James Dold

James Dold Email and Phone Number

Vice President Strategic Partnerships @ Talkiatry
Boston, MA, US
James Dold's Location
Greater Boston, United States, United States
About James Dold

Steering Mindoula's strategic partnerships, my tenure has been marked by fostering innovative healthcare solutions with a sharp focus on behavioral and physical health integration. Our team has expanded services across the continuum of care, leveraging technology to enhance patient outcomes.Previously, as Chief Clinical Officer at SpotLyte Health, I honed my expertise in clinical operations, ensuring the delivery of quality care. The skills in electronic health records, process improvement, and new business development have been instrumental in driving growth and operational excellence.

James Dold's Current Company Details
Talkiatry

Talkiatry

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Vice President Strategic Partnerships
Boston, MA, US
James Dold Work Experience Details
  • Talkiatry
    Vice President Strategic Partnerships
    Talkiatry
    Boston, Ma, Us
  • Mindoula
    Vice President Strategic Partnerships
    Mindoula Jan 2021 - Present
    Silver Spring, Maryland, Us
    Mindoula is a next-generation behavioral health management company that delivers tech-enabled 24/7 care extension, care management and case management, care coordination, and psychiatry services (including telepsychiatry) to populations with behavioral and physical health challenges across the continuum of care. Mindoula contracts with payers, health systems, hospitals, and primary care practice groups, extending the reach of existing capabilities and helping them “carve in” and integrate behavioral health management with medical health management. Mindoula’s HIPAA compliant multi-platform technology incorporates propriety psychometrics, predictive analytics, and a highly effective mobile engagement app called “Mindoula Messenger.” Coupled with Mindoula’s mission-driven, member-focused approach, our technology platform has helped propel our success in becoming a market leader in tech-enabled care extension and direct care, reducing all-cause hospital readmissions by more than 75%, and significantly reducing potentially avoidable ED utilization to deliver total cost of care reductions of 30% - 50% in targeted populations.
  • Adcare Hospital
    Former Member Board Of Directors
    Adcare Hospital May 2022 - May 2023
    Worcester, Massachusetts, Us
    The AdCare name represents innovation, quality and cost efficiency in alcohol and drug treatment. AdCare’s integrated system of care offers a nationally-recognized hospital facility in Worcester, Massachusetts; an inpatient treatment center in North Kingstown, Rhode Island; and a network of outpatient offices conveniently located throughout Massachusetts and Rhode Island.AdCare embraces a philosophy of quality-driven, patient-centered programs that are also relevant to the challenges of today’s healthcare environment. AdCare’s continuum of treatment levels and modalities enables us to match the needs of the patient with the most appropriate level and cost of care.
  • Spotlyte Health
    Chief Clinical Officer & Chief Development Officer
    Spotlyte Health Jun 2020 - Jan 2021
    As the Chief Clinical Officer - Responsible for clinical operations and the effectiveness, safety, and quality of clinical care delivery via community health workers, clinical social workers, professional counsellors, office-based nurses, and medical assistants. Management of relationships and focus on the clinical performance of providers and partner practices, contracted psychologists, therapists, and allied staff.As the Chief Development Officer - Executes outreach strategies & establishment of strategic frameworks for capitalizing on identified opportunities across the business and approaching new prospects. Maintains direct contact with prospective M&A business leadership as well as the business’s consumer base in order to secure value for the business from these relationships and identify new opportunities for further business growth. Driving Development Department, Consulting, M&A, and Strategy Planning, ensuring that all activities are adding value to the business, also manages and prioritizes the business’s pipelines.
  • Lumeris
    Vice President Strategy
    Lumeris Oct 2016 - Aug 2020
    Maryland Heights, Missouri, Us
    Engaging as an operating partner to provide the people, processes and enabling technology essential for payers and health systems to deliver Population Health Services Organization capabilities. The depth and breadth of our solutions—combined with our decade of experience in value-based care—make Lumeris an ideal partner for any health care organization seeking to transform its business and care-delivery model and remarkably improve its clinical and financial outcomes.
  • Evolent Health
    Managing Director
    Evolent Health Apr 2015 - Oct 2016
    Arlington, Va, Us
    Managing Director, Clinical Solutions Evolent Health supports progressive health care systems lead, build and own the path to value-based care. Integrating the people, processes and technology needed to advance value-based care delivery and innovative payment models. As a senior leader within the Clinical Operations area, I managed teams responsible for coordinating and delivering on all aspects of strategic operational assessment work, and new implementations created with our partners as a result of shared vision shifting from a Fee for Service to Value Based Compensation models. Collaborating closely with the various internal and external functional leads involved with accounts, this senior position required expertise in both large scale implementation management as well as operational experience in care management and utilization management programs in order to fully meet partners’ needs. Expert in building strong relationships with partner organizations, adept at creating a strategic clinical programs roadmap for new and existing clients.
  • Privia Health
    Vice President Of Clinical Services
    Privia Health Nov 2014 - Apr 2016
    Arlington, Va, Us
    Privia Health is a unique national physician practice management and population health technology company that partners with top doctors to keep people healthy, prevent disease, and better manage care in-between office visits. Through our high-performance physician group (Privia Medical Group), accountable care organization (Privia Quality Network), and population health management programs, Privia works in close partnership with forward-thinking health plans and national payers to improve health outcomes and deliver high value care. Privia’s sophisticated cloud-based technology platform, combined with our unique approach to physician-driven wellness and care management, is transforming the healthcare delivery system and creating a healthier patient population.As VP of Clinical Services I will be creating clinical strategy and implementing programs to improve clinical outcomes for members in the Privia practices and scaling it nationally with the Privia strategic growth plan.See press on national expansion plans - https://www.priviahealth.com/releases/09162014-goldman_sachs_led_investor_group_backs_privia_health.html
  • Cvs Health
    Senior Director Health System Contracting
    Cvs Health Jan 2013 - Nov 2014
    Woonsocket, Ri, Us
    CVS Caremark and Minute Clinic have established a variety of programs and offerings to support and collaborate with health care providers, including physician groups, hospitals, Integrated Delivery Networks (lDNs), and Accountable Care Organizations (ACOs).As Senior Director of Health System Contracting I’m responsible for developing contractual relationships with such Health Systems across the country. Reporting to the Senior Vice President for Health System Alliances and working closely with the Senior Director of Health System Strategies to develop a set of programs offered to health systems. I’m responsible for developing relationships with health systems and engaging with those systems to execute collaborative contractual agreements.Major Responsibilities:• Prospect for and develop new provider relationships across the country. Maintain relationships with current health systems that have a relationship with CVS Caremark and Minuteclinic.• Along with other CVS Caremark leaders, prepare and deliver high quality presentations to physicians, physician leaders, and health system executives, including CEOs, CFOs, and CMOs. • Work with legal, finance, and other internal experts to develop health system collaboration agreements that meet both the needs of the Company and of the health system.• Work diligently and collaboratively with health system business and clinical leads to execute collaboration agreements.• After the execution of collaboration agreements, maintain the overall relationship with the health system and ensure that the contract is fully implemented by CVS Caremark and that all contractual requirements are met or exceeded.• Work collaboratively with leaders and colleagues across the Company to ensure that the health system relationships support and align with other business activities.• Maintain an accurate sense of the healthcare delivery market relative to the Company's strategic goals.
  • New England Quality Care Alliance
    Director Of Clinical Performance
    New England Quality Care Alliance 2010 - 2013
    Braintree, Ma, Us
    As the Director of Clinical Performance I was responsible for developing, implementing, monitoring, reporting on and directly managing processes, programs and tools to continually improve New England Quality Care Alliances (NEQCA) clinical quality and efficiency performance. Working with the Quality Medical Director and collaborating with the COO and the CMO to develop and manage NEQCA central clinical programs including the nurse case management program and high risk and disease management programs. The Director of Clinical Performance is a key liaison with payers, pod management, physicians, other providers, Tufts Medical Center, care management vendors, community hospitals and other organizations.
  • National Aco Conference
    Panelist
    National Aco Conference 2012 - 2012
  • Enhanced Care Initiatives
    Regional Director Of Services October 2008 – 2010
    Enhanced Care Initiatives Apr 2007 - Mar 2010
    Us
    Disease Management/Wellness Programs • Directed operations in Western New York: Created and implemented a plan to enroll members totaling 750 within 8 weeks representing an increase of 1.2 million in revenue o Assisted in the RFP and contract negotiations for expansion into Western New York.o Accomplished Contract negotiations, Budget Planning, staff recruitment at all levels, office procurement, creation and implementation of training scheduleso Developed tactical operations to meet enrollment projections on going implementation of contract with Payer instituting all process and workflows between departments and systems.
  • Enhanced Care Initiatives
    Director Of Service
    Enhanced Care Initiatives Aug 2007 - Mar 2008
    Us
    Director of Services August 2007 – 2008• Excelling in role as Director of Clinical Services, change in corporate strategies resulted in expanded role to manage entire business unit. o Full contract and budgetary responsibly, monthly P&L review. o Drove unit to profitability in 6 months.o Reduced utilization in membership by 35%+ and decreased overall costs by 27%. o Created management team and improved contract relations thru attention to detail and flexibility. o Assisted in the re-design and upgrades to Electronic Medical Record (EMR) o Improved communication from field staff to PCP’s managing members o Created marketing position for state of MA program and expanded into New Yorko Conducted clinical reviews of membership to create new solutions to decrease utilization for enrolled membership. o Collaborating in corporate QI process and hospital avoidance programs. o Worked on improved coding process to improve HCC scores membership resulting in 7-15% increased revenue capture. Director of Clinical Services, April - August 2007• Provided clinical oversight for disease management/wellness program focusing on frail elder population.o Members identified thru claims data or direct referrals from PCP’s for intensive, global DM/CM to improve outcomes both utilization and financialo Reviewing referrals for appropriatenesso Hired and managed 25+ employees both licensed and non-licensed. o Training staff on company policy and procedures, EMR and intake process, Care Planning, Care Mappingo Assisted with EMR redesign o Managed EMR interface with client working thru changes and upgrades
  • Federal Bureau Of Prisons
    Director Of Nursing & Long Term Care Operations
    Federal Bureau Of Prisons Jun 2003 - Mar 2007
    Washington, Dc, Us
    Director of Long Term Care June 2003 to April 2007• Complete Administrative and clinical oversight for our Long Term Care serviceso Included all preparation for our initial JCAHO survey process.o The program received full accreditation with only 3 recommendations.Director of Nursing Operations, June 2003 to April 2007• Responsible for the delivery of nursing services for over 1350 inmates on 10 unitso Management of Urgent Care Medical Clinico Created the Utilization Review Program and all reporting procedures that based on successes of decreasing overall utilization by 32% were implemented BOP wide. o Created an intensive clinic based CM program for chronic conditions such as diabetes, Heart failure, and COPD to reduce acute events. Decreased overall utilization in clinic by 28% in 6 months. o Implemented a new Hospice programo Re-designing the midlevel management structure within the department. o Coordinate all recruitment and retention efforts - modifying the new hire process resulting in hiring 10 new medical professionals in first 120 days, in-servicing schedules and programs. o Creating new systems for streamlining the delivery of medical services impacting both interagency and regional relationships. o Worked on development of dementia program to aid with the issues of the aging population. o Member of:Labor Management Relationship committee Medical Mortality Review CommitteeUtilization Review committee
  • Spectrum Health Systems, Inc.,
    Director Of Operations, Behavioral Health Division
    Spectrum Health Systems, Inc., Jun 2000 - Jun 2003
    • 24 Million annual revenue, Acting as Regional Director responsible for o Implemented Utilization & Review program resulting in an increase of 48% utilization of inpatient services to 104% in 13 months.o Cost saving programs resulting in the margin rising from 6% to division leader at 23% in 10 months. o Creating relationships with other service providers in the community, thus maintaining census at 98% of capacity. o Coordinated the bidding on RFR in the state of Hawaii for Dual Diagnosis services.o Facilitated the complete redesign of the clinical recordo Monthly P&L reviews and creation of Annual Budgetso Monitoring contract expenditures for cost reimbursement, grants, and awards o Directly supervising a group of 15 mid-level managers.• Responsible for special operations including – Re-writing Policy and Procedures Initial CARF certification Purchasing ProgramsDEA/DPH Methadone licensing Vendor Contract Negotiations SecurityChair of Corporate Compliance Committee Chair of Environment of Care Committee Co-chair of Infection Control CommitteeNew Clinic openings New Clinic build-outs

James Dold Skills

Healthcare Management Healthcare Hospitals Managed Care Nursing Healthcare Information Technology Emr Clinical Research Disease Management Management Healthcare Consulting Leadership Physicians Healthcare Industry Strategic Planning Medicare Program Management Medicine Medicaid Physician Relations Utilization Management Case Management Working With Physicians Project Management Team Building Healthcare Information Technology Case Managment Home Care Jcaho Ehr Informatics Electronic Medical Record Staff Development Operations Management Microsoft Office Public Speaking Aco Inpatient Inpatient Care Situational Leadership

James Dold Education Details

  • Western Governors University
    Western Governors University
    Organizational Leadership
  • Acpe
    Acpe
    Organizational Leadership
  • Western Governors University
    Western Governors University
    Nursing Administration
  • Framingham State University
    Framingham State University
    Nursing

Frequently Asked Questions about James Dold

What company does James Dold work for?

James Dold works for Talkiatry

What is James Dold's role at the current company?

James Dold's current role is Vice President Strategic Partnerships.

What is James Dold's email address?

James Dold's email address is ja****@****ula.com

What is James Dold's direct phone number?

James Dold's direct phone number is +197834*****

What schools did James Dold attend?

James Dold attended Western Governors University, Acpe, Western Governors University, Framingham State University.

What skills is James Dold known for?

James Dold has skills like Healthcare Management, Healthcare, Hospitals, Managed Care, Nursing, Healthcare Information Technology, Emr, Clinical Research, Disease Management, Management, Healthcare Consulting, Leadership.

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