Steve Kozak Email & Phone Number

Worcester, Ma

Develop and oversee programs and services within a multispecialty group medical practice that support physicians and advanced practitioners in the delivery of effective, high-quality, affordable, equitable value-based care; including programs to engage patients in self-management of their health and chronic conditions, address gaps in social determinants of health, reduce leakage to outside specialists, and provide intensive support to frail patients to reduce need for emergency and facility-based care.

Provide industry knowledge, market insights, and practical problem-solving in order to facilitate the strategic planning, project execution, operational improvement, DSRIP applications, and program, service, or product implementation work of health plans, managed care organizations, behavioral health services, healthcare technology companies, analytics, and healthcare delivery systems.

Watertown, Massachusetts

Oversaw management of behavioral health benefits; development and execution of population health programs and clinical services; behavioral health benefit administration operations including member and provider services, quality improvement, compliance, and informatics and analytics for commercial and Medicare membership. Responsible for operating budget and management of medical trend in a risk environment.

Boston, Ma

Led a population health management team consisting of over 200 employees in a dozen functional areas including inbound and outbound call centers, systems technology and informatics, utilization management, appeals, behavioral health, case management, and training, in a health plan with 3 million commercial and Medicare members. Point of contact for employer groups, municipal government purchasers, and unions.

Oversaw administration of behavioral health benefits and programs, designing case management and utilization review strategy to improve behavioral health clinical and cost outcomes among population of 3 million commercial managed care members.

Oversight of member and provider service, case management, utilization review, appeals, network management, quality improvement, accreditation, and regulatory compliance to deliver efficient and effective specialty managed care carve-out to regional health plan customer with one million commercial and Medicare members.

Clinical, operational, sales, and marketing leadership in a provider-owned regional behavioral health managed care organization.

Oversight of behavioral health benefit management operations for a ten-state region covering over five million members of a large national health plan.

Directed strategic, financial, operational, and clinical activities for large multi-site staff-model behavioral health practice, overseeing 33 service locations in 12 states including offices dedicated to managed Medicaid members, to serving union members, and to providing occupational health and employee assistance services.