David Digirolamo

David Digirolamo Email and Phone Number

Value-Based Care Executive | Healthcare Tech/Data Analytics | Healthcare Strategist | Regulatory Expert @ Health Transformation Alliance
Jackson, NJ, US
David Digirolamo's Location
Jackson Township, New Jersey, United States, United States
David Digirolamo's Contact Details

David Digirolamo work email

David Digirolamo personal email

About David Digirolamo

David is a strategic change leader and Value Based Care Executive with more than nearly 30 years of management experience in the Healthcare, Technology and Insurance Industries having held Senior and Executive Management roles in small entrepreneurial firms, large institutions and Fortune 100 National and Global Organizations. His uniqueness stems from a strongly proportionate blend of Healthcare Business and Information Technology experience, with Project Management foundational underpinnings. David is a Metric Driven manager that leverages Six Sigma principles to innovate and design processes and solutions that ensure timely execution of objectives and organizational goals. He thrives in an entrepreneurial, fast-paced environment. Using a complement of strategic and tactical skills, he is able to focus on organizing and managing tasks to deliver results while simultaneously keeping a line of sight to both vision and strategic goals. Critical skills include problem-finding, risk identification and organizational navigation. David's method of management includes a healthy blend of collaboration, education, motivation and ongoing team development. He highly values communication and is able to articulate business and technology concerns to all audiences. For all engagements, he strives to bring a sense of organization and leadership through analytics, problem framing/solving and positive thinking.David continuously studies the evolving Healthcare Landscape focusing on Healthcare Policy, Market Shifts & Innovations, and Solution Frameworks. His specializes in many of the major market shifts including; Consumer Directed Healthcare & Benefit Design, Value Based Strategies, Accountable Care, Health Benefit Exchange, and Provider Reimbursement transformation. David also maintains a Healthcare Blog (http://daviddigirolamo.wordpress.com/) in which he provides commentary on the Healthcare System.

David Digirolamo's Current Company Details
Health Transformation Alliance

Health Transformation Alliance

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Value-Based Care Executive | Healthcare Tech/Data Analytics | Healthcare Strategist | Regulatory Expert
Jackson, NJ, US
Website:
htahealth.com
Employees:
23
David Digirolamo Work Experience Details
  • Health Transformation Alliance
    Health Transformation Alliance
    Jackson, Nj, Us
  • Hackensack Meridian Health
    Vice President, Value Based Care
    Hackensack Meridian Health Jun 2023 - Present
    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.
  • Lumeris
    Regional Vice President, Market Operations (New Jersey)
    Lumeris Oct 2019 - Jun 2023
    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.
  • Consensus Health
    Vice President, Aco Operations (Concurrent)
    Consensus Health Feb 2017 - Oct 2019
    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.
  • Consensus Health
    Executive Director, Partners In Care Aco (Concurrent)
    Consensus Health Jan 2017 - Oct 2019
    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.
  • Consensus Health
    Chief Information Officer
    Consensus Health Sep 2013 - Dec 2016
    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
  • Capgemini
    Vice President, North American Head Of Healthcare Consulting And Solutions
    Capgemini Jan 2013 - Sep 2013
    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
  • Epam Systems
    Principal Consultant (Concurrent)
    Epam Systems May 2010 - Jan 2013
    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
  • Lehigh University
    Guest Lecturer (Concurrent)
    Lehigh University Sep 2011 - Dec 2012
    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.
  • Partners In Care, Corp.
    Vice President Of Information Technology
    Partners In Care, Corp. Nov 2006 - May 2010
    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 Re
    Assistant Vice President (Munich Re North America)
    Munich Re Jul 2002 - Oct 2006
    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 Re
    Director Of Information Management (Munich Health)
    Munich Re Oct 1999 - Jul 2002
    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.
  • Coram Cvs/Specialty Infusion Services
    Regional It Leader / Senior Project Manager
    Coram Cvs/Specialty Infusion Services Jun 1998 - Oct 1999
    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.
  • Saint Peter’S Healthcare System
    Director Of Managed Care Administration
    Saint Peter’S Healthcare System Jun 1996 - Jun 1998
    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.
  • St. Joseph'S Healthcare System
    Management Analyst
    St. Joseph'S Healthcare System Nov 1994 - Dec 1995
    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.
  • Bergen New Bridge Medical Center
    Planning Coordinator
    Bergen New Bridge Medical Center Jan 1994 - Jun 1994
    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.
  • Paramus Veterans Memorial Nursing Home
    Special Assistant To Chief Executive Officer
    Paramus Veterans Memorial Nursing Home Sep 1993 - Dec 1993
    Shadowed CEO, attended executive meetings/ planning sessions and served as a resource on multiple projects.
  • Catholic Community Services
    Counselor
    Catholic Community Services 1989 - 1993
    Seattle, Wa, Us

David Digirolamo Skills

Positioning Consulting Provider Relations Planning Pmo Business Expenses Insurance Medicare Health Management Beds Operating Expenses Finance Information System Healthcare Technology Revenue Streams Acute Healthcare It Hmo Healthcare Information Technology Reinsurance Clinical Operations Assessment Management Design Integration Sop Accountable Care Keys Leadership Information Systems Transformations Sdlc Icd 10 Health Insurance Exchanges Database Management Networking Physicians Dbms Healthcare Engineering Strategy Enterprise Architecture Operations Management Risk Management Readiness Edi Policy Enterprise Software Health Information Exchange Project Management Informatics Performance Reporting Healthcare Industry Graduate Students Crisis Partnerships It Management Hardware Reform Data Integration Information Technology Sap Accreditation Strategic Business Thought Leadership Hipaa Business Development Business Analysis Interdepartmental Liaison Strategic Planning Operations Data Architecture Revenue Cycle Management Provider Networks Business Intelligence Governance House Information Architecture Software Development Life Cycle Healthcare Management Analytics Process Management Horizon Pro Bono Data Warehousing Practice Management Executive Management Credentialing Resources Microsoft Sql Server Project Governance Data Analytics Hr Vendor Management Commission Claim Business Process Management Project Portfolio Management Program Management Analytical Skill Patient Care Administration Health Systems Business Process Special Projects Managed Care Claims Management Strategic Design Liaison Erisa Population Health Health Insurance Solution Architecture Employee Benefits Employer Groups

David Digirolamo Education Details

  • Rutgers University
    Rutgers University
    Management And Policy Specialization (Healthcare Concentration)
  • Montclair State University
    Montclair State University
    Psychology

Frequently Asked Questions about David Digirolamo

What company does David Digirolamo work for?

David Digirolamo works for Health Transformation Alliance

What is David Digirolamo's role at the current company?

David Digirolamo's current role is Value-Based Care Executive | Healthcare Tech/Data Analytics | Healthcare Strategist | Regulatory Expert.

What is David Digirolamo's email address?

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What is David Digirolamo's direct phone number?

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What schools did David Digirolamo attend?

David Digirolamo attended Rutgers University, Montclair State University.

What skills is David Digirolamo known for?

David Digirolamo has skills like Positioning, Consulting, Provider Relations, Planning, Pmo, Business, Expenses, Insurance, Medicare, Health Management, Beds, Operating Expenses.

Who are David Digirolamo's colleagues?

David Digirolamo's colleagues are Dana Cox, Carol (Iacuzio) Severino, Jamie Calabrese, Timothy Garvin, Alysha Singh, Mha, Rebecca Tristan-Perez.

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