Healthcare is hard.

I have spent more than 20 years primarily in the payer space starting as a data scientist and leveraging that skillset throughout the course of my career.

I have held senior level finance roles with various payers however I would call myself the COO of CFOs! I am a financial business partner who understands the financial statements, the drivers of financial performance and who can work as a financial business partner to help other areas of the organization become successful.

Areas of Expertise

Financial Planning & Analysis

Data Analytics/Medical Econonics/Data Science/Informatics

Value-Based Arrangements

Delegated Risk

Risk Adjustment

STARS/Quality

“Cost of Care”/Clinical Utilization

Network Pricing/Strategy

Claims

Medicare/Medicaid Reimbursement Methodologies

Medicare Bids

  • To fill in a key role on an interim or full-time basis

  • To provide assistance in setting up value-based care contracts and DOFRs (division of financial responsibilities), and understanding financial and utilization results

  • To assist in M&A, de novo geographies or new product offerings

Why might you need a consultant?

  • Creating risk arrangements

  • Negotiating reimbursement strategies

  • Optimizing analytics capability to assist in strategic decision making

  • Understanding budget variances, finding drivers, and establishing tactics with operational and clinical business partners

  • Spearheading risk score optimization efforts

I can help with the following: