• Manage $11m department budget to oversee information technology, information security and data engineering and analytics.• Develop overall integration and operational strategy regarding clinical and claims data to address performance and quality-based initiatives.• Execute on IT roadmap including development of technology standards, vendor management, technology implementation, workflow standardization and other enterprise-supporting systems.• Identify process inefficiencies and develop and implement effective technology solutions.• Establish integration efforts with RHIO/HIE and EHR partners for clinical and population health initiatives, including real-time utilization alerts and exchange of clinical information (CCDAs).• Support major VBP initiatives such as NYS DOH Innovator Program with data and analytics.

▪ Founding member of Performing Provider System (PPS) to support DSRIP, an $8B statewide Medicaid reform program targeted at reducing avoidable ER visits and inpatient admissions by leading IT Operations, HIT Committee, data and analytics, systems integration and development, HIE connectivity, EHR and PCMH initiatives and value-based readiness development.▪ End-to-end owner executing VBP/fee-for-value initiatives at the IPA and provider level including practice transformation, EHR improvements and overall financial, clinical and network integration.▪ Creates reporting mechanisms to establish compliance with NYS DOH reporting requirements, evaluate provider performance and monitor quality and population health initiatives.▪ Partnered with Chief Information Officer developing data warehouse to consolidate payer data to monitor value-based performance metrics. ▪ Established training program for physician network regarding DSRIP requirements that led to enhanced patient engagement, quality improvement, and ability to earn from value-based arrangements.

• Developed initiatives and comprehensive analysis of IPA expense and utilization patterns to maximize risk contract performance in all lines of business (including Medicare, Medicaid, Dual Products, Long-term Care and Exchange products)• Improved Medicare risk scores and increased revenue by 20%.• Directed the development of strategic initiatives to transform IPA performance with quality, appropriate risk scoring (including management of non-utilizers) and performance.• Developed medical economics analytical support for health plan and other state and federal initiatives.• Assisted practices to succeed in the adoption and operational development of HEDIS and STAR quality standards, fulfilling the plan requirements and improving care gap rates. • Developed partnerships with community network to assist with care gap improvement including independent pharmacies to address triple-weighted pharmacy measures.• Worked closely with IPA Primary Care Physicians across New York City implementing correct cording initiatives and guidelines to improve coding accuracy with Medicare patients.• Integrated physician medical records for review and documentation improvement.

• Direct support to Region President, area VPs and other department leadership to develop company budget, quality, compliance, cost savings and other operational initiatives.• Responsible for development, tracking and reconciliation of budget, including ROI analysis and revenue forecasting. • Managed encounters data submissions to NY State Department of Health; maintained regulatory relationships with State partners regarding submissions volume and system updates and changes.• Developed financial projections and strategic planning to assist with growth and expansion initiatives.• Assisted Actuarial team with premium rates and loss ratio modeling for existing and expansion counties and program/cohort carve-ins (homeless populations, NICU, ESRD, Health Homes, Medical Home) as a result of the NY Medicaid Redesign Team recommendations.• Provided financial and operations support to Managed Long Term Care program (MLTC).• Negotiated contract terms (e.g. capitations, risk, carve-outs) to improve relationships between IPAs, physician groups, sales, and marketing to increase sales opportunities.• Improved patient risk scores by addressing physician claims submission issues and coding specificity. Improved coding specificity also resulted in better categorization of patient chronic conditions for targeted Care and Disease Management programs.