Rob Klusman Email & Phone Number

California

Strategic portfolio and program management leadership support for managed care plans, health systems, and care delivery systems. Focus of work is on strategy development and implementation involving complex, multi-stakeholder initiatives.Program leader oversaw the implementation of the California Advancing & Innovating Medi-Cal (CalAIM) program at a major managed care plan (MCP). Focused on the strategic, governance, technology, and risk management aspects of implementation including… Show more Strategic portfolio and program management leadership support for managed care plans, health systems, and care delivery systems. Focus of work is on strategy development and implementation involving complex, multi-stakeholder initiatives.Program leader oversaw the implementation of the California Advancing & Innovating Medi-Cal (CalAIM) program at a major managed care plan (MCP). Focused on the strategic, governance, technology, and risk management aspects of implementation including those associated with Care Management and Population Health Management (PHM). • Lead workstreams to close gaps in cross-functional, integrated workflow design, system requirements/development, staff skill sets, and compliance. • Guided the development and execution of strategies to engage and onboard Community Based Organizations (CBOs) partnering with the MCP. • Develop a strategic and implementation framework based on a PHM model centered around risk stratification and membership management. Program management lead responsible for strategic initiatives at a major health plan seeking to transform pharmacy care. Initiatives focused on virtual pharmacy capabilities and specialty drug transformation. • Developed framework and approach for a pilot virtual pharmacy program to expand optimized prescription routing based on configurable business rules, improved prescription adherence management, and personalized prescription management. • Managed solution design evaluation including hybrid buy/build and buy approaches; developed user stories and journey maps. • Oversaw the program’s strategic pivot from a line of business focused pilot concept to a comprehensive go-to-market strategy. • Identified and assessed savings opportunities for specialty drug contracting and delivery across multiple channels including home infusion. Cost saving model developed in partnership with Actuary, Claims, and Network Management identified cost savings opportunities exceeding $35M/yr. Show less

Pasadena, California, United States

Managed digital planning and strategy for Kaiser Permanente's Marketing, Sales, Service & Admin. (MSSA) functional areas including; Membership Administration, Sales and Marketing (Sales Ops, Channel Strategy), Document Management Strategy and lines of business including; Commercial group, individual plans (KPIF), Medicare, Medicaid, and Kaiser Permanente on the Job (KPOJ). • Work with partner program executive and operational leadership to develop and implement strategies for digital… Show more Managed digital planning and strategy for Kaiser Permanente's Marketing, Sales, Service & Admin. (MSSA) functional areas including; Membership Administration, Sales and Marketing (Sales Ops, Channel Strategy), Document Management Strategy and lines of business including; Commercial group, individual plans (KPIF), Medicare, Medicaid, and Kaiser Permanente on the Job (KPOJ). • Work with partner program executive and operational leadership to develop and implement strategies for digital enablement to support membership growth strategies and operational efficiency objectives.• Oversee digital aspects of partner team’s multi-year technology planning including work business case development, requirements, and planning for program implementation. Work supports a 2-3 year technology roadmap within a $200-400 million/year portfolio. • Provide strategic guidance, and expertise in optimizing end-to-end processes supporting both internal and external (employers, channel partners, members/prospects) audiences. Focus is on user-based experiences supporting digital self-service across multiple functional areas and processes to deliver business value. Show less

Pasadena, California, United States

Oversaw the technology strategy and roadmap in Membership Administration and Benefits Administration. Primary focus of the work is in support of Membership Administration, Member Service Call Centers, CA Member Services, the Document Management Shared Service, and Membership Administration Systems and Support Services. • Prepared multi-year planning, aligning technology investment strategies across multiple operational groups both within and outside of MABA. • Worked with key… Show more Oversaw the technology strategy and roadmap in Membership Administration and Benefits Administration. Primary focus of the work is in support of Membership Administration, Member Service Call Centers, CA Member Services, the Document Management Shared Service, and Membership Administration Systems and Support Services. • Prepared multi-year planning, aligning technology investment strategies across multiple operational groups both within and outside of MABA. • Worked with key functional and operational leaders within MABA to coordinate and ensure alignment of proposed technology investment projects.• Partnered with leaders to identify opportunities for improvements in the end-to-end experience for Kaiser’s customers, channel partners and members. Developed implementation strategies supporting technologies to streamline work processes and reduce costs. Show less

Burbank, California, United States

Director for the DMS Program during the investment phase of the program. Managed the overall day-to-day program leadership of the DMS Program Management Office (PMO).• Developed and managed DMS business case across all program workstreams including the multi-year planning, funding requests and business case associated with the program.• Led all communications with executive sponsors, stakeholders, and governance bodies (HP PAC) associated with program status, risks, costs/benefits,… Show more Director for the DMS Program during the investment phase of the program. Managed the overall day-to-day program leadership of the DMS Program Management Office (PMO).• Developed and managed DMS business case across all program workstreams including the multi-year planning, funding requests and business case associated with the program.• Led all communications with executive sponsors, stakeholders, and governance bodies (HP PAC) associated with program status, risks, costs/benefits, and overall progress. • Program included business and IT teams across 6 program workstreams involving Claims, Membership Administration, Medicare, Revenue Cycle, and Systems/Infrastructure. Show less

Burbank, California, United States

Responsible for leading several workstreams within large programs as part of process improvement and redesign efforts within Kaiser Foundation Health Plan.

Burbank, California, United States

Managed fulfillment and distribution operations for Kaiser Foundation Health Plan. Lead several process automation initiatives associated with the distribution function within Health Plan Operations.

Pasadena, California, United States

Provided operational management of fulfillment and distribution transaction systems for the distribution of marketing, healthcare, and legal information for internal and external clients of Kaiser Foundation Health Plan (KFHP). Project leader for initiatives to automate the inventory management, order processing, and financial recharging systems within KFHP’s Publications Distribution unit.

Pasadena, California, United States

Provided contract-based project management and database systems services to Kaiser Permanente as a contract employee.