Wayne Pendleton, Msw Email & Phone Number

Lansdale, Pa, Us

Lansdale, Pa, Us

Lansdale, Pennsylvania, United States

As PA Market Lead, provide inspiration, oversight, and vision to effectively develop and grow the new Pennsylvania I-SNP - supporting clinical effectiveness, financial strength, quality of care, and operating efficiency. Develop and strengthen Longevity Health’s groundbreaking relationship with Aetna across 67 PA counties.

Philadelphia, Pennsylvania, United States

> As the founder of a Pennsylvania LLC healthcare consulting firm, led feasibility study efforts resulting in a New Jersey community hospital and health system winning a 3-county bid to deliver Medicare PACE.> Led efforts resulting in a Philadelphia-based behavioral health Members Assistance Program obtaining three major union contracts followed by several contract renewals> Obtained and then led consultancy with a prominent Virginia hospital and health system sponsor of PACE that uncovered substantial opportunities for cost savings, revenue enhancement, and growth and expansion

San Francisco, California, United States

> As the founding team’s Medicare PACE expert, co-developing a scalable and integrated solution from the “ground up” that provides culturally-agnostic accessibility and improves health equity> Infusing Medicare PACE content expertise and experience into the development of a technologically enhanced, culturally-adept, and otherwise differentiated model of value based care> Leading the design of end-to-end operational and enrollment growth workflows and incorporating evidence-based model practices and PACE preventive guidelines to serve as a foundation for the company’s proprietary HIT platform build> Partnering with the National PACE Association through nominated membership on industry-wide common data set and provider performance-related committees

Lansdale, Pennsylvania, United States

> As chief executive of a Pennsylvania-licensed home care agency, increased billable revenue by 800%, reduced bad debt to 2%, and reduced caregiver staff overtime to an industry-leading 2%> Secured contracts with three Medicaid Managed Care Organizations and the Veterans Administration while salvaging the agency’s contract with county department of senior services> Met all requirements for Cures Act electronic visit verification (“EVV”) two years prior to Pennsylvania’s deadline while integrating the agency's HIT solution with the single billing clearinghouse of the three Medicaid MCOs, improving operating and billing efficiency and accuracy and resulting in faster pay

Philadelphia, Pennsylvania, United States

> As VP for managed care of a large Center for Independent Living, laid strategic groundwork for the agency to become one of the first NCQA-certified service coordination agencies in Pennsylvania> Secured contracts with all three MCOs participating in Pennsylvania’s new Medicaid Managed Care program while obtaining preferred provider status for the agency> Developed and contracted for numerous first-of-it’s-kind service lines of business

Philadelphia, Pennsylvania, United States

> As chief operating officer with P/L responsibility for $80 MM in public health programs, generated 80% of the agency’s overall profit> Achieved profitability of federally qualified health centers and behavioral health programs that had been chronically operating at substantial deficit levels> Designed, staffed and implemented a Total Quality Management program that resulted in operational and financial improvements in chronically underperforming programs

Vineland, New Jersey, United States

> As division executive, led successful pre-development and on-time startup of a Medicare PACE plan> While driving the PACE startup, led a business turnaround of the hospital’s hospice, home health, and personal care agencies resulting in a swing of $950k in operating losses to over $1MM in profit> During the above-referenced business turnarounds, eliminated all health network subsidies and paid the network back for previously-distributed subsidies

Philadelphia, Pennsylvania, United States

> As chief executive of an academically-sponsored PACE plan, achieved double-digit growth in membership enrollment every year> Reduced chronic financial deficits and then consistently achieved 6-8% profitability while financially contributing to the school’s education and research missions> Reduced staff turnover from 45% to 8%

Master Of Social Work - Msw, Public Administration And Social Service Professions, Gpa - 3.96

Bachelor Of Applied Science - Basc, Psychology, Graduated Cum Laude