Rich Rutherford

Rich Rutherford Email and Phone Number

Health plan operations leader, people manager, and strategist with broad experience in establishing, operating, optimizing, and converting health plans. @ Christian Care Ministry
Rich Rutherford's Location
Melbourne, Florida, United States, United States
Rich Rutherford's Contact Details

Rich Rutherford work email

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About Rich Rutherford

Health plan operations leader, people manager and strategist with broad experience in establishing, optimizing, and converting Medicaid and Medicare health plans. Implementation and delivery expert leading large teams to deliver high quality, on-time deliverables through effective cross channel communication, and building trusted relationships within internal business units and external partners. Extensive experience ACOs, physician practices and hospital operations, administration of budgets, contract definition, program management, electronic health records, analytics, and population health. Proven track record using technology and innovation to improve operational excellence and driving business results. Core Competencies• Strategic Planning• Operationalizing Vision• Regulatory Programs• Population Health• Resource Utilization• Budget Management• Forecasting• Team Development• Concise Communication • Versatility

Rich Rutherford's Current Company Details
Christian Care Ministry

Christian Care Ministry

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Health plan operations leader, people manager, and strategist with broad experience in establishing, operating, optimizing, and converting health plans.
Rich Rutherford Work Experience Details
  • Christian Care Ministry
    Vice President, Epmo
    Christian Care Ministry Sep 2022 - Present
    Melbourne, Florida, Us
    As Vice President of EPMO at Christian Care Ministry in Melbourne, Florida, I lead strategic initiatives with an $86M portfolio. I am a member of the Executive Leadership Team and co-chair the AI Steering Committee. I managed a team of eight direct reports, overseeing business case development, proformas, budgets, and forecasts to ensure successful execution and benefits realization. My focus on driving growth and efficiency has led to significant organizational achievements.
  • Oscar Health
    Senior Director
    Oscar Health Sep 2021 - Sep 2022
    New York, New York, Us
    Responsible for implementing strategic partnerships for Oscar’s Platform business while developing strong client relationships to meet organizational objectives.
  • Evolent Health
    Managing Director
    Evolent Health Oct 2018 - Sep 2021
    Arlington, Va, Us
    Oversee all Medicare Advantage plan implementations across partner organizations. As the Executive Implementation Lead, I oversee a team of 23 Program Managers across 30 workstreams including 225 personnel; leading and directing the work within health plan services and valued-based service business units launching 5 MAPD plans.• Financial management of $16 million dollar budget, forecasting, and revenue recognition• Establish Medicare Advantage Project Management Office for implementation standards to ensure high quality and repeatable processes to Evolent partners• Support strategic and business development initiatives by advising during solution reviews for new implementations and responding to requests for proposals driving the creation of collateral to drive new business • Primary point of contact for Evolent and partner executive leadership during the implementation to manage delivery and timeline expectations. Central lead for the implementation across all Evolent operational business units • Develop staffing plans to produce deliverables, manage timeframes and insure seamless delivery of Evolent Health’s products and services to partners• Accountable for contract and scope review during pre-implementation and leading the implementation team to delivery on terms and conditions • Collaborate with resource managers on career development of team members by evaluating performance, providing constructive feedback and defining staff development plans • Lead key internal initiatives to drive efficiencies and best practices for implementations
  • Project Navigation Llc
    President
    Project Navigation Llc Mar 2006 - Dec 2018
    Founded Project Navigation in 2006 to provide expert direction through agile based project management lifecycle services to healthcare organizations. The consultancy has ranged in size from 10 employees and 5 subcontractors, exceeding 3.2 million dollars in revenue. While leading the consultancy, I simultaneously led enterprise program engagements since March of 2006. • Financial responsibility for profit and loss, forecast, revenue recognition and implementation of budgets in excess of 42 million dollars in services• Managed teams of 150 indirect and direct reports within matrix organizations• Sales and marketing strategy to create and deliver new consulting services• Established strategic partnerships with Allscripts Healthcare Solutions and McKesson• Enterprise program management methodology establishing project management organizations and ongoing agile operational policies and procedures• Established quality improvement programs within integrated delivery networks for commercial and Centers of Medicaid and Medicare Services plans• Instituted new organizational structures, staff roles and responsibilities to support 5-year strategic plans entering into dual-sided financial risk value-based agreements• Advising on dual-sided financial risk contracts with UnityPoint Next Generation ACO and the operational physician practice changes to manage the financial risk• Designed, developed and managed quality dashboards forecasting MACRA and commercial insurer program performance across athenahealth, Cerner, Epic and Allscripts EHRs while facilitating market operation quality improvement initiatives• Defined the project scope and executed a national implementation of athenaClinicals for 986 physicians converting from 16 disparate EHRs • Designed, established and facilitated clinical governance through physician specialty workgroups for EHR standards and physician incentive compensation
  • Mckesson
    Enterprise Clinical Program Manager
    Mckesson Aug 2004 - Mar 2006
    Irving, Texas, Us
    • Managed resource plan, budget, forecast, master project plan, visual milestone chart, timeline, status reports, executive status reports, and all contracts • Planned, facilitated and managed Stage 1 Year 1 Meaningful Use achievement • Facilitated growth plans including the acquisition and conversion of 2 hospitals in Chicago, IL and 2 hospitals in Brownsville, TX • Implementation scope included Horizon Radiology Manager, Horizon Meds Manager, Horizon Admin Rx, Horizon Expert Documentation, Horizon Orders Management, Horizon Expert Orders, Horizon Mobile Care Rounding, Horizon Care Record, and Horizon Emergency Care Documentation.• Communicated daily with teams, hospital and corporate stakeholders
  • Allscripts Healthcare Solutions
    Senior Project Manager
    Allscripts Healthcare Solutions Nov 1999 - Aug 2004
    Chicago, Il, Us
    • Responsible for building and maintaining executive relationships to facilitate project implementation and add on sales opportunities• Communicated with customers and vendors weekly with formal project status meetings and monthly executive status reports • Installation methodology required the use of the following tools: project scope, Microsoft Project plan, risk management, earned value analysis. Project budgets were managed to meet contract requirements• The Implementation Consultant role performed application configuration of the TouchWorks Suite, workflow analysis, testing, training and go live support • Facilitated the Project Management Office (PMO), Six Sigma Core Team and Clinical Order and Result Application Leader roles
  • Catholic Health Initiatives
    Clinical Support Analyst
    Catholic Health Initiatives Feb 2000 - Dec 2000
    • Provided clinical and technical support for Meditech and IDX GPMS software • Communicated daily with physicians, nurses and administrators • Responsible for application training and workflow review for 6 hospitals• Technical responsibilities included password maintenance, creating distribution groups, troubleshooting network print queues, hardware and software
  • St. Francis Hospital
    Registered Nurse
    St. Francis Hospital Dec 1998 - Feb 2000
    St. Francis Hospital was 1 of 6 hospitals owned by Catholic Health Initiatives. Hired as a Registered Nurse on a Medical Surgical Isolation Unit. After 1 year, promoted to a Team Leader managing staff while delivering patient care. • Team leader addressing nursing issues, monitoring staff, evaluating patient census levels, providing unit report to nursing supervisor, delegated assignments according to license • Entered physician orders, monitored results, scheduled tests, evaluated and monitored nursing and physician interventions, including ventilators, peritoneal dialysis, medication administration, chemotherapy and blood products • Communicated daily with physicians, nurses, and administration • Flexible nursing role floating to multiple units and member of the Efficiency Review Team

Rich Rutherford Skills

Informatics Ehr Healthcare Information Technology Software Implementation Hipaa Healthcare Emr Health Information Exchange Cross Functional Team Leadership Healthcare Management Healthcare Consulting Home Care Project Management Medicine Cpoe Documentations Leadership Inpatient Analysis Nursing Clinical Research Medical Imaging Strategic Planning Revenue Cycle Hospitals Managed Care Medical Devices Visio Medicaid Six Sigma Medicare Integration Enterprise Software Hl7 Software Documentation Ambulatory Practice Management Management Healthcare Industry Process Improvement Health Information Management Radiology Physicians Ms Project Quality Improvement Project Planning Medical Technology Icd 10 Hit Ambulatory Care

Rich Rutherford Education Details

  • The Wharton School
    The Wharton School
    Entrepreneur Program
  • Chubb Institute
    Chubb Institute
    Computer Technology/Computer Systems Technology
  • Messiah University
    Messiah University
    Nursing

Frequently Asked Questions about Rich Rutherford

What company does Rich Rutherford work for?

Rich Rutherford works for Christian Care Ministry

What is Rich Rutherford's role at the current company?

Rich Rutherford's current role is Health plan operations leader, people manager, and strategist with broad experience in establishing, operating, optimizing, and converting health plans..

What is Rich Rutherford's email address?

Rich Rutherford's email address is ri****@****ion.com

What is Rich Rutherford's direct phone number?

Rich Rutherford's direct phone number is +180233*****

What schools did Rich Rutherford attend?

Rich Rutherford attended The Wharton School, Chubb Institute, Messiah University.

What are some of Rich Rutherford's interests?

Rich Rutherford has interest in Children, Economic Empowerment, Environment, Science And Technology, Health.

What skills is Rich Rutherford known for?

Rich Rutherford has skills like Informatics, Ehr, Healthcare Information Technology, Software Implementation, Hipaa, Healthcare, Emr, Health Information Exchange, Cross Functional Team Leadership, Healthcare Management, Healthcare Consulting, Home Care.

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