Michael Ceballos

Michael Ceballos Email and Phone Number

Value-based Care Consultant l Medicare l Medicaid l Health Center l Provider @ Facktor
Michael Ceballos's Location
Columbus, Ohio, United States, United States
Michael Ceballos's Contact Details

Michael Ceballos personal email

Michael Ceballos phone numbers

About Michael Ceballos

Michael Ceballos is a Value-based Care Consultant l Medicare l Medicaid l Health Center l Provider at Facktor. He possess expertise in strategy, healthcare, strategic planning, management consulting, policy and 18 more skills. Colleagues describe him as "Mike is very smart, very savvy, and very effective. He is "spot on" with people skills, presentation skills, and effectiveness. He can work a crowd, lead an initiative, and deliver on most anything. Also, he is very strong in finance, over-all, and most especially in health care finance and policy. He's one of those professionals who excels across several executive dimensions and also fun to work with."

Michael Ceballos's Current Company Details
Facktor

Facktor

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Value-based Care Consultant l Medicare l Medicaid l Health Center l Provider
Michael Ceballos Work Experience Details
  • Facktor
    Senior Director, Value-Based Care
    Facktor Nov 2024 - Present
    Los Angeles, Ca, Us
  • Quantock Strategies
    Principal & Founder
    Quantock Strategies Jun 2022 - Present
    Advisory work to venture capital firms and private capital backed healthcare organizations. Focus on value-based care, government programs and virtual care delivery.
  • Kidsx
    Mentor
    Kidsx May 2024 - Present
  • Jukebox Health
    Advisor
    Jukebox Health Oct 2022 - Present
    New York, Ny, Us
    We make home modifications a common-sense and cost-effective option for older adults who wish to age at home.
  • Vytalize Health
    Senior Vice President, Operations
    Vytalize Health Aug 2023 - Mar 2024
    Hoboken, New Jersey, Us
    Vytalize is a leading value-based care platform. It helps independent physicians and practices stay ahead in a rapidly changing healthcare system by strengthening relationships with their patients through data-driven, holistic, and personalized care.- Responsible for Medicare Market Operations including Implementation, Population Health, and Profit and Loss management totalling $4B+ and 600+ practices. Approximately 50 FTEs / 25% of Vytalize Health workforce. - Onboarded approximately 300 practices and 135,000 Medicare beneficiaries onto multiple ACO REACH and MSSP entities - doubling Medicare business line (Performance Year 2024).- Revamped key performance indicators, standard provider meetings and cadence, and provider workflows to drive improvement in both value-based care standard metrics, gain share, as well as stronger provider-patient relationship. - Position eliminated due to downsizing.
  • Odyssey
    Advisor
    Odyssey Jul 2023 - Feb 2024
    San Francisco, Ca, Us
    Odyssey partners with your Medicaid benefits so that our Community Health Workers and online platform can help you obtain services you need, like food, transport, housing, money, or interpersonal safety.
  • Cerebral
    Senior Vice President, Operations
    Cerebral Aug 2022 - Jul 2023
    Claymont, Delaware, Us
    Cerebral is a national telemental health provider delivering high quality talk and medication therapy in all 50 states and Washington D.C. Led clinical delivery (1,000+ clinicians), capacity operations, support operations, pharmacy, clinical quality & safety and commercial development (approximately 90% of the workforce). - Overhauled clinical delivery. Clinician churn reduced by the weighted average of 40%, improving client turnover by 30%. Average panel size increased 6.5%; clinician satisfaction continues to improve. - Operational and financial improvements include 15% gross margin improvement, 30% contribution margin improvement and decrease in operational expenses by 23%. - Expanded CerebralRx into 20% more markets (8 states), while also improving usage penetration by 21%. Clients using CerebralRx retain 4% higher month-over-month.- Maintain capacity for approximately 98% of Americans every day; clients and prospects can typically get care in under four days.- Position eliminated due to restructuring.
  • Waymark
    Head Of Operations, Founding Team
    Waymark Sep 2021 - Jun 2022
    San Francisco, California, Us
    Waymark is a public benefit corporation providing community-based, tech-enabled healthcare services for Medicaid beneficiaries, in partnership with primary care providers and health plans.
  • Cityblock Health
    Head, New Markets & Implementation
    Cityblock Health Sep 2020 - Sep 2021
    Brooklyn, New York, Us
    Cityblock Health is a venture capital backed, risk-bearing healthcare provider focused on serving high-risk, high-need patients in underserved communities.- Led the New Markets & Implementation team, responsible for finalizing contractual business terms for business development and launching new markets. Launch includes customer engagement, budget creation, clinical savings plan, staffing plan, staffing, clinical model modifications, real estate development, and internal project management. Expanded headcount by 300%.- Launched four new markets, tripling risk-lives under management and doubling topline revenue. Customized clinical models and workflows to serve heterogeneous populations across markets. Responsible for hiring 120+ FTEs. Oversaw each market for the first 90-days.- Developed new CMS demonstration Direct Contracting Entity business (Cityblock’s second new business), including financial, operational, and staffing plans. Secured Board and leadership commitments, facilitated partnership and implementation.
  • Mount Carmel Behavioral Health
    Chair, Board Of Directors
    Mount Carmel Behavioral Health Apr 2020 - Sep 2020
    Columbus, Ohio, Us
  • Trinity Health (Hq Michigan)
    Member, Board Of Directors, Trinity Health Accountable Care Organization (Thaco)
    Trinity Health (Hq Michigan) Aug 2019 - Sep 2020
    Livonia, Mi, Us
  • Mount Carmel Health System
    Chief Operating Officer, Health Partners
    Mount Carmel Health System Jan 2018 - Sep 2020
    Columbus, Ohio, Us
    Mount Carmel Health Partners is Mount Carmel Health System's 200,000 life, 2,200 provider, $1.2B clinically integrated network responsible for all value-based contracts, bundled payments, direct-to-employer strategies, and Mount Carmel Hospice & Palliative Care. - Incident Commander, led Mount Carmel's Incident Command Center in response to Covid-19, as well as leading System ramp-up to reopen elective procedures and inpatient, outpatient and ambulatory site locations. - Streamlined operations from contract-specific to line-of-business – Commercial & Medicare – leading to an average MLR improvement of ~3% for Medicare Advantage ACOs, a one Star improvement across Medicare Advantage ACOs, and the first two Commercial ACO gain shares in the first 24 months.- Secured $10M in seed investment from Trinity Health, Mount Carmel's corporate owner, to radically transform the Medicare model of care allowing full-risk contracts. Largest Innovation Grant ever awarded. Health Partners had more full-risk Medicare lives in 2020 than any other provider in Ohio.- Led Hospice & Palliative Care business development activities resulting in first non-Mount Carmel Health System community-based palliative care customers and a $500k opportunity.
  • Aver Inc.
    Vice President, Customer Success
    Aver Inc. May 2016 - Jan 2018
    Columbus, Ohio, Us
    Aver Inc. is a venture capital backed health technology firm focused on enabling payers’ and providers’ evolution from fee-for-services to fee-for-value. - Responsible for Account Management, Customer Implementation, and Analytics & Design. - Transformed Account Management and corporate culture from technology/product led to consumer led. Engagements start by listening, understanding pain points, and then solutioning on how technology can close the gaps. Annual customer turnover reduced from 30%+ to under 10%. Renewed every contract that came to term. Grew over 25% of the accounts. - Standardized Analytics & Design intake and delivery processes to balance priorities and improve delivery time accuracy. Production activities doubled to include Product and R&D.
  • Integra Serviceconnect®
    Senior Vice President, Strategic Development
    Integra Serviceconnect® Jun 2015 - May 2016
    Columbia, Maryland, Us
    Integra ServiceConnect was a Growth Equity backed health services firm focused on engaging individuals who are complex, hard to locate, and important to the health system utilizing the community health worker model. - Responsible for Strategy, Strategic Planning, Strategic Relationships, Marketing, Product, and Product Development. Engaged Board of Directors in mid-term and long-term planning. - Developed three new products and three new pricing strategies, leading to $1.5M in new revenue.- Sourced and engaged five strategic partnerships. Potential for $4.5M in annual revenue in existing markets.
  • Care At Hand
    Advisor
    Care At Hand Sep 2013 - May 2016
    Us
  • Buckeye Health Plan
    Vice President, Long-Term Care & Product Development
    Buckeye Health Plan Aug 2013 - May 2015
    Columbus, Ohio, Us
    - General Manager Buckeye Health Plan – MyCareOhio, the integrated Medicare, Medicaid demonstration program. Responsibility included profit, loss, Centers for Medicare & Medicaid Services (CMS) relationship, Ohio Department of Medicaid (ODM) relationship, other stakeholder management, home & community based services provider relations, and vendor management. Approximately 16,000 members, $500M in revenue and 175 employees. Guided business from start-up, through readiness review, and go-live. - Product lead for the Dual Eligible Special Need Plan – Advantage by Buckeye Community Plan. Responsible for profit, loss, and Stars score. Approximately 1,300 members and $20M in revenue. Created and executed Stars strategy and activities moving Stars score from 2.5 to 3.0 in 12-months.- Product lead for the individual health insurance marketplace product – Ambetter by Buckeye Community Plan. Responsibility included strategy, rollout, and growth.
  • Unitedhealth Group
    Executive Director, Complex Care Product Team, Unitedhealthcare Community & State
    Unitedhealth Group May 2011 - Jul 2013
    Us
  • Unitedhealth Group
    Vice President, Strategic Initiatives, Unitedhealth Group
    Unitedhealth Group Dec 2008 - May 2011
    Us
  • Unitedhealth Group
    Director Of Business Risk Management, Unitedhealth Group
    Unitedhealth Group Aug 2007 - Dec 2008
    Us
  • Recon Inc.
    Project Manager
    Recon Inc. Mar 2004 - Nov 2004
  • Granite Construction
    Field Engineer
    Granite Construction Jul 2001 - Mar 2004
    Watsonville, California, Us

Michael Ceballos Skills

Strategy Healthcare Strategic Planning Management Consulting Policy Business Strategy Cross Functional Team Leadership Program Management Medicare Process Improvement Budgets Risk Management Change Management Product Development Medicaid Leadership Business Development Health Insurance Building Relationships Data Analysis Business Process Improvement Product Management Innovation Development

Michael Ceballos Education Details

  • Stanford University
    Stanford University
    Civil Engineering
  • Stanford University
    Stanford University
    Civil And Environmental Engineering
  • The University Of Chicago Booth School Of Business
    The University Of Chicago Booth School Of Business
    Marketing And Entrepreneurship

Frequently Asked Questions about Michael Ceballos

What company does Michael Ceballos work for?

Michael Ceballos works for Facktor

What is Michael Ceballos's role at the current company?

Michael Ceballos's current role is Value-based Care Consultant l Medicare l Medicaid l Health Center l Provider.

What is Michael Ceballos's email address?

Michael Ceballos's email address is mi****@****hoo.com

What is Michael Ceballos's direct phone number?

Michael Ceballos's direct phone number is +161428*****

What schools did Michael Ceballos attend?

Michael Ceballos attended Stanford University, Stanford University, The University Of Chicago Booth School Of Business.

What skills is Michael Ceballos known for?

Michael Ceballos has skills like Strategy, Healthcare, Strategic Planning, Management Consulting, Policy, Business Strategy, Cross Functional Team Leadership, Program Management, Medicare, Process Improvement, Budgets, Risk Management.

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