Michael Olivieri Email & Phone Number

Hoboken, New Jersey, Us

Vytalize Health is a leading value-based care platform helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution including valuebased incentives, smart technology, and a virtual clinic that enables small and large independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than two hundred thousand Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors.Learn more at www.vytalizehealth.com or email info@vytalizehealth.com

New York, Ny, Us

Lake Success, Ny, Us

Director of field-based team responsible for engaging practice staff, office managers and physicians to close gaps in care.Target patient populations that are tied to ProHealthcare’s value-based contracts to improve patient outcomes, performance of the ProHealthcare network and reduce overall cost of care.Utilizing Health IT and data analytics to identify areas of focus & building network strategies for improvement of quality initiatives.Create workflows to help practices maximize EMR utilization, increase overall office efficiencies and improve clinical outcomes.

New York, Ny, Us

I have close to a decade of designing and implementing Population Health Programs in the New York market. In my current role, I manage a highly effective field based team in recruitment, training, educating, mentoring and practice transformation initiatives in New York and Long Island. Under my leadership, MSHP has launched the only Clinically Integrated network in New York. MSHP has successfully negotiated deals with 9 managed care payers. Data analytics helped drive MSHPs field initiatives and my team has implemented these with the MSHP network of over 4,000 physicians.

Health Plan Operations, Business Development and SalesResponsibilities include the development, implementation and strategic planning of the Health Plan's policy and procedures with the primary goal to become the leader in the New York City Managed Care market. My responsibilities include managing an elite sales force to acquire new business and build service platforms to fulfill the company's vision and goals. Additional responsibilities include negotiations of contract terms, fee structure and partner relations to increase plan membership offering our partners competitive fees and to be a part of the North Shore-LIJ Health System brand. New York State Licenses North Shore-LIJ Insurance Company Inc. as Health InsurerNorth Shore-LIJ CareConnect insurance plan - available Oct. 1 in NY metro area New York State Department of Financial Services approved North Shore-LIJ Insurance Company Inc.’s application for an insurance license. This marks one of the 1st times in state history a major health system has created a controlled insurance co. to sell commercial health insurance to individuals, families & employers North Shore-LIJ Insurance Company Inc. will begin marketing commercial insurance plans on & off NY Health Benefit Exchange to individuals & families (Long Island, Queens, Staten Island & Manhattan) under brand name “North Shore-LIJ CareConnect” North Shore-LIJ CareConnect members will experience the benefits of NY’s largest integrated health system, known for high quality care, accessibility, wide range of programs & services across the metropolitan area with direct access to• inpatient care provided-16 hospitals• outpatient & specialty care (nearly 400 physician & ambulatory practices)• after-care services-home care/rehabilitation &thousands of physicians, physician assistants, nurse practitioners & other caregivers

Lake Success, Ny, Us

Health Plan Operations, Business Development and SalesResponsibilities include the development, implementation and strategic planning of the Health Plan's policy and procedures with the primary goal to become the leader in the New York City Managed Care market. My responsibilities include managing an elite sales force to acquire new business and build service platforms to fulfill the company's vision and goals. Additional responsibilities include negotiations of contract terms, fee structure and partner relations to increase plan membership offering our partners competitive fees and to be a part of the North Shore-LIJ Health System brand. New York State Licenses North Shore-LIJ Insurance Company Inc. as Health InsurerNorth Shore-LIJ CareConnect insurance plan - available Oct. 1 in NY metro area New York State Department of Financial Services approved North Shore-LIJ Insurance Company Inc.’s application for an insurance license. This marks one of the 1st times in state history a major health system has created a controlled insurance co. to sell commercial health insurance to individuals, families & employers North Shore-LIJ Insurance Company Inc. will begin marketing commercial insurance plans on & off NY Health Benefit Exchange to individuals & families (Long Island, Queens, Staten Island & Manhattan) under brand name “North Shore-LIJ CareConnect” North Shore-LIJ CareConnect members will experience the benefits of NY’s largest integrated health system, known for high quality care, accessibility, wide range of programs & services across the metropolitan area with direct access to• inpatient care provided-16 hospitals• outpatient & specialty care (nearly 400 physician & ambulatory practices)• after-care services-home care/rehabilitation &thousands of physicians, physician assistants, nurse practitioners & other caregivers

* Manager of Hospital, Ancillary, Specialty and IPA risk contracts for VNSNY CHOICE.* Part of strategic development work group for the Health plans expansion recruitment and new plan acquisition.* Manages staff responsible for contract negotiations for MLTC and Medicare programs. * A lead Manager in improvement strategies for the Health plan's HEDIS rating.

* Recruit, negotiate and evaluate rates with the following types of providers: Hospitals, IPA's, Social Adult Day Care Centers, Medical Day Care, Ambulette/Car Service vendors, home delivered meals, Laboratory, DME, Skilled Nursing Facilities, Infusion and Dialysis Vendors.* Development of network for VNSNY CHOICE products: MLTC, Medicare and SelectHealth.* Target specific regions in New York for recruitment and health plan expansion.* Negotiate Letters of Agreement with non-contracted facilities as necessary.* Partner and contract with Laboratory vendors to increase HEDIS rating.

* Responsible for renegotiating all Managed Care agreements closer to the Agencies break even point, to prevent future Managed Care losses. Coordinate implementation of new rates with internal personnel to assure appropriate billing and workflow.* Develop and create new approaches with Managed Care Organizations to reduce the company’s administrative burden and deficits: Reduction in paperwork, phone calls and authorizations.* Establish partnership meetings with all Managed Care payers to cultivate effective and positive working relationships with key decision-making staff to address the needs of both Managed Care payer and Agency goals.* Team effort approach with the Marketing, Finance, Patient Accounts, Clinical, and Performance Improvement departments in the development of new programs, models, policies and procedures to meet the strategic short & long-term goals of the agency.* Research and identify new business and develop the best method to maximize opportunities and serve clients.

New York, Ny, Us

* Hospital Contract Manager for Suffolk, Queens and Richmond counties.* Secured and implemented NYHHC Hospitals contract.* Established strong business partnerships with key accounts.* Setting policies, goals and trend reporting for the field staff under my supervision.* Analysis of Medical Loss Ratio reports for physician groups/IPA's to determine utilization.