Scott Pidgeon Email & Phone Number

Poughquag, Ny, Us

Serve as the leader and point of contact for Eden Share, Inc. as we develop and implement programming, new contracts, and agricultural services as a new 501(c)(3) within the Dutchess County community and throughout the Hudson Valley. Our goal is to bring gardening and all of its associated benefits to individuals' health, mental wellness, and recovery journeys.

Oversaw the quality program and operations for the Northeast region (New York, Massachusetts, New Hampshire, DC, Maryland) and acted as quality lead for 10 MCO accounts until August 2022. In 2022, focus shifted toimplementing strategic HEDIS performance improvement activities and corrective actions as needed forCarelon BH’s second largest contract and several others. Directly responsible for the planning and implementing the quality component for 6 new Medicaid Advantage Plans (MAPs).

New York, New York, Us

Developed alternative payment methodologies and value-based payment proposals to market service offerings to managed care organizations and other funders. Coordinated over 60 disparate IPA network providers to foster collaboration and integration of services. Developed taxonomy for services and programs to be used for their network data analysis and business intelligence platform.

New York, New York, Us

Developed, implemented, and tested new innovative program offerings with contracted network providers of CBC IPA. Cultivated and maintained relationships with funding partners, including managed care organizations and performing provider systems, as well as, community-based provider leadership.

Boston, Massachusetts, Us

Promoted to the team leader for Provider Partnerships for the mid-Atlantic region to implement provider engagement strategies through aggregate data sharing, improved collaboration, and strategic goal formation. Leveraged community resources to improve outcomes and shift toward value-based payment mechanisms. Supervised and supported team in their provider-facing roles.

Boston, Massachusetts, Us

Managed a portfolio of high volume, strategic behavioral health providers and hospital systems in New York City and functioned as the single point of contact, transitioning the relationship to a collaborative approach to improved health outcomes. Responsibilities included assisting providers with navigating managed care, specifically Beacon (Clinical, Quality, Network Development, Account Management , and Payment ); presenting aggregate performance metrics on a quarterly basis to C-level provider leadership; aligning provider and payer goals around HEDIS/QARR to drive improvement and outcomes; coordinating innovative programs within the local market including clinical and value based payment models.

New York, Ny, Us

Managed and supervised all clinic functions including operational and administrative functions, activities, and projects of the ICL and GCB ambulatory care clinics, in addition to satellite school programs, health home/care coordination, and integrated health initiatives (over $8 million in revenue). Brought the clinics from substantial deficits to break-even within first 2 years by focusing on productivity and operational efficiencies. Responsibilities also included managing the operations of the clinics/care coordination teams, overseeing revenue cycle management, monitoring client services, and facilitating process improvement interventions with attention to HEDIS and outcomes.

New York, Ny, Us

Provided oversight and executive leadership as a member of the executive management team for multiple SUD outpatient programs ($6 million in revenue) and over 100 total staff members within a large multi-service agency. Accomplishments included implementing an agency wide electronic health record platform, growing and increasing collection of third-party revenue, preparation for managed care carve in, and improving access and engagement in care.

Taught Community Organization and Field Seminar for social work students at a CSWE accredited college. Responsibilities included preparation of lectures and presentations, meeting with field instructors at various community-based agencies, integrating field experiences with academics, and providing professional guidance to a culturally and experientially diverse student body.

Administration and management of a community residence for 34 adults with chronic mental illness in Harlem with an annual budget of $1.5 million. Responsible for the supervision of administrative and program staff of approximately 20 employees.

Directed and managed a residential program serving 15-20 adults with severe mental illness with a staff of 9. Also provided direct clinical interventions with clients and managed a budget of $500,000.

Developed and led a Housing Opportunities for People with AIDS (HOPWA) scattered-site housing program. Provided advocacy, case management, and referral for a cross-disability population.

Worked in a direct care capacity with developmentally disabled adults to facilitate their transition to independent living.

Master Of Business Administration (Mba), Business Administration And Management, General

Msw, Policy, Planning, Administration

Bsw, Social Work

Regents Diploma