Gary Rosenfield Email & Phone Number

New York, Ny, Us

Camp Hill, Pa, Us

Brooklyn, Ny, Us

Advise companies on Medicaid Managed Care market trends, go-to-market strategies, and product market fit.

Brentwood, Tennessee, Us

VeruStat is a tech-enabled, human powered full-service remote care coordination company that aids health plans, health systems and providers in implementing care plans and tracking vital patient measurements at home to help improve patient outcomes. Unlike most solutions that only offer software and hardware, Verustat has a highly trained team of clinical staff and care coordinators who provide tens of thousands of interventions to patients nationally each month on behalf of health plans, health systems, accountable care organizations, and independent physician groups. As a result, the company has one of the highest compliance rates and proven outcomes among its patient populations in the industry.Joined organization in December 2022 to lead the growth into managed care markets. Built go-to-market strategy for Medicaid Managed Care, Medicare Advantage, and health systems market in first 60 days. Trained leadership team on managed care. Collaborated with sales, operations, marketing, and technology teams to establish the value proposition of the solution.

Tampa, Fl, Us

Drove growth and revenue activities using a tech-enabled, data driven process for lead generation, market qualification, sales, channel partnership, product development, advocacy and contracting. Led internal business development strategies that harnessed growth through process improvement, technology deployment, and better collaboration across functional teams. Built, mentored, and developed a leadership team that spanned across the organization. Developed long-term strategic plan approved by the Board of Directors. - Accelerated revenue growth by 1,000% from $1M Annual Recurring Revenue (ARR) to $10M ARR in 24 months.- Expanded geographic reach of the company from seven states to 15 states by increasing the number of clients under contract from 10 to 24.- Navigated the company through its $17M Series B funding round.- Developed channel partnerships with Social Determinant of Health (SDoH) companies to help large Medicaid Managed Care and Medicare Advantage plans and health systems deliver better access to community services for their members.- Secured grant funding for six Federally Qualified Health Centers (FQHCs) to engage and provide expanded access to care for patients.- Restructured the growth and revenue leadership team to optimize marketing, sales, and business and product development functions.- Led federal and state-level government affairs and advocacy work for the company.- Constructed long-term strategic growth road map.

New York, Ny, Us

Appointed as an officer of the health plan and accountable leader for the Medicaid products. Responsible for Medicaid P&L including membership growth, financial performance, and quality. Established goals and gained alignment from executives across the organization. Built and led a team of professionals dedicated to driving access to high quality care for Medicaid members. - Transformed enrollment process for Health and Recovery Plan (HARP), Medicaid members with special needs. Generated a 10% increase in HARP enrollment and over $8M in additional revenue.- Restructured the Medicaid Product department to drive execution of operational efficiencies and develop long-term plan for quality improvement and member retention.- Established a vendor management process to hold contractors accountable for performance, which led to $1M in cost savings.- Represented the health plan in meetings with the State, County and Local government officials.- Developed value-based care contracting models to expand provider network and improve access for Medicaid members.- Oversaw and managed a $5M budget.

New York, Ny, Us

Oversaw the Medicaid line of business product portfolio that served over 1M members. Accountable leader responsible for short- and long-term strategy development and execution to drive better operating, financial, quality and member experience performance. A servant leader who developed a team of professionals who advanced within the organization. Gained Board approval on strategic plan for Medicaid. Led team of cross-functional leaders to drive operational efficiencies and improvements in member services, claims, care management, population health and marketing.- Amplified Medicaid revenue from $5B to $5.5B.- Propelled Medicaid membership growth to over 1M members through development and launch of a robust retention model.- Established a quality improvement strategic roadmap that led the Medicaid plan to the top ranking statewide.- Managed the expansion into Westchester County and developed long-term growth plan.- Produced a telehealth plan that gained State approval and earned six bonus quality points.- Negotiated with State and advocated on behalf all Medicaid plans to minimize barriers to serving Medicaid populations.- Created an analytics team to identify opportunities and make data-driven decisions.- Managed a $10M+ budget.

Oakland, California, Us

• Guided national and regional executives in the development of market appropriate strategies to double line of business membership in four years.• Directed delivery system, finance and market planning staff through strategic planning process for seven regions.• Administered assessments of current national and regional operations, identify improvement opportunities, and developed processes to maximize efficiencies across functional areas.• Managed a team of national and regional leaders to oversee the execution and delivery of performance improvement projects that were projected to yield a 20% financial improvement by 2018.• Designed the organizational infrastructure with a $1,000,000 budget to support Medicaid expansion.• Developed communication plans to inform executive leaders of possible responses to market conditions.• Collaborated with Permanente Medical Group leaders to design new care delivery models for low-income populations in an effort to reduce expenses by over 10%.

Oakland, California, Us

• Managed a multidisciplinary team in the development and implementation of a statewide process for participation in the Vaccines for Children (VFC) Program. The program provides over $6 million in cost avoidance for Kaiser Permanente annually.• Identified opportunities to leverage organizational capabilities in support of Medicaid and State Programs.• Advised senior leadership for both the Health Plan and Medical Group to successfully accomplish performance improvement initiatives.• Served as an internal expert on performance improvement initiatives for Medicaid and State Programs.• Led a team to develop a pilot that reduced in-patient hospital stays and avoidable emergency department visits for the targeted members.• Developed a program to increase the identification rate of California Children’s Services eligible members, which resulted in an estimated $5 million in additional annual revenue.• Managed workgroups to develop policies and procedures designed to ensure compliance with regulations and contractual requirements.

Gb

Projects:California Department of Health Services (Sacramento, CA) - Worked with the State on developing a medical surge plan during disasters.• Led Project Management Office in organizing work streams for over 250 stakeholders.• Developed stakeholder management and communication plans.• Designed and composed the content of stakeholder web pages, which served as the primary information conduit for the project.• Created project summary, timeline, milestones, structure, and stakeholder types for the client.University of New Mexico (Albuquerque, NM) - Participated in a revenue cycle project.• Managed RFP process for large scale health center to select billing and collections services.• Analyzed monthly collections data and identified opportunities for improvement.• Developed training tools for hospital staff to track and identify cash acceleration opportunities.• Established a protocol for clinical business office to achieve denial management improvements.

Indianapolis, Indiana, Us

• Developed new business unit that was projected to have an revenue stream of $15 million.• Established policies and procedures for revenue cycle management of new business unit.• Designed workflow processes and project timelines for new division.• Led due diligence team in the evaluation of a potential acquisition target.• Created value-added programs for payers designed to increase Apria's market share by 20%.• Composed business plans and financial models for senior management.

Nashville, Tn, Us

• Created and executed marketing strategy to launch new products.• Managed team of 15 marketing managers and over $5 million budget nationwide.• Developed plans that reduced marketing expenses by 13% and increased client base by 35%.

Nashville, Tn, Us

• Implemented and administered projects to improve communications with clients.• Coordinated production of speeches and created presentations for company executives.

Nashville, Tn, Us

• Managed more than 100 conferences for clients, prospects, and referral sources.• Devised and designed the marketing department intranet site for internal communications.

New York, New York, Us

Developed sales and marketing strategies for financial advisors. Wrote and published daily newsletter for entire company.

Led marketing team in generating greater participation and fundraising for AIDS Walk New York 1998.

Developed, designed and executed the largest inline skating event in the world. Led marketing and advertising campaign. Managed over 100 volunteers. Collaborated with city, police and fire department officials. Directed the procurement of sponsors.

Columbia, Md, Us

Managed and executed over 100 technology trade shows for the United States military and federal government. Led marketing campaigns to increase vendor and customer participation at the trade shows.

Woodland Hills, Ca, Us

Wrote articles on local sports events. Led collection efforts on past due accounts.

Mba, Marketing

Ba, History

Political Science And Government

Education record

High School Diploma