Hello LinkedIn Community, I am Kelly L. Glass, a mission-driven, pragmatic leader, skilled in leveraging data analytics, systems thinking, and human-centered methodologies to address complex healthcare challenges. My expertise lies in driving large-scale transformations within healthcare delivery, health insurance, and integrated payor-provider systems from ideation to operationalization.I excel at amplifying performance by aligning an organization’s strategic priorities with objective measurement and designing governance structures, implementing operating models, and building strong cultures to ensure success. My strategic efforts accelerate population health outcomes, generate operational efficiencies, and mitigate risks, ensuring superior patient/member care and experience.My career is marked by success in navigating complex regulatory landscapes and spearheading innovative solutions that enhance healthcare quality, equity, affordability, and operational excellence. My expertise extends to monitoring and enhancing performance in quality rating systems like HEDIS/Stars, advancing Leapfrog patient safety initiatives, and responding effectively to pandemics. I am passionate about mentoring emerging leaders and cultivating partnerships to solve healthcare’s most complex problems in transitioning from fee-for-service models to value-based care models. Let’s connect and explore how we can collaborate to transform healthcare to ensure better outcomes for the people delivering and receiving care.Areas of Excellence • Healthcare Quality Improvement • Performance Metrics & Analytics • Strategic Planning & Execution • Team Leadership & Mentoring • Transformational Leadership • Change Management • Process Improvement Methodologies • Program Development and Execution • Healthcare Technology Integration • Population Health Management • High-level Decision-making • Clinical Transformation • Teamwork, Collaboration • Risk Adjustment Strategies • Payor-provider Integration • Value-Based Care Models • Patient Safety Initiatives • Regulatory Compliance
A2A Advising And Consulting, Llc
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Founder And CeoA2A Advising And Consulting, LlcPittsburgh, Pa, Us
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Vice President Of Enterprise Clinical Quality (Promoted)Highmark Health 2020 - 2024Pittsburgh, Pennsylvania, United StatesI catalyzed the company’s clinical Quality/Safety/Value (QSV) transformation. Key Contributions: • Strategic Leadership: Implemented a vision, strategy, and governance model that redefined QSV performance across the payor and provider spectra, enhancing regulatory compliance, fostering continuous improvement, and transitioning the organization to a population-health orientation. • Board-Level Engagement: Obtained board approval for the approach, setting annual priorities and key performance indicators that aligned with organizational goals and national benchmarks. • Operational Excellence: Led the QSV board-level committee operations, transforming their focus from regulatory compliance to leveraging QSV in shaping enterprise strategy. Co-led the QSV Operating Committee, an interdisciplinary forum of leaders to drive performance enhancements across all populations and markets. • Health Impact: Oversaw a portfolio of initiatives that improved preventive screenings and care coordination, achieving the highest childhood immunization rates and notable increases in cancer screening rates within the health plan. • Innovative Research and Strategy: Spearheaded research into cancer screening factors and laid the groundwork for a new clinical data strategy focused on digital quality measurement and interoperability standards. • Financial and Operational Oversight: Established and managed the operations and finances of the enterprise’s Clinical Ethics program, ensuring ethical standards in clinical decision-making. • National Influence and Recognition: Actively participated in national quality forums and panels, influencing measure development by CMS and NCQA, influencing policy stances through the Blue Cross Blue Shield Association and other Blues, and featured as a plenary panelist at the National Association of Healthcare Quality’s 2023 conference. -
Vp Of Strategy, Operations & Shared Services And Director, Operations & Strategy (Promoted)Allegheny Health Network 2017 - 2020Greater Pittsburgh AreaI led a portfolio of system-level work. In my role as the Operational Dyad to the Chief Medical Officer and subsequently the Chief Quality Officer and Chief Learning Officer, I crafted an operating model that integrated strategy, governance, budgeting, continuous process improvement, leadership development, and staff engagement. This model contributed to the Office being recognized for having the highest number of top-quartile leaders for culture within Highmark Health. I received two commendations for outstanding performance related to organizational values. Key Achievements: • Led the effort to assemble over 130,000 COVID-19 specimen collection kits and 15,000 personal protective equipment packs during the first pandemic surge. • Transitioned physician advisor capabilities in-house and launched the Controllable Loss Program, driving improvements in clinical documentation. • Implemented enhanced patient safety measures as well as data and audit infrastructure, earning accolades from the Leapfrog Group for elevating every network hospital to an “A” or “B” rating. • Pioneered a Virtual Reality pilot with an interdisciplinary team and in collaboration with Carnegie Mellon University to enhance quality, safety, and patient experience. • Co-led the business case development to enhance acute care pediatric QSV capabilities, in partnership with Johns Hopkins Armstrong Institute for Patient Safety and Quality. • Overhauled the Administrative Fellows program, achieving virtual onboarding during the pandemic and securing job placements for 75% of participants. • Established and led the operations and financial management for the Clinical Ethics program, focusing on driving its success and ensuring financial stability.• Guided the Transfusion Safety team, recognized by the Pennsylvania Department of Health for innovative redesigns in outpatient blood transfusions and IV iron infusions. • Led a portfolio that delivered multimillion dollar margin enhancements. -
Director, Transformation Office, And Transformation Leader (Promoted)Highmark Health 2015 - 2017Greater Pittsburgh AreaI established and led an internal consulting team focused on executing strategic objectives across the enterprise. Working closely with the Executive Vice President and Chief Strategy Officer, I played a key role in shaping and driving Highmark Health’s 2020 strategy. Key Achievements: • Steered the design and implementation of a Clinically Integrated Network (CIN) across western Pennsylvania, encompassing 7 hospitals and 2,000 physicians. The project was completed four times faster than the industry standard and led to the launch of revenue-generating risk arrangements earlier than industry norm. • Led the transformation and overhaul of several care models, reducing clinical variation, eliminating inefficiencies, enhancing clinical outcomes, and innovating reimbursement methods while building the operational team from the ground up. • Paved the way for the implementation of the Patient-Centered Medical Home model at Allegheny Health Network (AHN), significantly improving patient care coordination and outcomes.
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Strategy Consultant, Medicare Stars And Risk Adjustment (Promoted)Highmark Inc. 2014 - 2015Pittsburgh, Pennsylvania, United StatesI developed and optimized health plan capabilities for the CMS Ambulatory Stars and Risk Adjustment programs, overseeing daily operations and ensuring seamless integration between health plan and provider support teams. Key Achievements: • Developed strategy, governance, and operating models that significantly improved Medicare Stars performance from 3.5 to 4.0 Stars. • Led the restructuring of the Risk Adjustment (RA) department, mitigating operational risks and achieving substantial performance improvements, ensuring accurate capture of RA reimbursement. -
Manager And Senior Consultant, Senior MarketsHighmark, Inc. 2010 - 2014PittsburghI led major programs aimed at improving Medicare Advantage member experiences and strengthening partnerships with Blue Plan affiliates. My efforts focused on delivering operational efficiencies, enhancing customer service, increasing member retention while achieving significant cost savings. Key Achievements: • Revamped and merged clinical and customer service call centers, securing the retention of two national accounts and driving broader adoption of service enhancements. • Designed and implemented a risk assessment analytic model for Medicare Advantage members, enabling the identification of a potential .5 Star loss and facilitating timely corrective actions. • Launched an automated caregiver support program, increasing enrollment from 500 to over 10,000 members. • Achieved multimillions in cost savings by transitioning durable medical equipment claims processing inhouse. • Led the introduction of an online enrollment application that integrated with upstream and downstream systems, significantly improving process efficiency and the member experience.
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ConsultantThe Hill Group 2005 - 2009Pittsburgh, Pennsylvania, United StatesI delivered strategic consulting services to key clients across multiple sectors, including government, non-profit, education, and healthcare, while leading the firm’s Workforce and Economic Development practice. Key Achievements: • Directed the firm’s Workforce and Economic Development practice, significantly contributing to the firm’s yearly revenue. • Engineered public-private partnerships that addressed critical healthcare workforce shortages, resulting in actionable organizational plans, and policy recommendations, and securing a multimillion-dollar earmark in the Commonwealth budget for policy enactment. • Developed and implemented clear mission, vision, strategy, and execution plans for various organizations, driving measurable results. • Created and launched a self-sustaining, revenue-generating service line for a nonprofit client, enhancing their financial sustainability. -
Research AssociateDuquesne University 2002 - 2005
Kelly Glass Education Details
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Economics And Geography
Frequently Asked Questions about Kelly Glass
What company does Kelly Glass work for?
Kelly Glass works for A2a Advising And Consulting, Llc
What is Kelly Glass's role at the current company?
Kelly Glass's current role is Founder and CEO.
What schools did Kelly Glass attend?
Kelly Glass attended Penn State University, The University Of Kansas.
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