Experience

University of Michigan Health-West

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Director, Population Health Analytics & Network Performance

  • Jan 2023 - Present



KS Insights LLC

• Principal

  • May 2021 - Present

  Healthcare consulting Healthcare consulting



Trinity Health Alliance of Michigan

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

• Director, Population Health Analytics & Community Applications

  • Sep 2021 - Jan 2023

  Accountable for equipping clinically integrated network administrators and providers with the information to appropriately treat patients and succeed under value-based care arrangements, short- and long- term. Serve as the strategy lead for THAM’s population health plan, as well as the statewide convener and program administrator for the Epic Connect program, extending Trinity Health’s instance of Epic electronic medical record and practice management software to independent affiliates. • Developing and implementing new team infrastructure in the form of standardized reporting, a new comprehensive ticketing process and analytic workflow, and analyst dyad structure to drive staff growth opportunities, more effectively and more efficiently meet client needs while improving data and legal integrity, and making reporting more accessible to end users. • Brought Trinity Health Connect program from concept to pilot go-live, the first Trinity sites to go live anywhere in the country. Built scalable, replicable program administration and documentation for ministries to implement nationwide. Leading activity for additional cohorts of sites and assessment and scoping for future program years. • Reviewed, selected, and implementing a comprehensive population health registry and performance tool to facilitate more targeted patient care, clinical and financial performance improvement, improved value-based contract performance, and improved revenue capture.



Health Alliance Plan

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

• Director, Provider Network Management

  • Oct 2019 - Apr 2021

  Started as the first west Michigan employee and built/integrated a team during a challenging period. Led staff toward professional development through a culture shift to increase workflow focused on improved operations and educated staff on performance-oriented engagement to meet business objectives. Contracted networks for multiple lines of business and developed partnerships for business development across 11 new counties. • Expanded the company’s geographic footprint and launched four new products over 15 months. • Developed strategic partnerships for territory and product expansion, giving patients new options. • Implemented developmental training across all provider network teams. Absorbed responsibility of two additional teams to ensure success during leadership shortage. • Supported network partners to manage and improve quality and financial performance to meet goals. • Maintained solution-focused relationships with facilities, provider-hospital organizations, practice sites, contractors, and team members to drive growth.



Priority Health

• United States
• Insurance
• 700 & Above Employee

• Director, Network Engagement

  • Sep 2017 - Oct 2019

  Supported contracting strategy, operationalized relationship with an eight-system statewide clinically integrated network, and led performance management and engagement for established markets. Directed team operations and staff development to deliver engagement, education, and strategic planning.• Developed new relationships and strategic partnerships with providers to increase quality care, improve patient experience, reduce costs and grow business. • Took data-driven approach to develop, negotiate, and support implementation of annual business plans to achieve this Triple Aim and subsequent provider organization success under value-based contracts.• Continuously supported staff for individual and team development in order to better connect functional roles to strategic goals.

• Interim Director, Network Innovation and Education

  • Jun 2017 - Sep 2017

  Chosen to be director during this time and assisted in team development and overall management of operations. • Oversaw content and team development during a difficult situation and improved efficiency. • Directed network communication and staff/network education regarding policy and infrastructure changes across all lines of business.

• Senior Provider Performance Specialist, Provider Network Performance

  • Mar 2015 - Jun 2017

  Performed long-term business planning alongside a team dedicated to improving network performance, developing engagement plans, and providing analytic support. Assisted in contract strategy and business planning for an eight-system clinically integrated network serving the majority of Priority Health’s Medicare members in a value based arrangement. • Developed key aspects of the network engagement strategy; offered strategic planning, engagement, and analytic support for assigned networks• Educated physician organizations about cost and managing total budget in the transition to value-based care. • Led interdisciplinary team for an 80,000+ member Accountable Care Network and drove performance under value-based arrangements with improved clinical integration, reduced costs, and business growth

• Program Manager, Medical Trend Management, Analytics & Improvement

  • Dec 2013 - Jul 2015

  Oversaw Medical Trend Management Program to eliminate medical spend waste. Reworked savings calculations for transparency and accuracy across the organization. Acted as liaison between analysts and executive stakeholders.• Increased savings from $12.7M to $37.2M over two years by leveraging recontracting, pharmacy and claims operations savings, and upgrading process for calculating and reporting operational savings. • Collaborated with executive content owners to ensure program alignment with strategic goals across all lines of business. • Established onboarding educational series for continual team development that was adopted by Spectrum Health University for the educational development of over 34K employees.

• Quality Improvement Administrator, Payment Reform Team

  • May 2012 - Dec 2013

  Oversaw Primary Care Incentive Program evaluation, prospective payments/end-of-year settlement, and served as the point of contact for network team questions and concerns. • Managed operations and annual settlement of a $25M program/led departmental and organizational projects. • Digitized/standardized processes, saving 59 days of work per year and reducing program exceptions by 19%.• Implemented an inquiry tracking system for enhanced targeted education to internal and external teams and ultimate reduction in inquiry volume. • Created educational programs to support internal and external program roll out.



University of Michigan School of Public Health

• United States
• Higher Education
• 300 - 400 Employee

• Project Manager

  • Nov 2010 - Jun 2012

  • Managed team to keep National Library of Medicine-funded research projects on deadline • Interviewed HAZMAT responders for CDC chemical identification project, analyze responses • Drafted IRB applications; drafted and edited journal article submissions • Managed team to keep National Library of Medicine-funded research projects on deadline • Interviewed HAZMAT responders for CDC chemical identification project, analyze responses • Drafted IRB applications; drafted and edited journal article submissions



Arbor Hospice

• Hospitals and Health Care
• 1 - 100 Employee

• Administrative Intern

  • May 2011 - Aug 2011

  •Led Telehealth videophone pilot project in order to reduce patient and caregiver anxiety •Conducted analysis of staffing caseloads throughout the agency in accordance with the National Hospice and Palliative Care Organization’s new evidence-based guidelines •Facilitated and managed a number of projects from grief support program development to a competitive analysis of educational programs for sandwich-generation caregivers •Chaired two United Way subcommittees, participated on teams at all levels of management



University Health Service

• Ann Arbor, Michigan

• Health Promotion and Community Relations Student Staff

  • Sep 2010 - Dec 2010

  • Compiled and analyzed data, benchmarked, drafted and edited reports, and collaborated on outreach and education projects • Benchmarked Big Ten universities with regard to sexual health to determine how University of Michigan compares and identified areas of possible improvement • Analyzed immunization data to identify campus community’s risk in midst of decline in HPV vaccinations at University Health Service and outbreaks of pertussis • Wrote sections of and edited federally mandated policy review of Alcohol and Other Drugs policy