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Senior Value-Based Care Executive offering over 14 years of experience in healthcare operations and strategy. Known for partnering at all levels to effect change as a business strategist, who develops innovative concepts and partnerships to Value- Based Care stakeholders. Expert in healthcare regulatory and compliance issues, accountable care organization (ACO) development and operations, physician engagement and in healthcare technology implementation. Deep experience in informatics, analysis, interpretation of large datasets, and in healthcare IT product development.
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CeoRevelar Analytics Mar 2023 - PresentAnnapolis, Md, UsAt Revelar, we understand that data is the key to unlocking the insights needed to make informed decisions. Our team of data analysts are passionate about providing our clients with the latest technology solutions to help them gain price transparency. By providing up-to-date data and insights, we empower our clients to make better decisions and gain a competitive edge. Our services division also offers guidance to help with payer negotiations and ways to identify fair market value compensation. -
Expert AdvisorSunflower Health Advisors Aug 2024 - Present -
Vice President Of Business DevelopmentAaneel Mar 2023 - Jan 2024Tampa, Florida, UsWork in close concert with the CEO to develop the strategic direction for product development and company growth. Served as a core advisor on understanding healthcare operations, the value-based care space, and current regulatory and payor initiatives, to develop a holistic vision for opportunity for both product and client services.Develop an overall Alliance strategy/program to drive sales leads• Collaborate with Business Strategy, Marketing, Product, and Data Science Delivery teams to align cross-functional support behind the business plan• Identify growth opportunities and create strategies to capitalize on them• Analyze financial data and develop financial models to support businessdecisions -
Vice President Of Business DevelopmentClosedloop.Ai Mar 2022 - Feb 2023Austin, Texas, UsWork in close concert with senior leadership team to focus healthcare, insurance and ACO expertise on internal corporate strategy. Regular CEO-level collaboration on strategy and strategic partnerships, and translation of artificial intelligence product vision into viable healthcare-relevant deliverables.Develop an overall Alliance strategy/program to drive sales leads.• Structure multiple alliance programs, such as OEM, reseller, and referralpartner; develop contracting framework.• Pursue, negotiate, and close new Alliance programs.• Develop strategic relationships with systems integrators, cloud vendors, andconsulting firms.o LedsuccessfulefforttobeselectedforandparticipateintheAWSKidsx Accelerator Challenge.• Product development of a management dashboard to identify key metrics totrack impact over time for sales in CRM system.• Develop enablement and onboarding plans for partner training anddevelopment.• Collaborate with Sales, Marketing, Product, and Data Science Delivery teamsto align cross-functional support behind the Alliances business plan. -
Senior Business ConsultantSalient Management Company 2019 - Mar 2022Horseheads, New York, UsWorked in a multidisciplinary team spanning product development to strategy, marketing, and external relations. Served as a core advisor on understanding healthcare operations, the ACO space, and current regulatory and payor initiatives, to develop a holistic vision for opportunity for both product and client services. Deeply involved in operational development of the Salient data analytics platform, and in elaboration of relevant data source partners from across the spectrum of healthcare participants.- Served as Lead in identifying, negotiating and the implementation of strategic partnership opportunities to support interventions that impact the cost and quality of care delivered by providers of care across the healthcare ecosystem- Served as client facing subject matter expert for Health Policy and Value-Based Payment clients- Served as Project Lead in defining business requirements, providing input on relevant technical expertise and requirements gathering- Maintained knowledge of state and federal health and human services programs, their missions, functions, and roles of clients including challenges and future directions- Led client needs assessment sessions to identify professional services, licenses and enhancements needed. Facilitated and documented requirements for new applications and enhancements related to interoperability and data integration- Proactively outreached to potential clients through conference attendance, client referrals, and partnering with marketing on outreach campaigns. - Researched potential clients, identified their decision makers and built relationships with them. Established meetings with those decision makers and company’s practice leaders/Principals, as needed-Worked with marketing and the client success organization, executed accurate, powerful, persuasive sales presentations that effectively demonstrated the unique value proposition of Salient Healthcare’s value-based care offerings -
Assistant Director, Transitions Of Care And High Risk ProductAledade, Inc. 2018 - 2018Bethesda, Maryland, UsLed the design, analysis, and execution of key strategic and operational initiatives nationally (implemented across 18 ACOs):o Annual Wellness Visitso TransitionsofCareo Skilled Nursing and Post-Acute Care• Developed data driven recommendations, and execute along those initiatives to achieve shared savings in 6 markets.• Led cross-functional teams (Engineering, Legal, Training, Impact Analytics) to implement new business initiatives, including: Post Acute Liaison Program, SNF 3 Day Waiver Program.• Managed and developed field teams to support those initiatives in nationally.• Developed external partnerships with home health agencies and skilled nursingfacilities to improve patient care and lower healthcare costs.o Developedexternal-facingqualityscorecardstoidentifypreferredprovider networks using claims data and publically available home healthand nursing home data.• Developed external partnerships with hospitals and hospital data vendors toimprove Admission, Discharge, and Transfer (ADT) notifications to primary care providers. -
Initiatives CoordinatorAledade, Inc. 2015 - 2018Bethesda, Maryland, Us -
Patient Centered Medical Home Operations Project ManagerCarefirst Bluecross Blueshield 2012 - 2015Baltimore, Md, UsWorked in a cross-disciplinary environment as an operational lead and subject-matter expert focusing on Value-Based Care programs.• Led implementation efforts of a telemedicine pilot for members in the PCMH Program.• Led regional data review meetings with Senior Leadership to identify areas of opportunity and strategies to increase productivity, resulting in 10% productivity increase over five months.• Participated on the HEDIS Quality Improvement Steering Committee.• Supported the application process for NCQA Physician Quality Certification Program and NCQA Health Plan Accreditation.• Led efforts on several high-profile, high-stake claims processing projects, which included identification and resolution of system-wide issues, resulting in over $2 million claims reconciliation for payments of denied claims to vendor partners and prevention of future multi-million-dollar claims denials.• Created custom processes to audit PCMH provider claims to ensure accurate payment practices.• Served as subject matter expert for development of PCMH benefit eligibility IT systems, including development of system requirements and system testing; support user-testing processes.• Ensured ongoing regulatory/contractual compliance for the PCMH Program. -
Project ManagerDiscern Consulting 2010 - 2012• Developed strategic plans and conduct feasibility studies for accreditation organizations, including NCQA and URAC• Developed Patient-Centered Medical Home (PCMH) business and outreach strategies for organizations, including Foundation for Chiropractic Progress• Conducted the strategic planning process for non-profit organizations, such as the PCPCC• Co-authored: Putting Theory into Practice: A Practical Guide to PCMH Transformation Resources, published by the PCPCC• Co-authored: Role of Chiropractic Care in the Patient-Centered Medical Home, published by the Foundation for Chiropractic Progress• Co-authored: Value-Based Purchasing Guide, published by NBCH• Assumed project management role for the Hospital Quality Alliance• Participated in hospital quality survey testing and distribution for The Leapfrog Group• Developed COPD Employer Toolkit, published by the COPD Foundation• Developed marketing materials for pharmaceutical client related to PCMH and ACO• Consulted practices on quality measures reporting processes; conduct data analysis on quality reporting for the Maryland Multi-Payer Patient-Centered Medical Home project• Consulted practices on NCQA PCMH Recognition processes
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PresidentA+ Promotions 2008 - 2012• Launched independent marketing, staffing agency • Staffed, hired, trained staff for point-of-sales promotions (POS) and tradeshows • Designed and ordered promotional materials for POS promotions and tradeshows• Contracted with client to implement POS promotions at retail stores
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Independent Marketing ContractorIndependent Marketing Contractor 2003 - 2008• Executed sales promotions for multiple clients• Supervised promotional models at marketing events to raise product awareness• Educated consumers on product to increase brand recognition
Maria Nikol Skills
Maria Nikol Education Details
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Widener University Schools Of LawHealth Law -
University Of The Sciences In PhiladelphiaScience Pharmaceutical Marketing And Management
Frequently Asked Questions about Maria Nikol
What company does Maria Nikol work for?
Maria Nikol works for Revelar Analytics
What is Maria Nikol's role at the current company?
Maria Nikol's current role is Value-Based Healthcare Expert.
What is Maria Nikol's email address?
Maria Nikol's email address is sh****@****hoo.com
What is Maria Nikol's direct phone number?
Maria Nikol's direct phone number is +141081*****
What schools did Maria Nikol attend?
Maria Nikol attended Widener University Schools Of Law, University Of The Sciences In Philadelphia.
What are some of Maria Nikol's interests?
Maria Nikol has interest in Figure Skating, Management, Value Based Purchasing, Marketing, Market Research, Accountable Care Organizations, Patient Centered Medical Home.
What skills is Maria Nikol known for?
Maria Nikol has skills like Strategic Planning, Management, Healthcare, Program Management, Marketing, Process Improvement, Project Management, Accountable Care, Project Planning, Research, Healthcare Consulting, Medical Home.
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