Thomas Clifford Email & Phone Number

Cambridge, Massachusetts, United States

United States

At CVS Health, my work focused on innovation and strategy. This included guiding concepts from initial ideation, through product development, pilot program design, proposal assessment, and full enterprise scaling.

Greater Chicago Area

Advis is a boutique, legal-based healthcare management consulting firm. As a consultant with Advis, I advised clients on wide range of projects at the intersection of business, healthcare, and law.A large part of my projects included leveraging my experience in healthcare technology to help clients implement and optimize participation in government programs and reform initiatives. Those included programs rooted in the HITECH Act, HIPAA, and further reformed by MACRA, such as the Quality… Show more Advis is a boutique, legal-based healthcare management consulting firm. As a consultant with Advis, I advised clients on wide range of projects at the intersection of business, healthcare, and law.A large part of my projects included leveraging my experience in healthcare technology to help clients implement and optimize participation in government programs and reform initiatives. Those included programs rooted in the HITECH Act, HIPAA, and further reformed by MACRA, such as the Quality Payment Program (QPP), Meaningful Use, EHR Incentive Programs, Promoting Interoperability, advanced alternative payment models (APMs), the Merit-based Incentive Payment System (MIPS), the Medicare Shared Savings Program (MSSP), and quality reporting and improvement initiatives. I helped clients understand what these programs required, developed plans for reporting and performance improvement, identified communication strategies, and captured maximum positive payment readjustments.Another focus area involved the 340B Program. This included guiding hospitals assessing their eligibility for 340B Program enrollment, developing an initial enrollment plan for 340B, and optimizing participation for well-established hospitals. Specific tasks covered vendor evaluation and selection, contract negotiation, contract pharmacy partner identification, external audits, compliance program development, and drug purchasing optimization.Other projects covered various healthcare topics, such as work with health insurance plans to conduct mental health parity assessments, to ensure specific benefit design remained compliant with quantitative and qualitative requirements. Show less

Designed "CFO Dashboard" to allow senior hospital executives to review key financial metrics quickly; Streamlined revenue cycle processes to reduce health system registration errors, claim denials, wait times, and accounts receivable; Improved hospital procedures for processing real-time insurance eligibility transactions.

Chicago, Il

Researched due diligence for dental practices interested in implementing electronic medical records, drafted guidance on HIPAA technical safeguards for dental practices, reviewed contracts and warranties for cloud computing services, and conducted HIPAA training for new employee.

Madison, Wisconsin Area

Coordinated teams of software analysts installing Epic's software at large academic and multi-hospital health systems. Designed and managed integrated plans for software testing and security. Worked with ICD-10 task force to prepare Epic's scheduling, registration, admitting, discharging, and transferring software for government mandated changes in medical diagnosis codes. Certified in Epic 2012 ADT, Prelude, Cadence, Eligibility, and Welcome. Extensive experience with referral implementation… Show more Coordinated teams of software analysts installing Epic's software at large academic and multi-hospital health systems. Designed and managed integrated plans for software testing and security. Worked with ICD-10 task force to prepare Epic's scheduling, registration, admitting, discharging, and transferring software for government mandated changes in medical diagnosis codes. Certified in Epic 2012 ADT, Prelude, Cadence, Eligibility, and Welcome. Extensive experience with referral implementation strategy, planning, and troubleshooting. Show less

Tbilisi, Republic Of Georgia

Worked with local language teachers to introduce new teaching methodology. Founded the English Speaking Club at Tbilisi Public School 130. Taught English classes alongside local teachers, focusing on speaking and listening skills.

Claremont, Ca

Compiled resources for papers, lectures, and writing; revised work to be published on religion and the Holocaust; organized campus activity for human rights related issues; managed and updated Center's website content.

Greater Chicago Area

Prepared database of campaign financial disclosure reports. Researched campaign finance bill, financial disclosure reports, and potential to institute cumulative voting reforms in the Illinois legislature.

Contacted thousands of voters and volunteers. Researched voter statistics and calculated support goals for each precinct. Assisted Field Director's development and implementation of field programs.

Compiled information on community leaders, creating contact lists for various constituencies. Researched veterans' issues for draft of op-ed. Assisted in set-up and organization of rallies.

Juris Doctor (J.D.), Law

Activities and Societies: Founder and President, Northwestern Law Health Law Society; Associate Editor, Northwestern Journal of Law.

B.A., Government, Ethics

Activities and Societies: President, Democrats of the Claremont Colleges; Senator, Associated Students of Claremont McKenna College.

Education record

Study Abroad Program