Zach Lucas Email and Phone Number

Recruited by BCBSM to negotiate and facilitate risk contracts between Blue Care Network/Blue Cross Blue Shield of MI and large physician organizations for the HMO/PPO and Medicare lines of business. Maintain relationships with these external stakeholders to ensure understanding of financial performance and highlight areas of opportunity throughout the year through provider enablement practices. Work with internal leaders in actuary, finance, provider enrollment, and more utilizing our provider partner feedback to impact BCBSM operations. Led and executed the development, evaluation and full project management functions for thePhysician Group Incentive Program (PGIP), Shared Risk Incentive Program (Blueprint for Affordability) and other Blue Care Network Incentive Programs. Worked with numerous physician organizations to demonstrate how to understand and use quality performance data to create tailored PCMH, revenue management risk adjustment and general population health management.Produce reports to provide cost and utilization measures that were then translated into database reports and spreadsheets for company associates to easily identify value and waste within each contract, so that current contracts are properly maintained and future contracts effectively meet the needs of the customer.

Recruited by Best Buy Health to implement new streamlined targets for leading business development, account management and KPI market research. Work with internal stakeholders to investigate large payment discrepancies and coordinate with external payers to calculate variance of accounts receivable including the actual and projected claims payments. Responsible for delivering 28% of Best Buy Health's revenue growth during 2018 FY. Presented to numerous C-level executives at health plans and hospitals nationwide, negotiating new payment arrangements and creating value based care arrangements that resulted in increased member satisfaction and payer cost savings. Negotiated and facilitated new managed care contracts between Best Buy Health and prominent managed care organizations for both HMO and PPO lines of business. Demonstrated expertise in contract negotiation, ensuring favorable terms for all parties involved and fostering strong partnerships.

Spearheaded the management of managed care and government-funded contracts, with a particular emphasis on expanding participation with MA payers nationwide.Led in the development of and execution of Henry Ford Health System's first ever value based care agreement with Best Buy Health aimed at reducing hospital readmissions and increasing member engagement. Routinely performed thorough analysis of Best Buy Health contracts with managed care organizations to ensure payment accuracy and contract terms.Knowledge of relevant governmental policies and regulations pertaining to the managed care industry, as well as knowledge of industry trends and policy changes.

Assisted in survey design process improvement, operational planning, competitive analysis/best practice and organizational performance monitoring and improvement. Led survey design workgroups for the organization's most significant in-house survey initiative (VA Preparedness - Hurricane Sandy Survey).Maintained an overview of survey contract statuses and issues, to proactively communicate progress, risks, issues, or changes that may impact quality, timelines and/or budget.

40 hour/week internship with UMHS - Community Health Services DepartmentHelped design and create the first ever U-M Community Health Services Annual Report for FY 2014Collaborated with various CHS programs to implement performance improvement efforts and support their communities in impactful ways. CHS Programs - Meals on Wheels, Adolescent Health Initiative, Community Health Planning and Investment, Housing Bureau for Seniors, Michigan Medicine Lodging, Program for Multicultural Health and Friends Gift Shops.