Michael Hill

Michael Hill Email and Phone Number

Managing Director-Advisory Services @ Innovaccer
West Hartford, CT, US
Michael Hill's Location
West Hartford, Connecticut, United States, United States
About Michael Hill

There is overwhelming agreement that our $4 Trillion healthcare system is broken (see IOM or JAMA $1 Trillion Waste Analytics); and the growing desire to fix it, makes healthcare one of the most compelling industries with the mandate to implement a feasible solution for the wellbeing of all stakeholders.Evolving modern technologies including AI/ML and Generative AI promote best outcomes, leverage comprehensive data and insights and support collaboration of purchasers, healthcare providers and regulators to drive affordable value-based care fostered by aligned and effective incentives across all partners.An effective healthcare system will be delivered through new technology-enabled platforms to fit the life style and expectations of all health care consumers. This includes all generations and populations regardless of socioeconomic, cultural, or geographic boundaries. We have a responsibility to grow the industry to meet the needs of our nation, leveraging a proven outcomes-focused, data-driven, and technology enabled model.Core skills• Driving clinical and economic outcomes for healthplans, providers, and innovative healthcare digital organizations• Deploying AI/ML and Generative AI for optimal outcomes• Healthplan and provider collaborative model and incentive programs• Physician and consumer engagement • Healthplan rating programs• Metric-based decision making to deliver shared-value programs • Scaling business models for maximum growth• Organizational alignment models• Client expectation management• Forecasting and projectionsPersonal Attributes & Style• Committed to improving provider care at a reasonable cost• Translator: analytics, technology, business partners• Challenger of the status quo, focused under pressure• Outcome focused, resilient bridge builder, innovative, positive• Collaborative, inclusive, meticulous, decisiveLeadership & Relationship Management• Shared data-driven decision maker• Consensus builder, amicable influencer• Client advocacyIndustries, programs and plans• Healthcare consulting (internal and external)• Healthcare advisory solutions • National and regional healthplans• Healthcare transformationTechnology Solutions• Machine learning algorithms, AI, and Generative AI• Predictive analytics• Insight-driven analytics models• Consumer engagement via personalization

Michael Hill's Current Company Details
Innovaccer

Innovaccer

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Managing Director-Advisory Services
West Hartford, CT, US
Michael Hill Work Experience Details
  • Innovaccer
    Managing Director-Advisory Services
    Innovaccer
    West Hartford, Ct, Us
  • Epam Systems, Inc.
    Managing Principal, Digital Engagement
    Epam Systems, Inc. Dec 2020 - Present
    Our Healthcare Practice at EPAM Systems drives client business value for health plans, health systems, physician groups, and healthcare technology companies through delivery of exceptional data, analytics, technology, and excellence in engineering. We help clients thrive in the Consumer Health Marketplace at the Speed of the Digital Age to optimize clinical and economic outcomes through delivery of comprehensive consulting, innovation, consumer experience, and software engineering solutions. Healthcare client solutions delivered across the care continuum include:* AI/ML and Generative AI focused on healthcare use cases to personalize consumer engagement, reduce cost position and differentiate organization value proposition* Integrated digital and omnichannel care from acute care settings to retail to home, enabling next best action and improved outcomes across the care continuum* Business model innovation for healthcare organizations through improved analytics and aligned incentives in value-based care contract arrangementsIn working with leading healthcare organizations across the industry (payer, provider, retail Rx, digital health, technology) through comprehensive business domains we assist clients with making the healthcare system work for people and not the other way around.
  • Lumeris
    Senior Vice President, Advisory Solutions
    Lumeris Jun 2017 - Dec 2020
    Value-Based Care Advisory Practice Leadership (Lumeris):➡ Designed solutions and set up the partnership road map and delivery model that contributed to 97% of firm total contract value over three years.The Advisory Practice:➡ Met or exceeded advisory revenue and budget targets ($2M-$5M) for three consecutive years.➡ Attained more than 150% of client revenue targets (implementation and other services) in 2019 for a total greater than $20M.
  • Neighborhood Health Plan, The Burgess Group, Llc, Navigant
    Consulting: Healthcare Analytics
    Neighborhood Health Plan, The Burgess Group, Llc, Navigant Jun 2014 - Jun 2017
    Neighborhood Health Plan, Consultant to VP of Finance and AnalyticsThe Burgess Group, LLC, Senior Director, Client ServicesNavigant Consulting, Inc., Associate Director, Healthcare Transformation Practice
  • Optum
    Vice President, Healthplan Consulting
    Optum Jan 2005 - May 2014
    Senior Leader with the Consulting Practice:➡ Consistently delivered to profit and growth targets throughout 9 year tenure. Selected experience includes:➡ Led $40 Million 3-Year Enterprise Initiative to deliver first enterprise analytic data warehouse to measure success of population health care interventions on clinical outcomes and claims spend. ➡ Medicare Advantage STARS and Quality optimization raised client from 2.5 to 4.0 STARS and resulted in $72M in savings: rebates and bonuses over two years.➡ Reengineered a health coach and call-center operations that attained $5 million in savings target.➡ Led a Client Partner account turnaround through a STARS optimization and expanded consulting offerings to grow account from $500,000 to $4.5 million in revenue over 2 years.➡ Deployed a data-driven call center response system (intelligent agent desktop) that leveraged behavioral analytics, and gave the response team personalized guidance for each caller resulting in 300% of sales to targeted Medicare Advantage plans.
  • Ecg Management Consultants
    Senior Manager, Healthcare Academic Provider Consulting
    Ecg Management Consultants 1997 - 2005
    ➡ Led multiple health system engagements optimizing client revenue cycles of $50K to $2M. ➡ Developed and led new health system Management Services Organization supporting 1000+ physician health system.➡ Developed and instituted innovative revenue performance optimization analytic model to predict and monitor managed care contract performance.➡ Delivered collaborative payer-health system referral management capability to reduce costs and drive efficiencies in the 360-degree process.
  • Watson Wyatt And Company
    Senior Associate, Healthcare Provider Actuarial Consulting
    Watson Wyatt And Company 1996 - 1997
  • Aetna
    Senior Actuarial Associate
    Aetna Jul 1989 - Jul 1994
    Hartford, Connecticut Area

Michael Hill Skills

Process Improvement Business Analysis Strategic Planning Healthcare Information Technology Strategy Sdlc Cross Functional Team Leadership Business Process Improvement Healthcare Medicare Advantage Quality Improvement Analytics Actuarial Science Healthcare Analytics Star Compliance Management Operations Management Operations Process Improvement Business Model Innovation Revenue Cycle Business Intelligence Data Visualization Medical Management Campaign Management Consumer Healthcare Risk Management Management Consulting Leadership

Michael Hill Education Details

Frequently Asked Questions about Michael Hill

What company does Michael Hill work for?

Michael Hill works for Innovaccer

What is Michael Hill's role at the current company?

Michael Hill's current role is Managing Director-Advisory Services.

What is Michael Hill's email address?

Michael Hill's email address is mh****@****ris.com

What is Michael Hill's direct phone number?

Michael Hill's direct phone number is +141555*****

What schools did Michael Hill attend?

Michael Hill attended University Of Pennsylvania - The Wharton School, Society Of Actuaries, Dartmouth College.

What skills is Michael Hill known for?

Michael Hill has skills like Process Improvement, Business Analysis, Strategic Planning, Healthcare Information Technology, Strategy, Sdlc, Cross Functional Team Leadership, Business Process Improvement, Healthcare, Medicare Advantage, Quality Improvement, Analytics.

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