David Rossi Email & Phone Number

North Carolina, United States

North Carolina, United States

Greensboro/Winston-Salem, North Carolina Area

Executive Leader for a Medicaid and Medicare Advantage health plan focused on primary care delivery and value-based care innovation in North Carolina.• Championed the creation and successful execution of a Medicaid RFP response, securing a contract to serve North Carolina’s Medicaid population, focusing on strengthening primary care providers’ role in value-based care.• Directed operational and strategic leadership for a large Medicaid managed care plan, empowering primary care providers to succeed within a value-based framework.• Drove the transition of over 90% of covered lives to value-based care models, working closely with primary care teams to ensure quality care delivery while reducing overall costs.• Established deep partnerships with local primary care practices and community health centers to support their growth and success within value-based care arrangements.• Achieved 18-point increase in provider satisfaction by streamlining processes and enhancing provider collaboration.

Kansas City, Missouri Area

Oversaw Kansas Health Plan’s implementation, marketing, and core operations, from contract award in 2012 through operational stability and financial profitability.• Collaborated closely with primary care teams to improve patient care outcomes and operational efficiencies, resulting in improved quality metrics and cost reductions.• Built strong, transparent relationships with state agencies and healthcare providers, creating an environment of trust and shared success in value-based care programs.• Delivered best-in-class outcomes in patient and provider satisfaction, ensuring alignment with community health goals.• Established collaborative partnerships with community organizations to support vulnerable populations, driving program success and stakeholder engagement.• Key health plan leader, leading, developing and writing a winning response to KanCare re-procurement RFP in late 2017.

Greensboro, North Carolina

Steered the Clinical Care Management organization.• Led all clinical operations for multiple care management sites in support of Medicare Advantage, Medicaid, and commercial clients, including leading a startup of a large West Coast site that supported significant program growth.• Consistently exceeded client performance guarantees, program enrollment goals, and clinical and Stars / HEDIS-related outcome target, including supporting achievement of 4.0 or higher Stars ratings across 90% of health plans.• Delivered strategic vision and transformed organizational culture in support of over three hundred clinical and administrative staff, across three diverse geographic locations.• Drove market and program expansion to over three million covered lives.• Functioned as the client relationship owner and organizational leader for the AARP Supplemental Health Insurance Program, a high-profile, innovative integrated medical / behavioral health care management pilot.

Delivered results as the benefit operations and account management leader for UnitedHealthcare, supporting large clients, including Fortune 500, with complex employee benefits programs.• Executed in a leadership role, via both hierarchical and matrixed accountabilities, for assigned clients’ services and operations, including employee wellness and support programs.• Assigned ownership of UnitedHealthcare’s largest, most challenging, and at-risk clients in recognition of capabilities.• Daily interaction with the client’s senior leadership (including C-suite).• Maintained direct accountability for multi-site contact center operations with approximately seven hundred total employees, including both telecommuter and onsite leadership and staff.

Fairfax County, Virginia, United States

Operations leader for clinical / business administration for a large hospital-based healthcare delivery organization.• Supplied care support, including a broad range of Ancillary Services for the hospital/health system, including Home Health Care, Long Term Care, Private Duty, Pharmacy, Urgent Care, Family Practice, Medical Equipment, and Medical Consultative Services.• Drove business development and operational excellence across Washington, DC, and Northern Virginia, leading to an 83% growth in revenue.• Led clinical / administrative teams supporting thousands of patients as part of the largest health care delivery system in Northern Virginia, including direct P & L accountability for service line.