David Digirolamo Email & Phone Number

Jackson, Nj, Us

Edison, New Jersey, Us

Senior Executive Leader for Value Based Care for New Jersey's largest Clinically Integrated Network with over 6,400 providers and nearly 300K beneficiaries. Responsibilities includes leading CIN Operations, Program Management, Payor Operations, Network Management, Performance Optimization, Provider Engagement and Platform Operations.

Maryland Heights, Missouri, Us

Senior Executive leading Value Based Care Market Operations on behalf of New Jersey's largest Health System (Hackensack Meridian Health). Currently building a new team to support Provider Engagement, Care Delivery, Utilization Management and Analytics in support of HMH's Clinically Integrated Network.

Marlton, New Jersey, Us

As Vice President of ACO Operations for Consensus Health (formerly Continuum Health), Mr. DiGirolamo facilitated the company’s Value-Based Care strategy and operational execution for Commercial and Government Payor and Alternative Payment Model Programs. David provided design, training and support towards the development of next generation capabilities and services in anticipation of assuming greater levels of financial risk. Under David's leadership, the Partners In Care Clinically Integrated Network (now within the Consensus umbrella) achieved more than $15M in Savings and increased quality scores across several Programs.

Marlton, New Jersey, Us

Served as the Chief Executive for Partner In Care ACO - a Clinically Integrated Network. David led the highly successful Medicare Shared Savings Program (MSSP), having achieved a $6.4M surplus for Performance Year 2018 with millions in savings distributed to providers. These results were the effort of a wholesale redesign of organizational structure and operations, including Board Governance, Care Delivery, Practice Transformation, Provider Engagement, Program Governance, Compliance and Regulatory Oversight.

Marlton, New Jersey, Us

David led Technology and Analytics services for Partners In Care, Corp. (subsequently acquired by Consensus Health). Serving as a member of the Executive Management Team, responsibilities included Health Information Technology, Strategy, Business Intelligence, Network Management and Provider Engagement, Program Development, Operations and Client Management. During the 2016-2017 Performance Years, Partners In Care was one of the 3 top performing Cigna CAC's in the country with over $3M in savings and exceptional quality performance. Key accomplishments include: 1. Developed and implemented a Population Health solution, including strategy, architecture and engineering in support of 700 physicians and 65,000 covered lives. Platform2. Implemented and managed operations for several Accountable Care populations, including a Class of 2014 Medicare Shared Savings Program (MSSP) and 3 national Health Insurance ACO Programs (Aetna, Cigna and Horizon).3. Managed Data Integration and Analytics for growing portfolio of Traditional & Shared Savings Populations4. Redesigned Technical and IT Operations Infrastructure

Paris, France, Fr

David served as the leader of Healthcare Consulting and Solutions for IGate Technologies in North America (a $1.3B Technology and Operations firm subsequently acquired by CapGemini). David performed a full assessment of Business Process Outsourcing, Consulting and Solutions capabilities and delivered the organizations first major Strategic Plan as it considered its approach to the mainstream Healthcare Marketplace. David explored solution development, alliances and partnerships regarding Accountable Care, Healthcare Digitization and Consumer Experience. Accomplishments included:1. Led Healthcare Strategy Development (and Executive approval)2. Conducted full Market Survey of Accountable Care Solution Platforms3. Launched ACO Consulting Practice4. Won and led inaugural engagement (Advisory Services for a Medicare Shared Savings Program)5. Partnered with Business Development Team to design and launch Market Campaigns

Newtown, Pa, Us

David was a Principal Consultant at Netsoft USA (subsequently acquired by EPAM Systems) responsible for managing Business Development, Enterprise Architecture and Engagement Management. David partnered with clients to design and implement solution frameworks that engage members, physicians, health insurers and employers delivering value and measurable results. As a Trusted Advisor to C Suite Executives, he provided influence and thought leadership to assist with Enterprise Planning and Design, Business Architecture, Portfolio Management and Solution Architecture.Key accomplishments:1. Provided Crisis Management, Thought Leadership and Solution Architecture and Delivery Services in support of Anthem's Consumer Incentive Management Program (a $15 Million System Transformation and Integration Project) 2. Managed Program Design & Organization, as well as Enterprise Architecture Services for MVP Healthcare’s ICD 10 Transformation.3. Led Solution/Data Architecture and Analysis for Cigna’s Provider Book of Record Transformation.4. Designed and implemented an Enterprise Architecture model to support Medicare Eligibility and Encounter Systems for 4.5 Star Rated Medicare Program. 5. Created a Strategic Readiness Assessment to optimize ConnectiCare’s Strategic Innovation, Planning and Resource Management 6. Developed a company-wide Healthcare Management Training Program

Bethlehem, Pa, Us

David facilitated the Academic-Business Partnership between Netsoft USA (his employer) and Lehigh's Health Systems Engineering Graduate Program (School of Industrial & Systems Engineering). This effort focuses on innovation, talent management and common Healthcare Research and Development Goals. David served as both a Guest Lecturer in the Graduate Program and Mentor for Graduate Students.

East Brunswick, New Jersey, Us

David collaborated with other Senior Executives to design, build and execute the company’s strategy for bridging Medical Homes and Patient Populations to improve clinical and financial outcomes. This unique Accountable Care Organization model (formerly known as the Care Coordination Entity) was highly successful and resulted in dramatic clinical results, as well as, driving the company’s revenues for more than 4 years. David was a member of the Executive Management Team, with responsibilities for Information Technology, Project Management, System Architecture and Development and Clinical Operations Management. He provided "hands-on" leadership and contributed to the company's overall strategy, business development and general administrative planning and management. He used Lean Six Sigma principles to innovate tools, programs and processes to decrease costs, increase revenues, and position the company for ongoing improvement and future market expansion. Key achievements include the design and implementation of the company’s Intellectual, Clinical and Technological infrastructure, including a 5 Terabyte Data Warehouse, Clinical Operations/Decision Support Tools, Electronic Billing and Collections Interface, and Macro/Micro Business Intelligence Platform.

Munich, Bavaria, De

David was promoted in 2002 from a Directorship in Munich Health North America to a corporate position as Assistant Vice President in Munich Re’s newly formed Project Management Office. Over the course of 5 years he focused on building and refining a State-Of-The-Art Enterprise Project Management Office (PMO). This office grew from 3 full time resources to more than 15 during that time and administered Governance, performed Oversight and supplied Project Management Administration and Services for the entire Corporate Project Budget - more than 50 projects per year. David represented the PMO to facilitate Project Submission and PMO Services to Strategic Business Units and Shared Service Divisions, specifically HealthCare, Human Resources, Risk Management, Results Monitoring and Financial Services. Serving in the roles of Program/Project Manage, David successfully executed more than a dozen mid-size to large scale Application Development and Data Conversion Projects. He managed teams ranging from 15 to sometimes more than 50 persons across both Business and Technical disciplines. This includes managing components of SAP-HR implementation in support of a much larger Global SAP Strategy/Initiative.Lastly, David managed the implementation of the Project Server platform to integrate enterprise functions; including project timekeeping across business and technology resources, Executive Level resource analysis planning, Portfolio Management and Project/Program Management.

Munich, Bavaria, De

David was recruited to facilitate the discovery, integration and implementation of innovative health information programs and technology products into Munich Health North America’s Reinsurance Portfolio. Over the course of two years David evaluated dozens of companies and implemented several Best-In-Class technologies to assist clients in reducing risk and improving health and financial outcomes. David served as the Project Manager for the Inaugural implementation of the then nascent Active Health Management (AHM) Care Engine. This implementation is now branded a successful Clinical Trial whose results were subsequently published in national Managed Care and Medical journals. This project propelled AHM's success and subsequent acquisition by Aetna for $400 million just three years later.

Denver, Co, Us

David provided Project Management, Technology Infrastructure and strategic business support toward the development and re-tooling of business processes and systems for Coram Healthcare’s newly launched Resource Network Business Unit ($300 Million Call Center and Operation). At the time of his recruitment, Coram had signed a contract with Aetna Healthcare to provide sub-capitated Home Health Services for more than 3 million members in the Northeast. This contract resulted in the establishment of a brand new 400 person plus Call Center requiring major facility, infrastructure, business and system implementations. David assisted the Chief Information Officer in deploying both the technical and systems infrastructure, as well as, facilitating the streamlining of business processes and training for a completely new staff. He coordinated Regional IT efforts and oversaw the development of business intelligence assets and clinical operations tools. David also participated in vendor evaluation and management, business analysis, operations management, staff training/development and advisory services.

New Brunswick, Nj, Us

David was initially recruited as a Management Analyst for the Chief Medical Officer of Saint Peter’s University Healthcare System (SPUH). Within months, the role had been significantly expanded to also assist the Chief Operating Officer of SPUH’s Management Services Organization, Partners In Care Corporation (a subsidiary jointly owned by the Healthcare System and community physicians). David excelled and was quickly promoted to Director of Managed Care Administration. In this capacity, he facilitated the development of business processes, databases and tools to support clinical and administrative operations, including; Capitation Management, Provider Relations / Credentialing, Risk Management and analytics. Reporting jointly to the COO and CMO, David assisted in the design, contracting and implementation of several large Risk Contracts with major HMOs; including Horizon BCBS, Aetna, Cigna and United Healthcare.David managed a staff of nearly 10 persons and supported major strategic initiatives, including an Application Submission process for a federal Provider Services Organization and state level Health Maintenance Organization license.

Paterson, Nj, Us

Provided Project Management and Analytic Services for Wayne General Hospital (subsequently acquired by St. Joseph's Healthcare System). Supported key strategic initiatives under the direction of Senior Management, including direct engagement with C-Suite leaders.

Paramus, New Jersey, Us

Assisted the Director of Gerontology for the County of Bergen with respect to Planning and Analysis, Database Management and Event Planning/Coordination.

Shadowed CEO, attended executive meetings/ planning sessions and served as a resource on multiple projects.

Seattle, Wa, Us

Master'S Degree, Management And Policy Specialization (Healthcare Concentration)

Ba, Psychology