Sr. Director Provider and Payer Transformation

• May 2021 - Present

Practice Transformation Specialist

• Aug 2020 - Present

Senior Consultant/Project Manager

• 2017 - May 2021

• Lead 15 Population Health Analytics (PHA) accounts, working with the Project Manager on implementation. • Demonstrate expertise with HEDIS and eCQMs at the ACO or practice level. • Support practices with leveraging analytics to define program needs for disease and care management, including identifying initiatives that support populations of high-risk and high cost/utilization patients. Highlights: • Led PHA projects: Certified Registry, HEDIS measures certification, care management and outreach. • Improved clinical quality performance and efficiencies in physician practice workflows. • Educated clients about leveraging the product to increase adherence to metrics value sets.

Practice Transformation Specialist

• 2017 - 2017

• Managed more than 60 behavioral health and community mental health accounts in New York State. • Focused on transforming clinical practices under Centers for Medicare & Medicaid Services (CMS). Highlights: • Contributed to lowering severely mentally ill patient hospitalizations 50%. • Managed more than 60 behavioral health and community mental health accounts in New York State. • Focused on transforming clinical practices under Centers for Medicare & Medicaid Services (CMS). Highlights: • Contributed to lowering severely mentally ill patient hospitalizations 50%.

Solutions Design Consultant

• 2015 - 2016

• Secured requirements and design solutions to transform clients’ at-risk organization. • Drafted requirements for provider analytic dashboards, including cost, utilization quality and compliance metrics and building the file for data requirements for the part of the application. Highlights: • Successfully developed an ambulatory analytics application for a startup organization. • Led an internal and external educational series on MACRA, CPC+ and enhanced at-risk providers’ transformations by leveraging advanced analytics.

Practice Administrator

• 2014 - 2015

• Led operations of a family medicine practice with five physicians and 20 full-time employees. Highlights: • Increased efficiencies and improved patient safety and practice revenues after redesigning workflows for transitions of care from hospitalizations, immunization registries and chronic care management. • Redefined practice workflow to better meet requirements for Patient Centered Medical Home. • Recovered more than $22,500 in missed charges and an additional $6,383 from co-payments.

Director, Quality and Compliance

• 2012 - 2014

• Led quality initiatives for 18 primary care physician practices, including Meaningful Use (MU), Patient Centered Medical Home (PCMH), Blue Cross Quality Program (BQPP), Physician Quality Reporting System (PQRS), and all Medicare Advantage Incentive programs. • Oversaw coding audit and compliance for 82 providers. Highlights: • Improved quality performance, including tracking hospital discharges and Emergency Department utilization, by re-designing practice workflow to meet HEDIS measures, PCMH, and MU. • Achieved PCMH Level 3 recognition for 18 primary care practices. • Helped launch the Medicare Shared Savings Program within the ACO Network. • Decreased provider over and under coding for coding audit as well as HIPAA and OSHA. • Improved clinical documentation for RAF to prepare providers and practices for ACO environment.

Practice Support Coordinator

• 2010 - 2012

• Guided primary care providers (Internal Medicine, Family Medicine, Pediatrics and OB/GYN) to increase practice efficiency and clinical outcomes in the federally funded grant role. • Helped practices identify, select, and implement a certified Electronic Health Record to meet MU goals. Highlights: • Launched program from zero to 168 practices. • Increased patient satisfaction, clinical quality outcomes, and revenue streams. • Guided primary care providers (Internal Medicine, Family Medicine, Pediatrics and OB/GYN) to increase practice efficiency and clinical outcomes in the federally funded grant role. • Helped practices identify, select, and implement a certified Electronic Health Record to meet MU goals. Highlights: • Launched program from zero to 168 practices. • Increased patient satisfaction, clinical quality outcomes, and revenue streams.

Director, Revenue Cycle

• 2009 - 2009

Practice Manager

• 2004 - 2006