Robert Hayes Email & Phone Number

Louisville Metropolitan Area

Manage $90 million+ in pay for performance and other value based care payment models. Define and improve clinical documentation and workflows. Build and manage financial and analytical models. Manage quality performance across Medicaid, Medicare and Commercial LOBs.

Louisville Metropolitan Area

•Designed and implemented strategic referral recommendations to primary care practices in collaboration with a large Florida Medicare Advantage plan and independent primary care practices which resulted in shifting 33% of member interactions from low-value specialists to high-value specialists and lowered network costs by ~4%•Renewed a client contract to increase our revenue from this client by 9% (~$100K revenue increase) over a three-year contract

Louisville Metropolitan Area

Cotiviti Network Intelligence is a payer-provider, value-based analytics solution employing Risk-Readiness® Benchmarks to assist health plans, physician groups, and hospital systems identify, quantify, and reduce low-value care. Cotiviti solutions target over $600 billion of $900+ billion in waste, abuse, and low-value care.Responsibilities include: • Strategic planning and implementation by the client• Data analytics and deliverable creation• Training of client departments… Show more Cotiviti Network Intelligence is a payer-provider, value-based analytics solution employing Risk-Readiness® Benchmarks to assist health plans, physician groups, and hospital systems identify, quantify, and reduce low-value care. Cotiviti solutions target over $600 billion of $900+ billion in waste, abuse, and low-value care.Responsibilities include: • Strategic planning and implementation by the client• Data analytics and deliverable creation• Training of client departments on use of modules within standalone analytics tool• Collaboration with the development team to update methodology/scoring to incorporate client needs and concerns Show less

Greater Minneapolis-St. Paul Area

• Co-Direct the Institute for Healthcare Improvement (IHI) Open School UMN Chapter with MD Student Ryan Hatch. • Negotiate projects, facilitate contracts and build graduate health professions teams (e.g. MD, MHA, DNP, MN, PharmD) and ensure successful deliverables for M Health and Hennepin Healthcare. • Faculty advisors: Bjorn Berg, PHD and Dr. Nate Scott, MD. • Mission: We aim to connect interdisciplinary teams of University of Minnesota health professions graduate students with… Show more • Co-Direct the Institute for Healthcare Improvement (IHI) Open School UMN Chapter with MD Student Ryan Hatch. • Negotiate projects, facilitate contracts and build graduate health professions teams (e.g. MD, MHA, DNP, MN, PharmD) and ensure successful deliverables for M Health and Hennepin Healthcare. • Faculty advisors: Bjorn Berg, PHD and Dr. Nate Scott, MD. • Mission: We aim to connect interdisciplinary teams of University of Minnesota health professions graduate students with IHI Open School training and local health systems' quality improvement work to deliver triple aim value. Show less

Greater Denver Area

• Selected for highly competitive (~11% acceptance rate) graduate level internship for #1 ranked hospital in Colorado and #15 nationally.• Designed a call center that communicates clinical staff support service requests to patient transport, linen, and environmental services• Implemented a new software system within the call center to increase employee productivity and clinical staff satisfaction • Employed best practices to create a call center staffing model that enhanced… Show more • Selected for highly competitive (~11% acceptance rate) graduate level internship for #1 ranked hospital in Colorado and #15 nationally.• Designed a call center that communicates clinical staff support service requests to patient transport, linen, and environmental services• Implemented a new software system within the call center to increase employee productivity and clinical staff satisfaction • Employed best practices to create a call center staffing model that enhanced operational efficiency and employee engagement• Analyzed and improved existing emergency processes to educate employees on emergency protocols• Presented recommendations to hospital leadership and stakeholders Show less

Madison, Wisconsin Area

• Managed several multi-disciplinary teams to meet clinical study timelines and created new processes to optimize study development workflow• Activated multiple clinical studies for a variety of leukemia, lymphoma and myeloma cancers using novel stem cell treatments, targeted genetic therapies and immunotherapies • Maintained protocol adherence and compliance with good clinical practices and institutional guidelines

Madison, Wisconsin Area

Program Leader at MAD Youth and Camp Inspire for the Madison School & Community Recreation Department. Have done this for 3 summers which include 2012,2013 and 2015. Have experience planning and executing activities for youth with a wide range of abilities.

La Crosse, Wisconsin Area

A comprehensive healthcare network including one of the nation's largest multi-specialty group medical practices. Serving a large rural community in three different states Lommen Family Summer Fellow. Primary research assistant for Dr. Toni Peters and research specialists within the Pediatric Hematology and Oncology department. Analyzed historical patient data, collected from various in-system clinics to identify relationship between time to antibiotics (TTA) for pediatric oncology… Show more A comprehensive healthcare network including one of the nation's largest multi-specialty group medical practices. Serving a large rural community in three different states Lommen Family Summer Fellow. Primary research assistant for Dr. Toni Peters and research specialists within the Pediatric Hematology and Oncology department. Analyzed historical patient data, collected from various in-system clinics to identify relationship between time to antibiotics (TTA) for pediatric oncology patients with fever and neutropenia.Presented research findings to board of doctors showing a statistically significant relationship between TTA and quality of care for pediatric patients; provided suggestions to decrease average TTA across different areas of the hospital Show less

Master Of Health Administration, Health/Health Care Administration/Management

Activities and Societies: Community Service Initiative Chair for MHA Class of 2020

Bs, Biology, Biomedical