driving transformative change and continuous improvement
3. Access to cutting-edge technology and resources for innovative healthcare solutions
4. Support for autonomous decision-making, innovative idea sharing and implementing evidence-based strategies
5. Competitive compensation and benefits package supporting work-life blend and flexibility
6. Opportunities for continuous professional growth based on merit and achievement
7. Opportunities for cross-functional collaboration and partnerships with stakeholders
8. A forward-thinking environment that values excellence and fosters innovation in healthcare delivery

Recent Professional Highlights

1. In 2023, this candidate negotiated and finalized a new value-based contract that will serve as a template in all other markets across the country
2. In 2022, 90% of the groups they managed in Virginia achieved a financial savings based on contractual terms. This was due in large part to improvements in key metrics, including decreases in avoidable inpatient admissions/readmissions and avoidable ER visits per thousand, as well as increases in pharmacy mail order rate and Stars score
3. In 2021, 60% of groups this candidate managed achieved or exceeded Patient Experience target metrics, and one of their newly assigned groups saw a 14% pass rate increase in 4 quality reward program HEDIS measures from August to December 2019