Directed $5.9M budget and team of 40 in design/development of system architecture and integration with three HIEs enabling physicians to exchange clinical information real time – created robust Population Management Platform for analytics/care management of chronically ill Medicare patients expected to decrease operating costs by estimated 5% and increase patient outcomes/longevity.
Led team of 40 in health affordability/utilization management project to integrate authorization for drugs (pharmacy, home, office and mail) with existing online claims processing systems and HIPAA-compliant transactions – implementation of medical management generated $2.2M savings.
Set up Project Management Office within Medicare Advantage to manage $25M project portfolio, implemented reporting and risk assessment and 90-day segmenting process to enhance delivery of previously stalled projects – in first quarter, delivered 12 of 12 project segments on time.
Community First Health Plan
Implemented a new care management system including developing and testing of all integrations, functionality, and configurations. Worked with the business as they redesigned their processes to be population management focused.
Symbiox Health Network
As interim president, developed network of 55 MDs and application to DHHS for Shared Savings Program and designed Care Coordination Process integrating evidence-based medicine guidelines – achieved $700K cost savings by designing support network and implementing robust care management process.
Hamilton County Behavioral Health Network
Unified accounting, medical records/billing systems and clinical processes of 16 organizations into one management services organization facilitating sharing of uniform medical records and support systems among 600 clinicians.
Loyola Medical School
Negotiated 65 additional resident positions, expanding number of residency specialties by negotiating with City of Chicago for reopening of closed hospital.
Yale-New Haven Hospital
Facilitated performance improvement through implementation of process and procedure changes involving 125 faculty/community surgeons – increased operating room utilization rate by 22%.
Fairview Hospitals and Health System
Facilitated realignment of 68 staff positions, process improvement, and reduced accounts receivable from 72 to 43 days.
Saint Joseph Health Center
Developed/implemented quality management program, involving all 1300 employees and physicians, realizing first-year savings of $3.0M+ and $3.5M+ in second year.