Alan Baldwin

Alan Baldwin Email and Phone Number

Vice President, Healthcare Economics at Optum @ Optum
11000 Optum Circle, Eden Prairie, MN
Alan Baldwin's Location
Raleigh-Durham-Chapel Hill Area, United States, United States
Alan Baldwin's Contact Details
About Alan Baldwin

Dynamic healthcare executive leading the design, execution and strategy for how advanced analytics can drive business results in value-based care, population health managed care and life sciences organizations. Inspirational leader, critical thinker, and communicator who serves as a bridge between the clinical, technology and business environments. Brings a wide perspective from working in diverse areas of the healthcare system including health plan, health IT, CRO, research, physician and patient-centered care settings.Career Highlights:• Bringing Artificial Intelligence and Advanced Data and Analytics to Care: Executive sponsor of $3M in annual innovation capital funding focused on developing and integrating machine learning models like future cost and disease progression prediction into Optum’s value-based care model used in 2,700 Optum owned PCP practices• Using Advanced Analytics to Enable Medical Expense Reductions: Drove $15M in medical expense savings by developing and integrating machine-learning predictive modeling algorithms and advanced patient outcome risk stratification into population health products and programs• Evaluating the Impact, Performance and Value of Pop Health and Clinical Programs: Lead analytic teams who complete over 100 case-control value studies annually measuring how Optum Health clinical programs and products which account for $1.2B in revenue impact health cost, affordability, utilization and clinical outcomes• Collaborative business partner working with multiple teams to drive change and improve business results: With clinicians, IT and product leads redesigned and modernized Optum Care patient risk stratification methods; creating cloud based environments integrating clinical claims and EHR data; designing Optum’s value-based kidney and oncology payment models

Alan Baldwin's Current Company Details
Optum

Optum

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Vice President, Healthcare Economics at Optum
11000 Optum Circle, Eden Prairie, MN
Website:
optum.com
Alan Baldwin Work Experience Details
  • Optum
    Vice President, Healthcare Economics
    Optum Feb 2020 - Present
    Eden Prairie , Mn, Us
    Provide analytics vision, support and leadership for Optum Health’s population health products and clinical programs serving 103 million Medicare, Commercial, Medicaid members, 4 million patients in value-based arrangements receiving care in Optum 2700 owned sites of care. • Lead an advanced analytics organization with a $23M annual budget of 130 statisticians, researchers, data scientists and data analysts focused on identifying trends, creating analytical insights, using machine learning and advanced study designs to drive both clinical and financial business success for Optum Health products programs. • Secured $2M in funding to create a dedicated Health Equity analytics team focused on refining the analytic methods and combined the clinical data assets to evaluate Optum Health’s products and clinical programs for fairness, bias & health equity
  • Anthem
    Staff Vice President, Advanced Analytics
    Anthem Feb 2015 - Feb 2020
    Indianapolis, Indiana, Us
    Integrate predictive models, clinical rules and specialty population analytics to enable clinical programs to better target members, drive behavior change and improve care outcomesElevance Health , STAFF VICE-PRESIDENT, Advanced Analytics CONTINUED• Led a 77 person clinical consulting team responsible for developing clinical program member targeting strategies using advanced analytics; predictive modeling, clinical gap in care rules and behavioral models.• Drove $15M in cost of care by improving member targeting for hospital readmissions, opioid abuse, diabetes, end of life and inappropriate ER use clinical programs.
  • Anthem
    Associate Vice President, Health Care Economics
    Anthem Feb 2013 - Jan 2015
    Indianapolis, Indiana, Us
    Primary Responsibility: Analytic support Leading and driving medical and pharmacy cost improvement strategies across the Medicaid enterprise through the influential delivery of actionable analytics.• Lead a national team focused on modeling, identifying, tracking, valuing and reporting on Medicaid cost of care initiatives. • Provide insights on medical expense trends and provide analytic support to Medicaid enterprise leaders in developing, evaluating and monitoring programs and initiatives focused on optimizing the delivery of care to Anthem members• Team supported Anthem Medicaid Government Business unit which significantly exceeded its 2013 and 2014 Cost of Care goals.
  • Webmd
    Sr. Director, Research & Analytics
    Webmd May 2011 - Feb 2013
    Us
    • Structure, integrate and analyze online engagement metrics with survey and claims data to measure educational impact, learning gaps and readership intelligence • Develop statistical analysis and methodological studies evaluating how different online content formats impact reader engagement, clinician learning and ultimately impact clinician practice behavior
  • Pra International
    Sr. Director, Clinical Intelligence, Infectious Diseases
    Pra International Jan 2009 - Dec 2011
    Raleigh, North Carolina, Us
    • Analytic support for clinical trial study feasibility including country, site and patient identification • Developed innovative analytic solutions using secondary health data including a 100 million patient claims database and publically available data from FDA, CDC, WHO, OECD, UN and AHRQ• Developed study specific patient recruitment models designed to predict patient recruitment rates and inform drug sponsors on high-recruiting investigators and recommended study countries using epidemiologic data.
  • I3 Research
    Sr. Director Clinical Informatics
    I3 Research Nov 2002 - Aug 2008
    Us
    • Served as lead for clinical trial analytic activities and principal representative for the enterprise• Worked in partnership with scientific, business, operational, clinical and technology areas to jointly manage projects and initiatives focused on protocol feasibility and investigator identification • Integrated United Health 10 year, 55 million life claims database with other proprietary and public databases in support of clinical trial analytics projects
  • Unitedhealth Group
    Sr. Consultant
    Unitedhealth Group 2002 - 2006
    Us
    • Lead consultant on 4 year multi-million annual engagement to provide analytics for 3 regional hospital-based HMOs• Led consultant team of programmers and business analysts responsible for delivering customized analytic and reporting solutions• Developed and presented health plan business, medical cost trends and drivers to senior management• Provided health plan ad-hoc, contract support, physician fee-schedule, medical cost and utilization analyses• Analytic support for health plan disease management programs including ROI analysis and population identification
  • Bloodhound, Inc.
    Healthcare Analyst
    Bloodhound, Inc. May 2001 - Nov 2002
    Us
    • Developed decision support tool enabling clients to identify statistically derived aberrant providers using proprietary clinical rule based metrics. • Constructed multiple regression model measuring key MCO demographic, provider, financial and utilization attributes impacting client revenue. • Met with large MCOs and physician practice groups to understand internal data processing and payment policies to implement Bloodhound’s signature ClaimsGuard product.
  • Cigna
    Manager, Quality Management
    Cigna Sep 1999 - Apr 2001
    Bloomfield, Ct, Us
    • Supervised Quality Management Department with nine direct reports.• Wrote service and clinical QI studies for NCQA site-visit.• Led HEDIS Analytic Team responsible for calculating quality and provider measures reported to NCQA.
  • Kaiser Permanente
    Quality Management Analyst
    Kaiser Permanente Sep 1999 - Apr 2001
    Oakland, California, Us
    • Developed study demonstrating how diabetic glycemic control affects inpatient, ambulatory, lab and pharmacy costs.• Measured how increased Ace Inhibitor, Beta-Blocker and Aspirin use among patients with a recent major cardiac event impacted claims cost. • Defined outcomes measures and supplied data for nationally published population outcomes studies.
  • Blue Cross Blue Shield Of Maine
    Healthcare Analyst
    Blue Cross Blue Shield Of Maine May 1994 - Jan 1998
    • Identified outlier physician practice patterns and worked with those physicians to better manage utilization.• Developed provider profiling reports using control charts to track physician utilization and financial performance indicators. • Created reports summarizing cost and utilization information for BCBSME managed care products

Alan Baldwin Skills

Clinical Trials Healthcare Analytics Clinical Research Analysis Statistics Project Management Pharmaceutical Industry Data Analysis Infectious Diseases Health Policy Informatics Public Health Sas Business Analysis Ctms Cro

Alan Baldwin Education Details

  • University Of Southern Maine
    University Of Southern Maine
    Planning And Management
  • University Of North Carolina At Chapel Hill
    University Of North Carolina At Chapel Hill
    Political Science And Government

Frequently Asked Questions about Alan Baldwin

What company does Alan Baldwin work for?

Alan Baldwin works for Optum

What is Alan Baldwin's role at the current company?

Alan Baldwin's current role is Vice President, Healthcare Economics at Optum.

What is Alan Baldwin's email address?

Alan Baldwin's email address is at****@****hoo.com

What is Alan Baldwin's direct phone number?

Alan Baldwin's direct phone number is (317) 532*****

What schools did Alan Baldwin attend?

Alan Baldwin attended University Of Southern Maine, University Of North Carolina At Chapel Hill.

What skills is Alan Baldwin known for?

Alan Baldwin has skills like Clinical Trials, Healthcare, Analytics, Clinical Research, Analysis, Statistics, Project Management, Pharmaceutical Industry, Data Analysis, Infectious Diseases, Health Policy, Informatics.

Who are Alan Baldwin's colleagues?

Alan Baldwin's colleagues are Eduardo Maia, Julia Harrison, Anshu Raj, Mohammad Anas, Anna Marie Vasquez, Ngoc Quynh Nguyen, Jillian Cowley.

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