Experience

Rialtic

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Client Success Leader

  • Apr 2021 - Present

  Rialtic is working to empower healthcare payers to execute their unique payment accuracy strategy flexibly and autonomously. Rialtic is working to empower healthcare payers to execute their unique payment accuracy strategy flexibly and autonomously.



Signify Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Vice President, Strategic Client Success Executive

  • Feb 2020 - Dec 2020

  Signify is the leading value-based care enablement platform for managing patients receiving care in longitudinal and episodic risk models whose purpose is driving healthy days at home for patients with holistic care addressing clinical, social, and behavioral factors. Signify's services include: We organize the financing and delivery of care around the needs of high risk patients. We build and manage high performing networks to drive the right care in the right setting. We provide technology, analytics, and services to drive insights and better outcomes. Show less



Waystar

• United States
• Software Development
• 700 & Above Employee

• Vice President, Health Systems + Hospitals -- Client Growth

  • Feb 2019 - Jan 2020

  Waystar provides next-generation, cloud-based technology that simplifies and unifies the healthcare revenue cycle. Our platform removes friction in payment processes, streamlines workflows and helps improve financials for providers in every care setting. Waystar provides next-generation, cloud-based technology that simplifies and unifies the healthcare revenue cycle. Our platform removes friction in payment processes, streamlines workflows and helps improve financials for providers in every care setting.



Cotiviti

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Vice President Client Engagement

  • 2014 - 2019

  Client services and operations executive responsible for ensuring strategic alignment and operational integration with clients. Client marketplace includes commercial, private, public and governmental healthcare payers. Services and value delivery focuses on claims payment integrity and medical cost management solutions. Direct management and operational integration of cross functional (medical/clinical, financial, operatonal) client-focused teams including strategy definition and development, operational delivery, increasing value delivery and portfolio to clients, and client relationship management. Show less



HMS

• Hospitals and Health Care
• 700 & Above Employee

• Vice President, Government Services West

  • 2012 - 2013

  HMS leads the nation in cost containment, coordination of benefits, and program integrity services for government healthcare programs. Using information technology and data mining techniques, HMS identifies other insurance coverage, coordinates benefits, and recovers overpayments. I am responsible for sales and operations for our state government business in 13 states in the West. HMS leads the nation in cost containment, coordination of benefits, and program integrity services for government healthcare programs. Using information technology and data mining techniques, HMS identifies other insurance coverage, coordinates benefits, and recovers overpayments. I am responsible for sales and operations for our state government business in 13 states in the West.



Cotiviti

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Vice President Client Services

  • 2001 - 2011

  Recruited by president to grow client relationships and same-store revenue. Managed mixture of six commercial, Medicare, and Medicaid accounts processing healthcare claims for professional, outpatient, DME, and ASC of more than $2 billion annually. Lead clinical team accountable for payment policy identification, presentation, and implementation Recruited by president to grow client relationships and same-store revenue. Managed mixture of six commercial, Medicare, and Medicaid accounts processing healthcare claims for professional, outpatient, DME, and ASC of more than $2 billion annually. Lead clinical team accountable for payment policy identification, presentation, and implementation



Vivra Speciality Partners

• Vice President of Network Operations and Disease Management

  • 1998 - 2001

  Vice President of Network Operations and Disease Management – Led regional operations of a technology and healthcare services company providing specialty network management, medical management and disease management programs. Vice President of Network Operations and Disease Management – Led regional operations of a technology and healthcare services company providing specialty network management, medical management and disease management programs.



Ernst & Young

• Washington D.C.

• Manager / Senior Manager

  • 1995 - 1998

  Senior Manager/Manager: Managed Health Care Consulting Practice — Recruited to oversee engagement management, client relations, staff development, and interim management. Senior Manager/Manager: Managed Health Care Consulting Practice — Recruited to oversee engagement management, client relations, staff development, and interim management.



Arizona Healthcare Alliance

• Phoenix, Arizona Area

• President/Director of Network Management and Marketing

  • 1993 - 1995

  Responsible for the strategic planning, development and operations of this non-asset based integrated delivery system comprised of 1,700 physicians and eight hospital campuses. Direct reporting relationship to a Board of Directors comprised of 6 hospital system CEOs and 7 physician executives. Responsible for the strategic planning, development and operations of this non-asset based integrated delivery system comprised of 1,700 physicians and eight hospital campuses. Direct reporting relationship to a Board of Directors comprised of 6 hospital system CEOs and 7 physician executives.



FHP, Inc.

• Director of IPA Plan Management

  • 1991 - 1993

  Responsible for regional contracts, rural network development, meeting regulatory requirements of federally qualified HMOs for service area expansions, and development of alternative ventures with key hospital and physician service partners Responsible for regional contracts, rural network development, meeting regulatory requirements of federally qualified HMOs for service area expansions, and development of alternative ventures with key hospital and physician service partners