Andrew Goodman
Director, Provider Network and Operations at Community Health Options- Claim this Profile
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Bio
Experience
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Community Health Options
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Insurance
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1 - 100 Employee
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Director, Provider Network and Operations
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Nov 2022 - Present
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Humana
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Brazil
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Professional Training and Coaching
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Associate Director, Provider Engagement
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Jan 2021 - Nov 2022
Lead Market Engagement team responsible for all provider engagement and contracting activities for Author by Humana - Humana’s innovation engine to develop and test new provider and member experience models. Serve as key liaison with Humana executives in local markets. • Drive alignment of strategies & initiatives between business segments, ensuring outstanding operational performance, and fostering key relationships with health system leadership to further value-based care initiatives • Capture learnings from unique Author by Humana operating model for company-wide adoption through work with Enterprise Transformation team• Lead integrated team of account managers, contractors, and analysts focused on improving provider performance, strengthening networks, and addressing provider-related issues• Develop and grow talent through effective mentoring. Lead initiatives to enhance productivity
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Network Optimization Lead
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Aug 2020 - Jan 2021
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Provider Network Executive
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Sep 2018 - Aug 2020
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Provider Engagement Executive
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Mar 2017 - Sep 2018
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Valence Health
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Hospitals and Health Care
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100 - 200 Employee
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Manager, Advisory Services
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Jun 2016 - Dec 2016
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xG Health Solutions
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Hospitals and Health Care
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1 - 100 Employee
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Director, Advisory Services
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May 2015 - Jun 2016
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Senior Consultant
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May 2014 - May 2015
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Lumeris
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United States
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Hospitals and Health Care
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700 & Above Employee
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Senior Consultant
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Oct 2013 - May 2014
Primary responsibilities include strategy consulting, client management, solution design, and program development.
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Consultant
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Jul 2012 - Oct 2013
Providing strategic consulting to ACOs and other organizations for enabling success in risk-based contracts
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Health Dialog
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Product Research Analyst
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Feb 2011 - Jul 2012
• Intervention Design: Chronic disease peer support groups, Patient Centered Medical Homes, HEDIS/Stars • Led 'Innovation Group" to further development of new product offerings • Customer-focused research, requirement identification, and market analysis of new product concepts • Clinical Governance • Intervention Design: Chronic disease peer support groups, Patient Centered Medical Homes, HEDIS/Stars • Led 'Innovation Group" to further development of new product offerings • Customer-focused research, requirement identification, and market analysis of new product concepts • Clinical Governance
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Physician Engagement Lead
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Aug 2010 - Feb 2011
Led physician engagement strategy for National Health System disease management program, “CareCall” • Served as primary point of contact for over 40 General Practitioner offices. • Introduced and implemented disease management program for General Practitioner offices. • Designed and delivered training for physicians on analytic tools • Gathered requirements for future improvements; developed and piloted new analytic reports Led physician engagement strategy for National Health System disease management program, “CareCall” • Served as primary point of contact for over 40 General Practitioner offices. • Introduced and implemented disease management program for General Practitioner offices. • Designed and delivered training for physicians on analytic tools • Gathered requirements for future improvements; developed and piloted new analytic reports
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AmeriCorps
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Government Administration
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700 & Above Employee
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Supervisor
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Jul 2006 - Jun 2008
• Responsible for the safety and well-being of several eight-person crews in remote wilderness settings. Work included trail construction, forest thinning, habitat restoration, and invasive species removal. • Collaborated with US Government agencies and private partners in the planning and execution of conservation projects. • Led training sessions that included trail construction, chainsaw safety, and felling trees • Responsible for the safety and well-being of several eight-person crews in remote wilderness settings. Work included trail construction, forest thinning, habitat restoration, and invasive species removal. • Collaborated with US Government agencies and private partners in the planning and execution of conservation projects. • Led training sessions that included trail construction, chainsaw safety, and felling trees
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Dartmouth Hitchcock Medical Center
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United States
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Medical Practices
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Project Coordinator III
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Jul 2005 - Jun 2006
• Responsible for managing and collecting data for 300 patients in a large multi-center randomized control trial of Shared Decision Making in spine surgery • Conducted phone interviews of study participants • Responsible for managing and collecting data for 300 patients in a large multi-center randomized control trial of Shared Decision Making in spine surgery • Conducted phone interviews of study participants
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Education
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Dartmouth College
MPH, Public Health -
The George Washington University
BA, International Affairs