Aditi Kumar Email and Phone Number
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I have a wide-range of experience across healthcare payer contracts including value-based care programs and managed care products and how they align with payer/provider finances and physician incentives. As a SME on various programs, I communicate directly with key stakeholders on contract requirements, financial and quality performance, and analytics. Government:Bundled Payments for Care Improvement Initiative (BPCI and Advanced BPCI), Oncology Care Model (OCM), Medicare Shared Savings Program (MSSP) and Pathways for Success, ACO REACH, Medicare Advantage Commercial Payers: Medical Home Arrangements for Specialty Care, Accountable Care Organizations, Pay for Performance, Centers of Excellence Programs, Bundles for Surgical Procedures
Rush Health
View- Website:
- rush-health.com
- Employees:
- 70
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Rush HealthChicago, Il, Us
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Director, Value-Based Payer ContractingRush Health Mar 2020 - PresentChicago, Il, UsValue-based care and Medicare Advantage contracting for the clinically integrated network including contract negotiation, development of incentive measures, and contract implementation including compliance. Work closely with payers and colleagues to execute contracts by focusing on quality metrics and financial performance, data infrastructure, and clinical management. Track and forecast the CIN’s incentive pool of value-based care dollars for the providers and hospitals.
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Director Analytics Consulting, Value-Based Care (Provider Payment Innovation And Analytics)Blue Cross And Blue Shield Of Illinois, Montana, New Mexico, Oklahoma & Texas Jun 2019 - Mar 2020Chicago, Il, UsDeveloped value-based care strategy. Designed payment models based on market needs, system capabilities, provider and network preferences, and cost savings. -
Director- Value-Based Payment, Managed CareUchicago Medicine Apr 2016 - Jun 2019Chicago, Il, UsLaunched value-based care programs across the network. Thought-leader, assessed value-based care programs and risk-based models, including the contract portfolios, risk level, potential performance, market trends, and operations. Built trusting relationships with stakeholders, hospital leadership, payers, care coordination teams, and peers. -
Analytics Manager-Managed CareUchicago Medicine Nov 2013 - Mar 2016Chicago, Il, UsIdentified core competencies and opportunities for cost-efficiency, streamlined processes to improve value-based care delivery, performance, and quality for Commercial and Medicare programs with focus on bundled payment reimbursement models and Center of Excellence Networks.
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Project Manager-Managed CareUchicago Medicine Jan 2008 - Oct 2013Chicago, Il, UsDeveloped key market analyses with the strategic organizational mission and program development ensuring end-to-end support. Directed diverse projects in cardiac surgery, bariatric surgery, and transplant.
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Senior Policy Analyst- Socioeconomic PolicyAmerican Medical Association Oct 2004 - Dec 2007Chicago, Il, UsDeveloped socioeconomic policies, and reviewed regulatory standards on medical practice and advocacy. Collaborated with highly-visible physician committees. -
Project Coordinator- Training Early Achievers For Careers In Health (Teach) ResearchCenter For Human Potential And Public Policy Sep 2003 - Aug 2004Coordinated development of TEACH (Training Early Achievers for Careers in Health) pilot for inner city youth. Received NIH grant funding for TEACH by evaluating literature on minorities in clinical research careers.
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Knowledge Management Intern- Poverty Reduction, Gender UnitThe World Bank Jun 2003 - Aug 2003Washington, Dc, UsAnalyzed and reported on consultation meetings for 20 countries and development institutions to assist in a new development lending policy. -
EconomistU.S. Department Of Labor Jun 2000 - Aug 2002Washington, Dc, UsAnalyzed compensation cost trends and collaborated with local government agencies and other organizations, to report data for a principal economic indicator, Employment Cost Index (ECI).
Aditi Kumar Skills
Aditi Kumar Education Details
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University Of ChicagoPublic Policy -
Loyola University ChicagoEconomics
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Quinlan School Of Business, Loyola University ChicagoProject Management Certification- Executive Education
Frequently Asked Questions about Aditi Kumar
What company does Aditi Kumar work for?
Aditi Kumar works for Rush Health
What is Aditi Kumar's role at the current company?
Aditi Kumar's current role is Value-Based Care | Managed Care | Provider and Payer Strategy.
What is Aditi Kumar's email address?
Aditi Kumar's email address is ad****@****als.edu
What is Aditi Kumar's direct phone number?
Aditi Kumar's direct phone number is +163071*****
What schools did Aditi Kumar attend?
Aditi Kumar attended University Of Chicago, Loyola University Chicago, Quinlan School Of Business, Loyola University Chicago.
What skills is Aditi Kumar known for?
Aditi Kumar has skills like Program Evaluation, Health Policy, Policy, Data Analysis, Hospitals, Healthcare, Program Development, Strategic Planning, Managed Care, Nonprofits, Public Policy, Project Management.
Who are Aditi Kumar's colleagues?
Aditi Kumar's colleagues are Corey Hooper, Cherie Bolden, John Roper Jr, Mba, Dionysia Green Ms, Rhia, Tatiana Rodriguez, Nader Issa, Zack Rickerman.
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