Vice President Value Based Care Solutions

• Dec 2021 - Present

Program Director

• Sep 2020 - Dec 2021

Vice President, Executive Director

• Jan 2017 - Jun 2020

• Led the successful development and launch of a new fully operational physician led CIN and population health management support services in 17 counties in NW PA over 9 months. Successful recruitment of 3,000+ providers within 18 months of launch. Advanced CIN into West Virginia Market in 2020. • Initiated and led the CIN value-based payer contract strategy for ~180,000 Commercial and Medicare Advantage lives with annual value-based gain sharing revenue distributions exceeding $12M annually. • Developed a Medicare Shared Savings ACO with ~46,000 attributed lives with projected shared savings to exceed $10M and quality scores in the 90th percentile in year 2 of the program. • Established an effective governance model by creating 6 physician-led regional advisory councils within clinical neighborhoods across 17 PA counties which led to effective program management, goal setting, and physician accountability at local community levels. • Developed and implemented a regional support model consisting of regional pod (POD) based teams supporting complex care management, quality performance, and data-driven strategies for cost and utilization. CIN cost structure goal of remaining under the 20% withhold was achieved each year including start-up costs. Show less

Vice President Ambulatory Quality, Safety Value

• Mar 2016 - Dec 2016

• Directed the development and implementation of the quality, safety, value culture, and strategy for the loosely integrated employed physician organization. • Developed 5 physician-led quality councils across the western PA footprint. Fostered provider engagement and promoted physician leaders to address value-based quality performance opportunities. • Led the successful development of a Health plan sponsored embedded complex care management program across the employed practices with per member per month (PMPM) cost reduction ROI averaging 4:1.• Developed and launched a redesigned cross-functional quality support team focusing on metric stewardship, collaboration, and accountability. Achieved 4.25 Stars scores. Show less

Executive Director

• Jan 2013 - Feb 2016

• Developed and implemented physician-led governance and operating model and recruited >200 physicians in year 1 with 8,000+ attributed beneficiaries for a Medicare Shared Savings Program Accountable Care Organization (ACO). • Achieved year over year (YOY) reduction in medical expenditures averaging 2.2%. • Led development of population health services including centralized care management and transitions of care programs. Achieved 5% readmission reduction and transition of care capture rate of 96%. • Managed Commercial gain-sharing contracts with >$1M in revenue annually. • Additional roles within Saint Vincent Health System: DIRECTOR OF MEDICAL GROUP OPERATIONS; OPERATIONS DIRECTOR, FAMILY PRACTICE RESIDENCY; MANAGER, TEAM LEADER, AMBULATORY SERVICES Show less

Hospital President, COO

• Jan 2013 - Feb 2016