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Healthcare, Medicare, Medicaid, Risk Adjustment, Quality Improvement, and Value-Based Care
Expert has invested his career in successfully driving growth and innovation in healthcare technology and services. His critical roles have included the following: VP of Business Development: Revenue and quality control for health plans, provider groups, and risk-bearing entities. Solutions…
Clinical Therapist
Mental health expert and therapist with 15 years experience in anything from severe trauma or mental illness to extensive work in love and relationships. Previously expert witness for the state of California regarding forensic mental health. QUALIFICATIONS - Behavioral Health…
Healthcare
A business professional with more than ten years of experience. Expertise includes excellent project/product management skills with the ability to manage resources, project timelines, budgets, gather requirements, marketing, and software design. Strong client facing experience and reputation for a straight…
Healthcare Medicare Advantage Medicaid DSNP Quality
Medicare Advantage and DSNP- Expert has worked in the Medicare Advantage arena since it's inception of a Dual Special Needs Plan (DSNP). In 2005, this product offering became something my former employer wanted to get into so Expert was part…
Value-Based Healthcare, Payment Integrity, Analytics and Informatics, and Payer-Provider Collaboration
Expert has implemented a wide variety of value-based care models at more than 600 hospitals and health plans. He is recognized as an expert in Population Health, Bundled Payments for Care Improvement (BPCI), Comprehensive Care for Joint Replacement (CJR), MACRA,…
Healthcare Vendor Management
He is a Subject Matter Expert in all aspects of pharmacy benefit management vendor oversight for the health plans. This includes all operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships to assure compliance with all…
Healthcare Industry: Ecosystems and Data
Expert brings over 20 years of healthcare industry experience encompassing acute care hospitals, ambulatory centers, health plans, and physician groups in the clinical, operational, financial, and technological realms of the continuum of care. Inasmuch, She has demonstrated the importance of…