Deborah Holzmark, Dnp, Mba, Rn, Nea-Bc, Cphq Email & Phone Number

Pittsburgh, Pa, Us

Built and led clinical consulting services to help health systems improve quality of care and patient safety, satisfaction, and clinical outcomes. Analyzed data and developed clinical strategies, plans, and policies to improve operational efficiency, performance, quality, and fiscal management.✰ Built new clinical practice service offerings for the firm, delivering exceptional marketing, thought leadership, and client proposals and generating over $2M in consulting revenue.✰ Championed the development of a comprehensive health insurance plan for a large national health system estimated to generate $8M in year 1. Integrated functions such as utilization review, care management, and quality management.✰ Created an effective program for a large health plan to improve care for over 300K members with high-frequency chronic diseases. Utilized innovative staffing, resources, workflows, documentation, and data analytics.✰ Staff Model HMO Product: Implemented a clinical workstream to modernize a cost-effective HMO healthcare plan that improved patient engagement and clinical policy.✰ Oversaw and developed the expertise of a large clinical and non-clinical project team that drove innovation with new performance improvement products, saving multiple health plans millions.✰ Consistently delivered compelling presentations on strategy, project management, and transformation to senior leaders.

Charlotte, Nc, Us

Delivered clinical expertise and services to healthcare clients, specializing in quality, patient safety, risk capability, and performance improvement. Spearheaded initiatives to enhance hospital and provider performance on readmissions, hospital-acquired conditions, value-based purchasing, bundled payments, and accountable care organizations. Collaborated with the Strategy and Enterprise Intelligence teams to create processes that emphasized clinical strategy development.✰ Guided clients toward patient-centered care by developing a GTM strategy for Revenue at Risk service offerings.✰ Created robust methodologies for clinical analysis, unlocking actionable insights from CMS Bundled Payment Programs, Accountable Care Organizations, and other client claims data and boosting revenue by over $2M.✰ Implemented onsite Hospital Survey Verification process with The Leapfrog Group, enhancing hospital responses to the survey and promoting education for better patient outcomes.

Charlotte, Nc, Us

✰ Founded and developed a consulting practice focused on coding, billing, documentation, revenue cycle improvement, EHR implementation, and operational and process improvement.✰ Boosted physician revenue by $1M and reduced coding risks by devising and launching consulting services covering billing, coding, revenue cycles, policies, procedures, staff training and education, and physician compensation.

• Directed utilization review, case management, and quality services for a large physician owned PPO Network providing services to self-funded clients. • Oversaw development of policies and procedures for daily operations and provision of utilization review and case management services to Mountain Healthcare clients. • Implemented and directed the activities necessary to obtained Utilization Review Accreditation Commission (URAC) accreditation for utilization review services.• Developed quality management programs in diabetes, asthma, and heart disease in cooperation with the PPO Network providers to improve quality and outcomes in the population. • Provided resources and education to physician practices on implementation of quality managed programs and collaborated with the North Carolina State Medicaid Program on the development of the asthma disease management program for children in the state.

Doctorate Of Nursing Practice

Mba, Healthcare

Bsn, Nursing