Behavioral Health Leader with LMSW and Quality Management SkillsAs the Director of Quality and Clinical Program Management at Healthfirst, I lead the development, implementation, and management of Behavioral Health programs that serve over 1 million Medicaid recipients in New York. With more than 20 years of executive experience in government programs and managed care, I have a proven track record of delivering outstanding results for vulnerable populations.My core competencies include quality management, integrated case management, value-based purchasing, and data-driven strategies. I use these skills to continuously achieve top tier scores on critical HEDIS/QARR metrics, design and execute effective clinical programs for members with complex needs, and negotiate and implement value-based contracts that reward recovery-oriented solutions. I am also the current President of the Case Management Society of America Foundation, a non-profit organization dedicated to the advancement of integrated case management. I am passionate about improving the quality and accessibility of behavioral health services and promoting community-based recovery.
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PresidentCmsa FoundationNew York, Ny, Us
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Director, Quality And Clinical Program Management, Behavioral HealthHealthfirst Jul 2017 - PresentNew York City Metropolitan Area• Develop, implement, and manage the Behavioral Health Quality Management Plan and any related Quality Improvement Projects for all product lines. • Continuously achieve top tier scores on critical HEDIS/QARR metrics for Behavioral Health measures that significantly improve health plan revenue. Employ data-informed strategies and effective interventions to improve outcomes for over 1 million Medicaid recipients. • Implement strategic clinical programs designed to serve acute members with complex needs. Negotiate and execute of value-based agreements that emphasize recovery-oriented solutions. • Emphasis on integrated case management programs that deliver holistic treatment and promote community-based recovery. -
Vice President, Client Partnerships, Downstate New York RegionBeacon Health Options Jan 2014 - Jun 2017New York City Metropolitan Area• Managed 12 health plan contracts serving 900,000 covered lives across multiple Medicaid, Medicare, Duals, and Exchange products. Contracts included risk bearing arrangements. • Accountable for all contractual obligations including utilization trends, network management, operations, regulatory compliance, and staff leadership and development.• Developed regional strategic plans and policies. Conducted data management and trend analysis. • Conducted extensive network development activities to cultivate key provider relationships. Engineered and directed a team that executed performance management initiatives in preparation for value-based purchasing schemes.• Liaised with New York State regulatory agencies and participated in readiness reviews Statewide resulting in awards for all clients bidding on Health and Recovery Plans (HARP) contracts.• Successfully led the implementation of Health and Recovery Plans (HARP) in downstate New York and the transition of Behavioral Health services for adults into managed care in accordance with New York’s Medicaid Redesign mandates. -
Assistant Vice President, New York RegionBeacon Health Options Jan 2012 - Dec 2014New York City Metropolitan Area• Developed 4 Program Directors managing 6 health plan contracts serving 600,000 covered lives. • Developed annual work plans and delivered monthly, quarterly, and annual performance reports to account leadership furnishing detailed trend analyses and strategies to maximize opportunities for improved treatment outcomes.
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Program Director, Hudson Health PlanBeacon Health Options Apr 2007 - Dec 2011Tarrytown, New York, United States• Led an integrated clinical team co-located at Hudson Health Plan providing utilization and case management services and quality improvement activities. Achieved 100% regulatory compliance during my tenure.• Presented clinical and operational performance statistics monthly to health plan senior management. • Co-directed the award-winning Westchester Cares Action Program that featured an interdisciplinary, field-based case management team that holistically addressed the medical, Behavioral Health, and recovery needs for individuals living with Serious Mental Illness and co-occurring chronic, medical conditions.
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Manager, Clinical OperationsMhn Jan 2003 - Mar 2005• Managed 4 Clinical Supervisors and 36 associates delivering care management functions for over 750,000 covered lives in commercial and Labor and Trust accounts.• Established and refined care coordination activities with Health Net medical management teams to promote comprehensive, strategic treatment planning.• Developed and implemented operational enhancements and auditing processes to ensure quality control, increase efficiency, and maintain compliance with regulatory and accreditation standards. -
Clinical SupervisorMhn Jan 2000 - Dec 2002New York, New York, United States• Supervised a large clinical team serving the Behavioral Health needs of over 600,000 Health Net of the Northeast members. • Established and maintained performance and productivity standards for clinicians managing acute, sub-acute and routine levels of care.• Monitored case management interventions and provided clinical support to promote effective and efficient treatment.
Alan Boardman Education Details
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Frequently Asked Questions about Alan Boardman
What company does Alan Boardman work for?
Alan Boardman works for Cmsa Foundation
What is Alan Boardman's role at the current company?
Alan Boardman's current role is President.
What schools did Alan Boardman attend?
Alan Boardman attended New York University, University Of Virginia.
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Alan Boardman
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