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Quality and member oriented physician executive with over 20 years of broad based management experience including directing medical mangement for health plans, medical groups, IPAs, and staff model clinics. Plan responsibilities have included high risk case management, development and coordination of projects with network contracting, quaility improvement, utilization management, care management, medical informatics, NCQA accredidation, and compliance programs. Demonstrated ability to maintain quality while delivering cost and utilization outcomes across multiple markets at or below budget, and in the face of organizational change. Experience also includes executive leadership of IPAs and medical groups, and serviing as independent consultant to groups, plans and MSO clients.
Lightbridge Hospice And Family Choice I-Snp
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Chief Strategy Officer (Cso)Lightbridge Hospice And Family Choice I-Snp Apr 2018 - PresentGreater San Diego AreaPreviously served as COO and transitioned to CSO after 8 years. Engaged in strategic business, clinical, and IT planning for I-SNP and as mentor to other senior staff.
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CooFamily Choice New York Apr 2010 - Jul 2018FCNY provides a family of NY based programs developed in partnership with Independent Health Associates to address frail and elderly members. Programs include: Family Choice MA Institutional Special Needs, a 4.5 Star CMS quality ranked I-SNP serving the western NY area; Care Partners - addressing social and economic determinants ion health; Correct coding initiatives; and Care Coordination programs including transitional care and disease specific population health programs. • LBMA is a geriatric and palliative care medical group located in San Diego. Initiated strategic change in relationships with both plans and hospital systems.
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National Vp, Provider And Physician PerformanceUhc 2000 - 2010Increasing responsibilities and promotions based on demonstrated ability to deliver desired clinical, quality and utilization outcomes, first for PacifiCare, and then for United Healthcare following merger of two companies. Plan experience ranging from local medical director to Western Region CMO responsible for major business initiatives and national role tp National VP. Experienced in medical operations, disease management, leadership of combined network and clinical teams, impacting delegated group results, and large scale change management.
Paul Mills Skills
Paul Mills Education Details
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Doctor Of Medicine - Md -
Summa Cum Laude
Frequently Asked Questions about Paul Mills
What company does Paul Mills work for?
Paul Mills works for Lightbridge Hospice And Family Choice I-Snp
What is Paul Mills's role at the current company?
Paul Mills's current role is Chief Strategy Officer (CSO) at LightBridge Hospice and Family Choice I-SNP.
What is Paul Mills's email address?
Paul Mills's email address is pa****@****att.net
What is Paul Mills's direct phone number?
Paul Mills's direct phone number is +131355*****
What schools did Paul Mills attend?
Paul Mills attended University Of California San Diego, University Of California, Los Angeles.
What skills is Paul Mills known for?
Paul Mills has skills like Healthcare, Managed Care, Healthcare Management, Provider Relations, Medicare, Medicaid, Health Policy, Utilization Management, Disease Management, Network Development, Hipaa, Cpoe.
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Paul Mills
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Paul Mills
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