• Leads CHCS’ technical assistance to bridge organizations participating in Center for Medicaid and Medicare Innovation’s Accountable Health Communities model. • Leads facilitation and content development for Texas MCO Social Determinants of Health Learning Collaborative and Rhode Island’s Accountable Entities Learning Collaborative, with a focus on opportunities for partnership between state Medicaid, MCOs, and providers/CBOs to scale and sustain activities to address health-related social needs among Medicaid beneficiaries.• Supports states, payers and providers on various projects related to addressing social determinants of health through innovative Medicaid managed care policy and contracting strategies.• Oversees portfolio of projects aimed at identifying and compiling lessons on bridging community-based human services and health care and supporting emerging partnerships between CBOs and health care organizations; addressing social determinants of health and developing relevant quality measures for plans and health care providers• Led Technical Assistance for Center for Medicaid and Medicare Innovation’s State Innovation Model (SIM) state participants as they design and test new care delivery and payment models in an effort to demonstrate improvements in quality of care at lower costs

• Coordinated DSRIP Learning Symposium with PPSs across New York State to share emerging best practices at statewide/regional meetings• Guided states in Medicaid Accountable Care Organization program development, including the integration of behavioral health services and the implementation of enhanced payment models, as part of ongoing learning collaborative sponsored by the Commonwealth Fund

• Guided application process for 37 primary care sites recognized by NCQA as Level 3 Patient-Centered Medical Homes in 2010-2011 (largest group of providers in NY to be recognized) • Identified and implemented operational best practices & process flow improvements for enhanced access to HHC’s ambulatory care services and defined dashboards to monitor improvements• Aligned PCMH infrastructure for coordinated patient care with emerging ACO & Health Home initiatives

HHC Connectx, Community Provider Services Development Program• Collaborated with health plans to trend patient utilization of ambulatory, specialty & inpatient services and guided HHC hospitals in expanding provider referral networks • Designed marketing campaigns and supporting promotional materials to spread program to targeted primary care practices and drive growth of connected provider communities • Developed training content for web-based referral management system, HHCAdvantage, and coordinate provider relations outreach strategies with MetroPlus, HealthFirst, & NYSDOH

• Analyzed contract performance & case-mix impact of insurance rate proposals network-wide• Acted as liaison between hospital departments and managed care plans to facilitate contract implementation and resolve patient accounting and utilization management issues • Evaluated proposed contract rates, interpreted agreement terms, and communicated managed care plan terms, policies, and procedures to internal stakeholders

• Identified potential markets for line extensions and off-label use of existing treatments based on consultation with clinical experts and internal brainstorming sessions with Senior Director• Lead primary market research interviews with key opinion leaders, medical and pharmacy directors, chief hospital formulary pharmacists, and governmental reimbursement experts • Guided optimal drug development and marketing plans through product attribute assessments and financial forecast modeling of target market opportunities• Developed pharmacoeconomic model for treatment based on epidemiological and cost data • Assessed pharmaceutical clinical trial protocols and composed related manuscripts

• Developed IT audit strategy timelines and risk assessment plans in collaboration with project team and presented summary of findings to client executives in various industries including Health Care