Michael Heifetz Email & Phone Number

Washington, District Of Columbia, United States

Managing Director - Public Sector’s Health and Human Services TeamAs part of our growing Health and Human Services Team, we help state Medicaid programs, related agencies, and stakeholders accomplish the following:* assess current operations and systems* improve member/patient outcomes* enhance functional efficiency* ensure regulatory compliance* manage financial dynamics* transform care and service delivery

Madison, Wisconsin Area

Increase client profitability and reduce client risk by solving regulatory and legislative issues at state/federal levels. Increase Medicaid/government and commercial market share and revenue for insurers, health care providers and vendors. Produce and/or review procurement proposals in MMIS, data warehouse and other products/services (Request for Proposals - RFP processes) to maximize competitive advantage. Construct actionable, data-driven commercial business strategies in the insurance… Show more Increase client profitability and reduce client risk by solving regulatory and legislative issues at state/federal levels. Increase Medicaid/government and commercial market share and revenue for insurers, health care providers and vendors. Produce and/or review procurement proposals in MMIS, data warehouse and other products/services (Request for Proposals - RFP processes) to maximize competitive advantage. Construct actionable, data-driven commercial business strategies in the insurance and health provider fields. Represent state governments in RFP processes and CMS waiver initiatives. Build flexible negotiating strategies in multiple industries. Develop and implement crisis communication plans to minimize exposure and ensure positive brand reputation. Conduct market research and assessments for the investor community. Show less

Madison, Wisconsin, United States

Member of the Government Programs team supporting our Medicare, Medicaid and DSNP efforts.

Madison, Wisconsin, United States

Enhanced client profitability through Medicaid financing initiatives, strategy, and operational improvements. Provided expert guidance through state Medicaid RFP processes, including writing, editing, and oral presentation rehearsal and critique. Developed and executed strategies for vendors to engage state Medicaid programs and managed care plans. Assisted state governments on health care initiatives, including value-based purchasing, managed care implementation, and insurance coverage for… Show more Enhanced client profitability through Medicaid financing initiatives, strategy, and operational improvements. Provided expert guidance through state Medicaid RFP processes, including writing, editing, and oral presentation rehearsal and critique. Developed and executed strategies for vendors to engage state Medicaid programs and managed care plans. Assisted state governments on health care initiatives, including value-based purchasing, managed care implementation, and insurance coverage for various populations including the uninsured. Show less

Greater Omaha Area

Led and achieved complete turnaround in profit and loss, quality and medical management. Increased revenue through successful advocacy strategy regarding Medicaid actuarial rate structure. Accountable for all functions and results of $450 million, 80,000-member Medicaid health plan, including: finance, strategy, growth, operations, compliance, contracting and stakeholder relations. Increased volume and percentage of value-based contracting (VBC) with providers. Directed NTC cultural… Show more Led and achieved complete turnaround in profit and loss, quality and medical management. Increased revenue through successful advocacy strategy regarding Medicaid actuarial rate structure. Accountable for all functions and results of $450 million, 80,000-member Medicaid health plan, including: finance, strategy, growth, operations, compliance, contracting and stakeholder relations. Increased volume and percentage of value-based contracting (VBC) with providers. Directed NTC cultural transformation (internal) via reinvigoration of corporate mission/vision/values and team accountability. Show less

Madison, Wisconsin And Washington, Dc

As a Principal on the Strategies healthcare team, led national health care consulting and government practice (federal and state). Developed strategies for health insurer, provider, digital therapeutics and start-up clients to achieve or grow government contracting (including Medicaid) and construct commercial market strategy. Prepared clients for direct government advocacy to achieve rapid credibility and influence. Advised clients in crisis situations, successfully reducing regulatory… Show more As a Principal on the Strategies healthcare team, led national health care consulting and government practice (federal and state). Developed strategies for health insurer, provider, digital therapeutics and start-up clients to achieve or grow government contracting (including Medicaid) and construct commercial market strategy. Prepared clients for direct government advocacy to achieve rapid credibility and influence. Advised clients in crisis situations, successfully reducing regulatory risk, public exposure and brand reputation damage. Left position to accept CEO opportunity. Show less

Madison, Wisconsin Area

Led agency responsible for health care coverage and services for 1.1 million Medicaid members, with an annual operating budget of $+8 billion and 1,100 FTE. Directed all functional areas, including: provider and managed care contracting, budget and financial management, quality, procurement, compliance, and information technology. Successfully merged the long term care programs into the broader Medicaid program, serving as the first Medicaid Director with accountability for both traditional… Show more Led agency responsible for health care coverage and services for 1.1 million Medicaid members, with an annual operating budget of $+8 billion and 1,100 FTE. Directed all functional areas, including: provider and managed care contracting, budget and financial management, quality, procurement, compliance, and information technology. Successfully merged the long term care programs into the broader Medicaid program, serving as the first Medicaid Director with accountability for both traditional Medicaid and long term care. This endeavor required culture change, the integration of two leadership teams and the implementation of new quality metrics and value-based contracting. Constructed and enforced new contractual compliance program for managed care contractors, ensuring financial and quality performance and reducing opportunities for fraud and abuse. Successfully managed negotiations with the Center for Medicaid and Medicare Services (CMS), including waiver applications, state plan amendments and actuarial rate structure. Show less

Madison, Wisconsin Area

Directed and managed this senior executive, Cabinet-level agency that publicly represents the Governor on state financial management and policy matters. Led strategic budgetary, forecasting, policy and fiscal management for Executive Branch, reporting directly to the Administration Secretary and Governor, resulting in reduced taxpayer costs. Successfully led multiple project management initiatives, including financing of the new Milwaukee Bucks arena and negotiating related leases and other… Show more Directed and managed this senior executive, Cabinet-level agency that publicly represents the Governor on state financial management and policy matters. Led strategic budgetary, forecasting, policy and fiscal management for Executive Branch, reporting directly to the Administration Secretary and Governor, resulting in reduced taxpayer costs. Successfully led multiple project management initiatives, including financing of the new Milwaukee Bucks arena and negotiating related leases and other contracts to maximize value and ensure integrity of state investment. Executed capital finance and debt management strategy, saving millions in taxpayer resources. Directed preparation of $72 billion state biennial budget; managed team of 80 FTE professional staff, including State Controller’s Office and Capital Finance Office. Show less

Led federal and state government relations initiatives (legislative and regulatory) for one of the nation's largest physician-sponsored, multi-specialty clinics and an award winning multi-state, not-for-profit, faith-based hospital system. Successfully achieved government market growth and revenue, reduced regulatory burden and enhanced brand recognition through advocacy efforts at all levels. Also served as senior member of Affordable Care Act implementation team, with successful entry into… Show more Led federal and state government relations initiatives (legislative and regulatory) for one of the nation's largest physician-sponsored, multi-specialty clinics and an award winning multi-state, not-for-profit, faith-based hospital system. Successfully achieved government market growth and revenue, reduced regulatory burden and enhanced brand recognition through advocacy efforts at all levels. Also served as senior member of Affordable Care Act implementation team, with successful entry into new insurance exchanges, Medicare and Medicaid markets, and the Accountable Care Organizations (ACO) program. Collaborated with senior leadership on media relations and crisis communications to minimize negative exposure and maintain brand reputation. Regularly represented the organizations before diverse audiences on complex and diverse subject matter, often under challenging circumstances. Show less

Led the Majority Leader's legislative agenda. Developed and implemented legislative agenda for majority party and its members. Constructed coalitions and other strategies around such initiatives. Represented the Majority Leader and majority party as a whole before various stakeholders, including the media, legislative committes and interest groups.

Prepared and delivered policy analysis and recommendations for the Governor and senior cabinet members for both biennial budget process and separate legislation. Recommended signature or veto of items. Presented Governor's position to Legislative committees and other stakeholders.

Master'S, Public Policy And Administration

B.A., Political Science, International Relations