Healthcare Leader that effectively leads multiple disciplines, manages numerous deadlines, successfully leads change initiatives, improves quality, reduces cost, ensures compliance and successfully works cross-functionally with all levels of the organization. Results-driven with a demonstrated ability to lead in a dynamic and changing environment. Capable of managing challenging situations in a calm and persistent approach to meet and exceed organizational goals. Leadership Experience:• Performance Management• Team Development/Engagement• Relationship Management• Financial Management• Business Process Improvement• Change Management Healthcare Expertise:• Population Health Initiatives• Clinical Integration Strategy • Corporate Board Governance• Business Restructuring • Federal /State Contracting • Regulatory ComplianceCore Competencies:• Financial Data Analysis • Budgeting & Forecasting• Performance Metrics• Process Improvement• Talent Acquisition • Excellent Verbal & Written SkillsAccomplishments:• Led the establishment & transition of a new organization • Reduced healthcare trend by 3.3% (est. $12M)• Oversaw the 97% increase in pharmacy savings over 3 years• Led integration of Behavioral Health Programs into 5 PCP practices• Led the redesign of physician incentive plans based on outcomes• Led practice transformation resulting in a 57% increase of PCMH practices over 3 years• Oversaw the re-branding of a LLC• Established and led a concierge Customer Care Unit• Designed multiple KPI dashboards to drive performance• Established financial structure for joint venture• Established financial division of subsidiary across three locations• Negotiated multiple government audits• Responsible for financial section of a winning $20M RFP• Oversaw compliance for multiple government funded contracts• Implementation of STAR quality program for Medicare population • Participated on Bargaining Unit Negotiation Teamssmgannon3@gmail.com
Highmark Western And Northeastern New York
-
Vice President, Contracting And RelationsHighmark Western And Northeastern New York Aug 2023 - PresentResponsible for the health plan provider contract strategy, provider relations & engagement strategies. Serves as the primary liaison for the provider network. Leads the deployment of Highmark Health plan provider capabilities into the market to drive value to the community.
-
Director, Provider ExperienceHighmark Western And Northeastern New York Mar 2021 - Aug 2023Responsible for managing the provider relationships and communication through the platform changes as HealthNow affiliated with Highmark Health.Guided the management of relationships with key provider groups; Independent Practice Associations (IPA) and Accountable Care Organizations (ACO). Lead the team that engages providers to enhance clinical quality and medical efficiency, as well as, focusing on patient and provider experience.My team strives to improve relationships with network providers and resolve outstanding issues that develop. We drive enhancements to process and procedures to best serve the providers within the network. Collaborate with internal partners in care management, quality, claims, analytics, provider service, member service and network contracting to help the patient & provider. Represents the voice of the physician within the plan. Responsible for collaborating on value based contracting initiatives and quality contracts. Responsible for leading the development of educational opportunities for provider practices.Scope: 2 Geographical RegionsApproximately 600 provider groups6 IPA/ACO
-
Director, Provider ExperienceHealthnow New York Inc. 2018 - Mar 2021Buffalo, Ny, UsResponsible for advancing the strategy for physician and provider communication, supporting the development and execution of physician-facing initiatives, and delivering value through improved interactions with our network. Guides the management of relationships with key provider groups; Independent Practice Associations (IPA) and Accountable Care Organizations (ACO). Leads the team that engages providers to enhance clinical quality and medical efficiency, as well as, focusing on patient and provider experience.My team strives to improve relationships with network providers and resolve outstanding issues that develop. We drive enhancements to process and procedures to best serve the providers within the network. Collaborate with internal partners in care management, quality, claims, analytics, provider service, member service and network contracting to help the patient & provider. Represents the voice of the physician within the plan. Responsible for collaborating on value based contracting initiatives and quality contracts. Responsible for leading the development of educational opportunities for provider practices.Scope: 2 Geographical RegionsApproximately 600 provider groups6 IPA/ACO -
Executive DirectorOptimum Physician Alliance, Llc (Opa) 2015 - 2018Buffalo, New York, UsThe principle administrative officer of Optimum Physician Alliance, LLC (OPA). OPA is a novel construct of 600 primary care & specialty physicians established from a joint venture between largest health plan and largest hospital system in Western New York. OPA is a physician-led network comprised of primary care and specialist physicians who are committed to providing high-quality efficient health care. Created, with my team, a clinically integrated system of care focused on improving the quadruple aim. I provided strategic leadership to the "mirror" Independent Practice Association (IPA). I was responsible for the consistent achievement of its mission and financial objectives. -
Director, Joint Venture OperationsHealthnow New York Inc. 2013 - 2014Buffalo, Ny, UsResponsible for bringing together physicians, the health plan and the health system/hospitals to improve care to patients/members and reduce administrative burden. Accountability for ensuring that the strategic direction of the Joint Venture (JV) between HealthNow and its partners were implemented efficiently and effectively. Worked with executive team to provide strategic leadership and management in support of the JV business plan initiatives. The position collaborated with various internal and external stakeholders. Implemented initiatives to improve care to patients/members and reduce expense. Identified and resolved operational issues. Ensured financial transactions were properly executed and legal concerns addressed. Responsible for optimizing our customer relationships through the management of a customer care call center.
-
Advanced Development Program Rotation - Executive SuiteHealthnow New York Inc. 2012 - 2014Buffalo, Ny, UsResponsible for leading special projects for the EVP such as the creation and monitoring of Operational Business Plans. Participated as a member of the Executive Leadership team. Contributed to the three year strategic planning sessions with Corporate Board of Directors. Chaired the Information Technology Investment Committee team. Served on Bargaining Unit negotiation team.
-
Director, Operations Government ProgramsHealthnow New York Inc. 2007 - 2011Buffalo, Ny, UsOversaw compliance; financial reporting/analysis/forecasting/budgeting; billing & enrollment; grievance & appeals and general operations of the state and federal funded programs. Monitored compliance plan and created corrective active action plans. Managed a $35M budget. Established division-wide performance metrics. Oversaw a multi-departmental team for the implementation of a quality program (STAR) for the senior population to drive clinical quality improvement, enhance the global member experience, and enhance the relationship between providers and Medicare Advantage beneficiaries while maximizing revenues. Provide strategic direction for the Individual market by defining goals, strategy, staffing requirements, risks and contingency plans.
-
Executive Director, Cfo & Treasurer Medus Services, LlcHealthnow New York Inc. 2000 - 2009Buffalo, Ny, UsMedUS Services, LLC was a subsidary of HealthNow New York Inc. The subsidary was responsible for the administration for the Medicare B and DME contracts for CMS.Senior leader and officer of MedUS Services, LLC. Responsibilities included development and execution of the strategic direction of the operation. Managed $45M budget and claims payments of $2.6B. Responsible for ensuring the team efficiently and effectively meet quality standards across three divisions. Transitioned all Medicare financial operations under one management team. Oversaw the preparation of the annual internal control package and certified to the accuracy and compliance with government regulations.
-
Manager, Government AccountingHealthnow New York Inc. 2000 - 2000Buffalo, Ny, Us
-
Team Leader Financal ServicesHealthnow New York Inc. 1999 - 2000Buffalo, Ny, Us
-
Senior Cost Accountant/Internal AuditorHealthnow New York Inc. 1990 - 1999Buffalo, Ny, Us
Suzanne Gannon, Mba, Chie Skills
Suzanne Gannon, Mba, Chie Education Details
-
St. Bonaventure UniversityAccounting & Management Information System -
Canisius UniversityBusiness Administration
Frequently Asked Questions about Suzanne Gannon, Mba, Chie
What company does Suzanne Gannon, Mba, Chie work for?
Suzanne Gannon, Mba, Chie works for Highmark Western And Northeastern New York
What is Suzanne Gannon, Mba, Chie's role at the current company?
Suzanne Gannon, Mba, Chie's current role is Healthcare Leader | Change Management | Relationship Management | Compliance | Board Governance | Performance Management.
What schools did Suzanne Gannon, Mba, Chie attend?
Suzanne Gannon, Mba, Chie attended St. Bonaventure University, Canisius University.
What skills is Suzanne Gannon, Mba, Chie known for?
Suzanne Gannon, Mba, Chie has skills like Insurance, Leadership, Strategic Planning, Healthcare, Auditing, Access, Strategy, Team Building, Program Management, Software Documentation, Business Process Improvement, Administration.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial