Dan Roberts Email & Phone Number

Dunedin, FL, US

Sunflower Health Advisors is a team of startup and VBC healthcare operations experts. We specialize in offering support and guidance to entrepreneurs who are passionate about transforming the healthcare industry. When you work with us, you can focus on developing innovative solutions and making a positive impact in the healthcare industry.

• Serve as executive leadership for start-ups entering VBC arena. Provide business development support along with operational strategy guidance to drive success around contractual KPI’s.
• Provide value based care pilot design, existing contract review, and net new negotiation support across all relevant lines of business to MSO’s, IPAs, ACOs, CINs, payors and vendors.
• Build business development strategies, coach pitching to sales teams, design pilots, and negotiate agreements for vendors partnering with risk bearing entities.

San Francisco, California, US

Led Value Engineering team in optimizing Innovaccer’s suite of tools across risk bearing customers, life sciences, and payor partners.Designed and deployed new economic and clinical value levers improving patient outcomes and maximizing contract performance.Provided contract modeling and negotiation support, as well as revenue opportunity strategies across.

Winston-Salem, North Carolina, US

Enable clients to navigate from fee-for-service models to operating successfully in value based contracts that reward providers for focusing on delivering appropriate levels of medical care, documenting the acuity of a population base, and exceeding quality benchmarks. Proven record of success with MSSP, NG, pay for performance, gainshare, and partial/full.

Winston-Salem, North Carolina, US

Negotiate with all major payers to move client partners to quality based value agreements, gain sharing contracts, and ultimately full risk arrangements in the Medicare, Medicare Advantage, and Commercial arenas. Secure up front care coordination funds made on a per member per month basis to promote growth and reduce client investment prior to receiving.

Lead the Physician Network Operations team for North Carolina. Responsibilities include:Creating and providing consultation for Physician Organized Delivery Systems as they transition from Fee for Service to aligned incentives contracts.Health plan operations.Provider/ health system partner engagement.Collaborating with providers and vendors on Stars.

Maintain relationships with physicians and their staff to encourage partnership and improve the outcomes of their patient population in Mecklenburg, Forsyth, Davidson, Rowan, Cabarrus, Davie, Stokes, Yadkin, and Cherokee counties.Responsible for implementing and measuring strategies to improve the operations and positive financial performance of several.

Build CMS compliant markets for Cigna's Medicare Advantage arm, HealthSpring. Present reimbursement models to ACOs, PHOs, MSOs etc.Transition non affiliated primary care physicians into groups or "PODS" to increase best practices, internal benchmarking, and set up gain sharing contracts with health plans.Support senior management by conducting analyses to.

Effingham, IL, US

Travel nationwide to facilitate administrative meetings and present material at employee continuing education courses.Generate quarterly business plans to increase same store sales and decrease variable costs within focus offices.Monitor compliance to OSHA and HIPAA regulations.Responsible for all hiring, advancing, coaching, phasing out, and termination.

Assisted in daily operations of the 300-bed hospital. Majority of assignments were relevant to quality improvement projects, support services, and working with team members to transition from paper charting to electronic medical records.Utilized HCAHPS survey results to determine areas of improvement regarding service, outcome, and cost throughout the.

Clearwater, Florida, US

Volunteered in both hospice and hospital settings, contributing to the holistic care of patients. Coordinated memorial services with hospice chaplain.Participated and coordinated in patient support under the supervision of an RN.

New York, New York, US

Collected data and forecasted trends regarding risk factors associated with methicillin-resistant Staphylococcus aureus (MRSA) throughout an Orlando based hospital. Compared the clinical effectiveness of Zyvox against several generic drugs used to treat MRSA.Provided weekly presentations to senior consultants and pharmaceutical staff analyzing relevant.

Masters, Health Administration

Bs, Health Administration

Six Sigma Green Belt Certification, Lean Process Management