Erin T. Email and Phone Number
Passionate for alternative payment models and delivery system reform. Believes in servant leadership, rolling up the sleeves and digging in. Adamant that silos belong on farms, not in healthcare. Cheerleader for the primary care / PCMH movement. Experienced in creating, implementing, and evaluating alternative payment models for Value-Based care to include partial and full risk capitation, pay for performance, shared savings models and bundled payments focusing on population health improvement and expense efficiency.Record of success in building effective teams and organizational cultures, creating, implementation and continual monitoring of growth strategies and lines of business. Extensive knowledge of value-based compensation plans uniting revenue, healthcare quality, patient satisfaction, social determinants of health, and organizational financial objectives. Create and automate systems and templates to operationalize arrangements and reporting on Shared Risk / Capitation strategies. ACO creation, collaborative optimization.Provider Network creation, growth and performance Management.Expertise Includes:• Thoughtful and open team building, fostering transparent internal and external relationships• Strategic leadership and planning• Value-Based Contracting: Negotiation, evaluation, performance management• Financial Performance Monitoring and Improvement: Analyzing data, establishing benchmarks, designing and implementing reporting packages, presenting to Physicians, interdepartmental groups, JOCs and Boards of Directors• Advanced Data Analysis / Troubleshooting and Validation: Proven ability to join disparate data sources and spot inconsistencies that can lead to inaccurate results• Understands Levers in Healthcare Utilization: Able to tease out root causes of utilization issues
Vytalize Health
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Regional Vp, Performance, West RegionVytalize Health Jan 2024 - PresentHoboken, New Jersey, UsVytalize Health is a leading value-based care platform helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution including value-based incentives, smart technology, and a virtual clinic that enables small and large independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than two hundred thousand Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors.Learn more at www.vytalizehealth.com or email info@vytalizehealth.com.
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Principal ConsultantValorem Healthcare Llc Apr 2023 - Jan 2024Consulting on value-based healthcare, managed care, population health and quality improvement activities. Focus on providers serving underserved populations and Medicare Advantage. -
Vice President, Payer And Network Contracting And StrategyOptum 2021 - 2023Eden Prairie , Mn, Us• Responsible for the oversight of corporate Contract Administration function in Colorado• Strategic partner in the development of OptumCare's plans and programs • Leads execution of reimbursement strategies, value-based contracting, analytics and performance standards• Supporting market expansion and MA activities by leading provider contract analysis• Establishing department's strategic vision, objectives, policies and procedures• Developing and implementation of production and quality standards for department• Advising executive team on emerging trends and methodologies for managed care contracting and payer relations• Provides consulting, negotiations and contracting expertise to field network staff as needed• Developing overall payer and network contracting strategies for business growth• Analysis and monitoring of provider network for adequacy, performance and improvement -
Regional Vice PresidentSignify Health 2018 - 2021Dallas, Texas, UsTrusted advisor helping providers move into value-based payments, and alternative payment models. • Primary responsibility for driving relationships and results for each provider over 16 states and four ACOs • My regions' success in MSSP PY2019 created over 29% of the total shared savings payments to Large Collaborative and proprietary ACO providers• Engage providers and leadership with the “why” of value-based care • Create customized decks and presentations that speak to the different audience members. • Learn about client community health needs, identify improvement opportunities, create space for change resilience. • Co-create customized collaborative change plans with measurable goals, training, and results monitoring. • Work closely with the providers’ C-Suite to develop a long-term population health strategy, identify smart network opportunities and drive expansion.• Use data and customized reporting to illuminate opportunities for improvement and reasons to celebrate -
Director, Payment Reform & Health EconomicsColorado Community Health Network 2016 - 2018Denver, Colorado, UsPosition Funded for Two YearsDirector of Payment Reform and Health EconomicsCo-created Accountable Care Organization for Colorado’s federally-qualified health centers (FQHC).• Participated in and provided strategic leadership and planning of short and long-term goals, uniting the ACO’s mission and core values to create positive change for our members and patients. • Initiated FQHCs into ACOs with Medicare Shared Savings Program, commercial contracts. Added six new ACO contracts within six months of hire.• Developed gainsharing, shared savings, and pay-for-performance models awarding clinical quality improvement, and financial efficiency. • Created reporting highlighting healthcare quality and organizational performance. • Educated and engaged clinicians and administrators on payment reform, alternative payment methodologies, healthcare policies, trends, and risk adjustment / coding improvement.• Created data marts to create actionable reporting, providing benchmarking and driving quality improvement.• Ensured compliance with all federal, state, and payer-specific rules and regulations. -
Manager, Client Decision SupportPhysician Health Partners (Visit Our Website And Join Our Talent Network!) 2008 - 2016Denver, Co, UsManager, Client Decision SupportManaged cost and utilization data and performance for 85,000 lives and $153M in utilization expenditures.• Departmental leader and member of operations management team, responsible for identifying and assessing lines of business for improvement opportunities, strategic partnerships, and healthcare delivery efficiencies.• Provided strategic and tactical leadership in the areas of financial reporting, utilization data reporting.• Board of Director, Joint Operating Committee SME. • Designed and implemented of actionable data to administer shared risk programs. Estimated revenue and utilization expenses. • Developed budget models with specialists, hospitalists, and hospitals with shared risk corridors that decreased financial exposure; while ensuring quality patient care.• Co-created balanced scorecard comparing member performance to NCQA and internal performance standards. • Formed basis of primary care provider and specialist pay-for-performance program.• Developed standard operating procedures for reporting and other team processes. -
Business Analyst, Budget AnalystDenver Health 2006 - 2008Denver, Co, UsBusiness Analyst / Budget AnalystWorked with several operational and Community Health departments to determine financial status for projection, planning resources, and reporting.• Periodic and ad hoc reporting for financial and clinical indicators.• Created and maintained data sources for business development usage.• Worked with departments on annual budgetary deliverables. • Maintained position requisition counts and approvals to ensure departments operated at or under budget. • Supplied data for annual Uniform Data Submission reporting. -
Interim Business Manager, ConsultantAmerican Enterprise 2004 - 2008Worked with entrepreneurial team to establish new company. • Set up and maintained accounting, finance, tax, and payroll functions. • Established human resources protocols; including employee manual, and review procedures. • Responsible for recruiting, training, and employee development.• Developed and maintained relationships with external entities.
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Director Of OperationsMedical Business Resources 1998 - 2004Denver, Colorado, UsResponsible for operational success for a staff of 75 FTEs, recovering $150M in lost 3rd party revenue.• Employee training, certification, and compensation. • Assessed and maintained vendor relationships.• SME on Revenue Cycle Management and revenue integrity.• Corporate financial projections, with responsibility to Board and Shareholders.Data Analyst (1998 to 2000)• Financial and utilization data extraction and analysis. • Developed and maintained a historical, cost-based bidding application.• Automated reporting processes, resulting in a savings of 80 employee hours per month. • Ad hoc reports for clients and internal usage. • Worked with applications developers on revenue cycle management tracking software.
Erin T. Skills
Erin T. Education Details
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Colorado State UniversityOrg Leadership & Change Mgmt Specialty -
University Of Colorado DenverInformation Systems
Frequently Asked Questions about Erin T.
What company does Erin T. work for?
Erin T. works for Vytalize Health
What is Erin T.'s role at the current company?
Erin T.'s current role is Primary Care will Save the World | Provider/Payer Experience with an Enablement Model Focus.
What schools did Erin T. attend?
Erin T. attended Colorado State University, University Of Colorado Denver.
What skills is Erin T. known for?
Erin T. has skills like Leadership, Team Building, Powerpoint, Accounting, Budget Analysis, Template Creation, Human Resources, U.s. Health Insurance Portability And Accountability Act, Medicare, Board Presentations, Health Policy, Start Ups.
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