Christopher Murphy Email & Phone Number

Seattle, WA, US

Charlotte, NC, US

• Lead health systems to develop payer partnerships, set up networks, and plan designs. Sell and maintain comprehensive consulting engagements including new offerings and ensuring quality implementation and customer.
• Manage all Business Development and Sales for Strategic Collaboratives, as well as co-lead all Marketing and Thought Leadership for team. Led overall sales of $6.7 million.
• Provide independent remote and on-site assistance in developing, implementing, and monitoring consulting strategies that achieve overall member goals for population health and bundled payment arrangements in the Value.
• Accountable for project success: initiation (scope management), resource utilization, budgeting, and risk management execution (stakeholder, team, and milestone/tasks management), control (scope verification and change.
• Dedicated Partner and Subject Matter Expert for multihospital health systems for their journey in VBC.
• Oversight to project teams to ensure successful project results.Coordinate and deliver effective presentations to client audiences to communicate strategy and outcomes. Identification of subject matter experts to help.

US

Responsible for the design, development, delivery and business development of consulting services in support of episode-based payment models and similar payment innovations, with a special focus on providers and provider-sponsored organizations. Providers and provider-sponsored organizations face unique challenges in implementing episode-based payment.

Pittsburgh, Pennsylvania, US

Provide content expertise to lead the design of innovative reimbursement models to develop and support Highmark’s transition from Fee For Service models to Pay For Value. Each model put into play as an alternative payment mechanism will be both industry-leading and highly relevant to the local market.Lead the development, implementation, and execution of.

Pittsburgh, Pennsylvania, US

Analyze business processes to identify process gaps, areas for improvement, and financial impacts. Evaluate issues, develop recommendations and implementation and migration strategies. Interface with all client organizational levels, from end-users to senior executives. Serve as project leader for numerous engagements to determine workflow schedules.

Pittsburgh, Pennsylvania, US

Asked to step in as Subject Matter Expert (SME) to lead a team of business intelligence and data warehouse engineers in designing, building, and supporting the business intelligence component of PNC Healthcare Advantage, a new platform for processing healthcare transactions. Duties as the delivery manager for this fully custom BI application that is.

Pittsburgh, PA, US

• Network & Provider Relations Manager, 2001 – 2003Supervised the day-to-day operations for Provider Relations and Network Management for Medicare, Medicaid, Commercial, and County funded programs; as well as training.
• Oversight of providers within the network to ensure that they provided access to high quality, cost-effective care.
• Negotiated and maintained provider and hospital contracts using case rates, per diems, DRG, percentage of charges, out of network agreements, as well as language interpretations and modifications.
• Coordinated in the resolution of over and underpayments within network.
• Administration of Provider Relations and Network Management staff.Associate Care Manager, 1999 – 2001Provided clinical reviews, service authorization, and care coordination for inpatient, partial, intensive outpatient.
• Escalated difficult clinical cases to the medical director and reviewed recommendations with the clinical review team and the provider entity.

Pittsburgh, PA, US

Sr Mgr - Rev Cycle, Cred/Enroll & EDI BillingManaged day-to-day ops including credentialing and enrollment, electronic billing, and the overall revenue cycle for over 3,000 physicians in a multi-specialty discipline. Established quarterly and annual goals for staff and the entire department.Decreased acct receivables by over $7 MM in 1 year with a.

• Developed and maintained relationships with existing and prospective clients, in addition to potential strategic partners within state and regional markets, as well as directed the project management of service.
• Managed the region service delivery team including field staff and project managers nationally.
• Assisted with the identification, recruitment, selection, training, and ongoing day-to-day management of personnel necessary to deliver services in targeted areas.
• Lead responsibility for an assigned region’s HEDIS performance including monitoring chart review progress and completion rates.
• Maintained the financial reporting for all clients for the expenditures and enhancements requested.

• BenovaAllegheny Department of Human ServicesParent & Child Guidance CenterCommunity Options of Pittsburgh, Inc.I.C.W. Employment Services, Inc.Held various positions within the Mental Health, Mental Retardation, and.
• Maintained program budgets and individual funding streams through the County.
• Provided support to individuals enrolling into managed care from fee for service to choose a physical and behavioral health care plan for HealthChoices.
• Responsible for conducting public and private consumer and provider presentations to educate and train on the changing effects of healthcare.
• Developed outreach tactics to prepare consumers to make educated and informed choices.
• Oversight and management of vocational, residential, and program requirements for staff and consumers.

Mba, Business Administration

Bsed, Rehabilitation Counseling