Carol Toro Email and Phone Number
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With over two decades in the healthcare industry, my journey has allowed me to specialize in the development of Accountable Care Organizations and Population Health initiatives. At Trinity Health, my role as a Senior Consultant involves leveraging this expertise to enhance clinical integration and optimize revenue within Clinically Integrated Networks.Previously, as Executive Director/COO at Holy Cross Health, my focus was on strategic leadership and operational management of value-based contracts. Our team's commitment to high-performance and evidence-based practices resulted in a robust population health infrastructure, illustrating my dedication to transforming healthcare delivery and outcomes.
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Senior Consultant, Clinically Integrated NetworkTrinity Health Jul 2023 - PresentLivonia, Mi, UsCIN/ACO Executive Director, Risk Adjustment, Population Health
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Strategic AdvisorCarol Toro Consulting May 2009 - PresentNational consulting firm for Healthcare Systems and Provider Organizations embarking on ACO, Population Health Management and innovative solutions to improve performance. Advises New Venture healthcare start up organizations. Value Based care expert with 20+ years of experience leading professional organizations in clinical integration and care management strategies, product development, revenue optimization, and clinical operations.
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Executive Director/ CooTrinity Health/Holy Cross Health Aug 2020 - Jul 2023Serves as the Executive Director/ Chief Operation Officer of the ACO/CIN. Oversight of a portfolio of value based contracts including Medicare, Medicare Advantage and Commercial. Responsible for strategy and operations of a high performing and clinically integrated network of providers and population health infrastructure. P&L accountability.
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Regional Executive Director-CinTrinity Health/ Soho Health Jan 2019 - Aug 2020Serves as administrative leader for the Clinically Integrated Network in the Springfield-Hartford market for SOHO Health. Oversees the operations of a portfolio of value-based contracts including Medicare, Medicaid and Commercial products. Executes strategic, operational and financial business plan for the risk based program. P&L accountability.
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Vice PresidentCarecentrix May 2016 - Oct 2018Hartford, Connecticut, UsDrives New Product Development moving care coordination upstream for Post Acute care and Infusion. Leads cross functional team in design and development and is the Clinical SME. Oversees Operational infrastructure, process development and execution of product in our clinical operations team. Builds Clinical content for the Care Coordination platform enabling consistent documentation and care planning for the Case Management staff. P&L responsibilities. -
Senior Director, Clinical InnovationEvolent Health Apr 2015 - Apr 2016Arlington, Va, UsExecutes Evolent Clinical Vision and Strategy by leading program design including new and existing clinical program changes or development of new physician alignment and clinical transformation initiatives. Manage all aspects of program development and cross functional work required to ensure success of business requirements and program development.Supports new or enhanced program launches.Manage development of clinical content..Support launch at alpha (first go-live) client for any new or enhanced care management program and test and learn cycles until program reaches maturation point.Champion and steward new clinical initiatives and innovations across the organization and when necessary partner health systems -
Senior Director, Clinical ImplementationEvolent Health Sep 2013 - Apr 2015Arlington, Va, UsEvolent Health is a population health management services organization (MSO) that integrates the technology, tools and on-the-ground resources to support health systems in executing on their population health and care transformation objectives. Evolent is a high growth, entrepreneurial organization with the backing of two established players in the healthcare industry: UPMC Health Plan and The Advisory Board Company (NASDAQ: ABCO).
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Vice PresidentAccountable Care Associates, Llc May 2011 - Nov 2012Accountable Care Associates is a Medical Care Organization and Provider Practice Corporation developed as a “spin off” of the original physician practice, Hampden County Physicians, to provide risk contracting support services and programs to ACO, Provider Organizations and Hospital Systems nationally. Responsible for Program Development, Risk Adjustment, Quality Metrics, Provider Performance, Practice Development and Integration of Clinical programs. Created a Nurse Practitioner Home Visit Program for Medicare Advantage Risk Adjustment, and Quality Metrics Optimization , developed and implemented a Care Management program that includes Utilization and Complex Case Management, and written clinical content for multiple proprietary Coding and documentation tools. Oversees program implementation in new locations regionally and nationally, creation of physician and mid-level hospitalist and SNF rounding teams, medical management and execution of UM and Quality Strategies.
Carol Toro Skills
Carol Toro Education Details
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Independence UniversityHealth Care Administration -
Elms CollegeNursing
Frequently Asked Questions about Carol Toro
What company does Carol Toro work for?
Carol Toro works for Trinity Health
What is Carol Toro's role at the current company?
Carol Toro's current role is Strategic Advisor | New Business Development, Accountable Care Organizations.
What is Carol Toro's email address?
Carol Toro's email address is ca****@****oss.com
What is Carol Toro's direct phone number?
Carol Toro's direct phone number is (844) 359*****
What schools did Carol Toro attend?
Carol Toro attended Independence University, Elms College.
What skills is Carol Toro known for?
Carol Toro has skills like Managed Care, Healthcare Management, Medicare, Healthcare, Disease Management, Healthcare Industry, Health Policy, Healthcare Information Technology, Physicians, Hospitals, Healthcare Consulting, Hipaa.
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