Anup D. Salgia, Do, Facep, Famia Email and Phone Number
Anup D. Salgia, Do, Facep, Famia work email
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Anup D. Salgia, Do, Facep, Famia personal email
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I am a physician with a career focused on informatics, healthcare analytics, population health insight design, digital health application development, and healthcare IT consulting. Throughout my journey at two Fortune 500 companies and hospital systems, I’ve led significant growth initiatives in accountable care organizations and healthcare IT application development.While at Aetna/CVS Health ACO, I specialized in consultative value-based care analytics and risk stratification. I collaborated with actuaries to develop health economic models, curated insights for business and clinical stakeholders, supported business development initiatives, contributed to EHR implementation, and advanced machine learning models for health equity program design. My efforts were instrumental in growing the ACO's bottom line.Prior to this role, I held successive leadership positions at Oracle Health (Cerner), where I managed a regional business unit serving 15 states and 70 clients with a P&L of $685 million. I led initiatives in EHR implementation, business development, strategic technology consulting, and interoperability and accelerated the adoption of telemedicine during the pandemic. Additionally, I was the lead clinician in developing value-based care and population health analytics, natural language processing applications for clinical decision support, and revenue cycle management.Earlier in my career, I served as an associate CMIO in Ohio, focusing on ambulatory and emergency medicine informatics. I am board-certified in emergency medicine and clinical informatics and am a fellow of the American College of Emergency Medicine and the American Medical Informatics Association. As a former US Navy Officer and Marine Corps Medical Officer, I bring leadership skills forged in complex, high-stakes environments to the civilian healthcare sector. My work has led to the development of innovative medical devices and software applications, evidenced by my portfolio of patents.Maintaining my clinical credentials with an affiliate of University Hospitals in Cleveland, Ohio, I am also a committed educator with a faculty appointment at Northeast Ohio Medical University and contribute to research with various institutions. My career is dedicated to enhancing healthcare delivery through technology, improving health outcomes and operational efficiency. I advise on digital healthcare strategy, value-based care analytics, and the application of artificial intelligence in shaping the future of healthcare.
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Medical DirectorOptumCleveland, Oh, Us
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Principal - Consulting & Independent Advisory ServicesDigital Health Executive Nov 2023 - Present•Assisting/Advising provider organizations, health tech and medical device startups•Value-Based Care: STARS and HEDIS performance analytics (Medicare Advantage, MSSP, ACO REACH); Commercial and Medicaid. Healthcare strategy, value-based care analytics, Health IT, Business analytics.
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Emergency Medicine Physician / TeamhealthSouthwest General Health Center May 2015 - PresentMiddleburg Heights, Oh, UsStaff Physician, Emergency Department Southwest General Health Ctr. • Utilization Review Cmte. Member• Telemedicine provider• Ultrasound competency for Emergency Medicine -
Medical Director/ TeamhealthSouthwest General Health Center Apr 2015 - Apr 2016Middleburg Heights, Oh, Us• Led a data-driven team at Southwest General Health Center to reduce hospital costs and length of stay while maintaining high patient satisfaction.• Developed clinical models and benchmarks to optimize clinical and operational workflow.• Achieved outstanding results with a 15.3-hour average length of stay, less than 0.5% readmission rate, and 99th percentile patient satisfaction score.
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Sr. Medical Director - Healthcare InformaticsCvs Health Jan 2022 - Nov 2023Woonsocket, Ri, Us• Senior leader within the CVS Health Accountable Care Organization business • Led the implementation of Epic EMR/EHR systems and facilitated interoperability.• Led the implementation and maintenance of analytics platform for value-based care. • Developed and maintained healthcare economics models, collaborating closely with actuarial and finance teams to create and monitor clinical performance metrics and forecasts. Also, developed and implemented applications to track costs and variations compared to benchmarks.• Collaborated with case management and clinical programs to provide insights on patient populations and performance metrics.• Business development role – YOY growth by 300% to 250K+ attributed lives; 5,000+ providers • Population health: Led predictive analytics and risk stratification modeling for the entire population of the ACO, with a focus on addressing social determinants of health through machine learning models in partnership with data science teams.• Held leadership roles involving health economic modeling, business development, analytics, health equity, risk stratification, strategy development, and vendor relationship management.• Concentrated on reducing overall medical costs to target MLR while maintaining high-quality care, analyzing claims data to identify healthcare utilization patterns and cost drivers, and implementing strategies to optimize resource allocation.• Responsible for interpreting and adhering to state, Federal, and CMS regulatory rules and laws.• Collaborated with network providers to establish key performance indicators (KPIs), quality metrics, monitor performance, and drive improvements in clinical care and cost reduction.• Provided improvement plans and insights related to HEDIS measures, ACO Reach quality measures, and proprietary cost-saving models. -
Director & Lead Physician ExecutiveOracle Apr 2021 - Jan 2022Austin, Texas, Us• Operational, strategic, and clinical healthcare management consulting informatics leader for Central U.S. Region- $685M• Executive and C-suite level client engagement • Telemedicine/virtual care strategist • Cross business unit advisory and strategic partnership development• SMART-FHIR Open API project oversight • Interoperability strategy advisement/implementation • Business and Healthcare data analytics in population health, quality metrics including STAR/HEDIS, healthcare outcomes, and value-based care• Population health strategy implementation • Patient-consumer engagement through technology • Clinically-driven revenue cycle advisory services• Strategic advisement in healthcare payment models• Regulatory and compliance strategic leadership • Clinical decision support design• Digital health clinical workflow design • Organizational change management • Informatics governance strategy development • Innovation and intellectual property development • Experienced in development and deployment of digital and analytic assets grounded in clinical insight• Cerner Ventures strategic advisor• Cerner Intelligence (AI/ML) advisory• Cerner Financial Impact Award for retaining at-risk client and selling high-value engagement -
Medical Director & ManagerOracle Apr 2019 - Apr 2021Austin, Texas, Us
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Sr. Physician ExecutiveOracle May 2017 - Apr 2019Austin, Texas, Us
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Physician Executive, Premier WestOracle May 2016 - Apr 2017Austin, Texas, Us
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Founder & CeoStatfusion Oct 2010 - Jan 2016• Invented a small hand-held IV pump device for field use • Led a multidisciplinary team • Secured 3 U.S. and International patents, received human factors design accolades, and won 2 Innovation Fund Awards• Established partnerships with large domestic and international companies, successfully raised funding• Developed skills in team leadership, innovation, regulatory compliance, and strategic partnerships
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Director, Clinical Informatics (Associate Cmio)Aultman Hospital Aug 2008 - Apr 2015Canton, Ohio, UsMedical Director, Information Technology, Aultman Hospital Emergency Department and Ambulatory Care Centers (130,000 annual visits.) • Responsible for: the design, implementation and use of EHR and health IT Strategy, application configuration, roll-out strategy, physician/clinician adoption, engagement strategy, , IT governance, population health analytics, workflow optimization, voice recognition implementation, scribe implementation, change management strategy, go-live strategy,• Development/maintenance site-specific order sets and templates for Cerner: FirstNet, ED PowerNote, PowerPlans, PowerForms, CPOE, Dragon Medical Dictation, RIS (Radiology Information Systems), Imprivata, Citrix, VMWare Fusion. -
Emergency PhysicianAultman Hospital 2003 - 2015Canton, Ohio, UsDirector of Health IT, Canton Aultman Emergency Physicians, Aultman Hospital • Partner, Canton Aultman Emergency Physicians, a professional services firm that provides physicians, mid-level providers, and coding expertise to multiple hospitals and urgent care centers• Ultrasound competency for Emergency Medicine • Level II trauma center, Pediatric, Urgent Care, Critical Access • Co-founder, Acute Stroke Team (Comprehensive Stroke Center)
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Lieutenant Commander, Us Navy; Medical OfficerUs Navy May 1996 - Jun 2000Washington, Dc, Us• Managed complex multinational relationships and operations, overseeing finance, budgeting, and asset management for the US Navy.• Led a medical unit of 100+ U.S. Marines and Sailors in combat and peacetime theaters, providing medical care, services, and equipment for 2200 Marines.• Deployed as the Shock Trauma Platoon Surgeon to the Arctic Circle for NATO extreme weather combat exercises, delivering medical care to 3,000 U.S. Marines and NATO forces.• Notable Awards: Sharpshooter, Navy and Marine Corps Commendation Medal, NATO Medal, Kosovo Campaign Medal, National Defense Medal, Artic Service Medal, Sea Service, Fleet Marine Force, others
Anup D. Salgia, Do, Facep, Famia Skills
Anup D. Salgia, Do, Facep, Famia Education Details
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Case Western Reserve UniversityEmergency Medicine Residency -
Walter Reed Military Medical Ctr.(Previously The National Naval Medical Center)Categorical Internal Medicine Internship
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A.T. Still UniversityMedicine
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Quincy UniversityAdded Concentration In Chemistry & English
Frequently Asked Questions about Anup D. Salgia, Do, Facep, Famia
What company does Anup D. Salgia, Do, Facep, Famia work for?
Anup D. Salgia, Do, Facep, Famia works for Optum
What is Anup D. Salgia, Do, Facep, Famia's role at the current company?
Anup D. Salgia, Do, Facep, Famia's current role is Medical Director.
What is Anup D. Salgia, Do, Facep, Famia's email address?
Anup D. Salgia, Do, Facep, Famia's email address is an****@****ner.com
What schools did Anup D. Salgia, Do, Facep, Famia attend?
Anup D. Salgia, Do, Facep, Famia attended Case Western Reserve University, Walter Reed Military Medical Ctr.(Previously The National Naval Medical Center), A.t. Still University, Quincy University.
What skills is Anup D. Salgia, Do, Facep, Famia known for?
Anup D. Salgia, Do, Facep, Famia has skills like Healthcare, Hospitals, Healthcare Information Technology, Leadership, Clinical Research, Emergency Medicine, Medicine, Medical Devices, Pediatrics, Medical Education, Critical Care, Project Management.
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