Preston Burnes Email & Phone Number

San Francisco, California

San Francisco Bay Area

South San Francisco, Ca

Managing the development and implementation of the Whole Person Care Statewide 1115 waiver pilot program for HPSM's highest risk members with significant medical, social and behavioral challenges. Program was awarded the 2016 California Department of Healthcare Services Innovation Award and selected as a finalist for the 2017 SCAN Foundation Innovation Awards.-Managed more than $8mm annually across multiple program budgets-Direct oversight of multiple contractors on operational, performance improvement, regulatory compliance and budgeting- Drove implementation of $2mm housing supports program for homeless program participants

South San Francisco, Ca

Lead on several key operational and pilot program initiatives at HPSM, including:- Directing the 2015-2016 Medicare risk adjustment program, delivering a $3.5mm increase in annual Medicare revenue- Managing the Community Care Settings Pilot de-institutionalization effort, including a $6mm budget and two primary contractor relationships- Supporting Managed Long-Term Services and Supports (MLTSS) providers- Driving value-based purchasing and category management strategies across home health, incontinence supply and skilled nursing facility providers, including preferred provider network development.

South San Francisco, Ca

Driving innovation within the HPSM provider network through performing in-depth data analysis, compiling market research, developing pilot programs, executing service category operational reviews and dispatching RFP's. Adapting existing systems and processes for the rapidly evolving government healthcare marketplace across multiple lines of business such as Medicare, Medicaid and local initiatives. Partnering with providers large and small to optimize business operations, enhance network capacity, improve quality of care and reduce costs.Key Initiative: The Community Care Settings Pilot. Planning and deploying a first of its kind program enabling vulnerable individuals to live in the residential setting of their by delivering coordinated medical, social and financial services and supports. Program activities included market research, stakeholder outreach, communication planning, financial and data analysis, presentations and RFP development.

South San Francisco, Ca

Project Management lead for multiple grant-funded clinical research projects targeting the development of innovative care and case management models serving HPSM members with te highest levels of need. Responsible for the development of project reports and analysis of outcome data for participants, along with day to day management of the project team which included medical practitioners, social workers and support staff.Key Initiative: High Utilizers Group (HUG) Project:Managed a clinical research project funded by the Gordon and Betty Moore Foundation that targeted high-risk HPSM members for inclusion in an interdisciplinary case management program.

Redwood City, California, United States

Policy and political aide to San Mateo County Board of Supervisors President Rich Gordon. Specializing in carbon output reduction policy for county operations as well as healthcare delivery system optimization for public and private providers in San Mateo County. Selected by the County Manager for the Management Development Program, Leadership San Mateo County and San Mateo County Green Team.Key Initiative: Health System Redesign CommitteeAn effort in partnership with private, non-profit and public healthcare delivery systems to enhance care offerings for low-income and vulnerable individuals in the community. Provided research, communications and support to committee chair.

Bachelor'S Degree, Political Science And Government

Activities and Societies: Class President, Student Body Vice-President, Sigma Chi

Master Of Business Administration - Mba

Activities and Societies: Beta Gamma Sigma honor society