Kevin Delaney Email & Phone Number

Denver, Co, Us

Us

Us

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Oakland, California, Us

- Led team of business process and analytical consultants, providing program oversight of risk adjustment performance and trends for all 7 KP regions, working directly with regional operations and medical group teams to highlight opportunities for targeted initiatives, across Medicare and Commercial lines of business. - Direct team that conducts statistical and financial data analysis on health plan and medical record data sets to compare to benchmarks, and synthesize into actionable information for operational and clinical teams to design initiatives and programs to more completely and accurately capture diagnosis data. - Managed the design and execution of key controls related to the accrual of Medicare Advantage revenues, related to how risk scores are calculated and used to adjust ~30% of KP revenues. - Acted as Realization Team Lead of successful IT project, which created capability to more completely and accurately submit diagnosis data to Edge Servers for ACA risk adjustment via a supplemental diagnosis file, while also providing guidance and consultation to team developing solution to submit data to Edge Servers. - Led KP's extension of Risk Adjustment operations and capabilities to new populations in Commercial Lines of Business, managing and procuring funding to scale regional operations, creating new data analyses and reporting, educating key stakeholders, presenting to senior executives in organization, and keeping track of risks, opportunities, key accomplishments and watchlist items. - Created and hired new team for ACA risk adjustment, as well as managing the integration and merger with existing team members, to create integrated department, managing Risk Adjustment work across all lines of business.

Oakland, California, Us

- Provides financial leadership for the Medicare Line of Business in the OH region. - Oversees development of Medicare revenue budgets and forecasts. Coordinates development of long term regional Medicare P&L forecasts. - Prepares, supports and influences regional strategies, financial plans, operational improvements, and governmental regulatory filings that strongly contribute to the success of the Medicare line of business in Ohio region. - Provides leadership and influence with the development and execution of risk adjustment related initiatives in cooperation with key business partners, including Permanente Medical Group, coding, information systems and national risk adjustment teams. - Responsible for participating in HMO Cost Report audits and audit coordination at regional level for external, internal and regulatory financial audits and remediation of audit findings in the HMO reimbursement area.

Oakland, California, Us

• Provide strategic guidance and analytical support to regional risk adjustment operations to maximize revenue capture for Medicare Advantage business line• Support OH region in analysis of Medicare finances. Identified key drivers for year-over-year margin shift, and created Medicare Employer Group P&L statement, helping Actuarial group’s pricing strategy• Provide financial guidance to GA region. Monetized opportunities, recommended and influenced adoption of key strategic initiatives, increasing 2011 revenue by more than $1M. Created performance dashboards for physician lead and HIMS director and shared best practices of other regions• Spearheaded initiative to quantify financial impact of changing member demographics on KP Medicare Advantage revenues, working with Payment Policy Group to provide component to national organization’s strategic financial plan and long term payment trends• Led national implementation of SAS/BI reporting environment, developing strategy for roll-out and designing reports to standardize dashboards

Boston, Ma, Us

• Led successful implementation of Hyperion Planning system, developing majority of business logic and technical functionality within web application that 165+ end users utilize to submit future year budget.• Supervise junior Budget staff and train in regards to routine operations and introduction to new Financial Data systems. • Direct workshops for Managers and VPs to facilitate annual budget process. • Developed automated report system that simplified and streamlined creation of annual Budget Book, reducing production of individual reports from many minutes to a few seconds. • Analyze cost trends, providing actionable reports to reduce hospital expenses.

Oakland, California, Us

• Created a quality performance model of Kaiser’s 20 Northern California medical centers, which will provide framework for annual strategic plan of Quality Planning group and senior leadership• Led process to create a centralized data warehouse for Quality Planning group, cutting down report creation process by days: integrated key stakeholder feedback and incorporated department needs• Solely responsible for development of the reporting redesign strategy; established framework to provide Northern California imaging departments real-time data dashboards to meet regional access goals• Facilitated a team of 7 consultants through the initial setup of a region-wide initiative to standardize appointment types and lengths in scheduling system

Hingham, Massachusetts, Us

Managed 100+ personnel at a valet parking account at Brigham and Women’s Hospital, the 2nd largestvalet parking operation on the East Coast, with revenues of $3.5M• Monitored quality of employee’s performance, terminating when necessary and introducing efficiencyinto staffing schedules

Mba / Mph, Health Management

Ba, Economics

Education record