I am supporting healthcare organizations that are engaged in value-based contracts with health analytics that enable financial success under value-based payment models.

Conceptualized, developed, implemented, and measured the effectiveness of value-based payment models for specialty physicians, to enhance the quality and efficiency of patient care delivery while managing costs.* Developed provider targeting algorithms that identified potential participants with the greatest opportunity.* Grew program enrollment from zero to 75 provider organizations in three years.* Delivered and validated over $9M in healthcare cost savings in third year of program ($13M 3-year cumulative).

Led Optum’s national Network Analytics consulting practice. Increased healthcare quality and reduced costs by providing clients with ACO and value-based payment expertise, health economic analysis, and advanced health analytics. Managed a highly technical and very diverse staff of 25 including physicians, statisticians, health data analysts, and application developers.* Grew practice gross revenue from $9M to $15M in 5 years.* Was awarded U.S. Patent No. 10417382 for a predictive model of Emergency Department cost.* Developed consulting offerings for health plan and healthcare provider clients in the areas of health economics, ACO analytics, population health management, bundled payments, network optimization, fee schedule development, and statistical learning models.* Designed member engagement and population health management analytics.* Developed risk adjustment methods used in alternative payment models.

Led planning of a national healthcare cost and quality transparency strategy with a multi-stakeholder group. Developed funded projects that promoted healthcare transparency.* Provided methodological advice to colleagues in areas such as bundled payments, physician measurement, patient reported outcomes, risk adjustment, episode grouping, and measurement statistics.* Supported and directed staff of a California multi-payer claims database for physician quality measurement.

Led a team that identified opportunities to increase healthcare quality and reduce costs, recommended appropriate interventions, measured cost-effectiveness of interventions, monitored population health, described value to customers, and executed quality measurement and reporting to fulfill contractual and regulatory requirements.* Developed an enterprise analytics strategy for an emerging landscape that includes ACOs and bundled payments, greater collaboration between insurers and providers, and increased importance of Individual and Government markets.* Evaluated savings associated with all major population health interventions and made specific recommendations for program improvement.* Developed case-identification prediction models for health interventions.* Advised self-insured customers about products and services that were indicated by analytical findings.* Produced HEDIS® and other healthcare quality and patient safety measures for NCQA accreditation and public reporting.* Supervised 25 statisticians and analysts. Managed team budget.

Led health services and policy research, provided analytic consulting, and designed health informatics that provided reliable, relevant, and actionable information to healthcare leaders.* Managed the MonAHRQ project for the Agency for Healthcare Research and Quality (AHRQ).* Worked on several federal government contracts.

Led a team that identified healthcare cost management opportunities, evaluated population health management programs, and executed quality measurement and reporting to fulfill contractual and regulatory requirements.* Identified opportunities that saved the company tens of millions of dollars in measured cost of healthcare savings.* Designed and executed statistical analyses to evaluate the effectiveness of health interventions.* Executed a vision for an efficient data and technology infrastructure that measurably increased team productivity and responsiveness.* Served on the California Cooperative Healthcare Reporting Initiative (CCHRI) Reporting Committee.* Managed a highly technical and very diverse staff of 25 while holding turnover at half of the company average, despite intense competition in the industry for informatics skills.* Evaluated cost-effectiveness (ROI) of multiple health and disease management programs and estimated comprehensive benefit to company.* Directed HEDIS® and other healthcare quality measurement projects for NCQA accreditation and public reporting - plan received Excellent accreditation for Commercial and Medicare product lines.* Supervised 10 statisticians and analysts. Managed team budget.

Led of a team of Biostatisticians, Epidemiologists, and Healthcare Data Analysts that conducted research about healthcare quality and patient safety for Medicare beneficiaries.

Developed and directed PBGH physician and hospital quality measurement and reporting activities. Authored and conducted a funded AHRQ project to develop and implement an episode-based physician performance measurement framework.

Led the Medical Economics unit. (Left position because the organization declared bankruptcy and ceased operations.)

Senior statistical analyst and leader of the NCQA Statistical Analysis group

Senior statistical analyst and leader of the Data Operations group for the Division of Health Care Affairs, the AAMC Division that serves teaching hospitals and faculty practice plans

Principal statistical analyst for the Conduct Problems Prevention Research Project, a national, multi-site, field experiment evaluating an intervention designed to reduce antisocial behavior in children