Start-Up Consulting
With over a decade of experience in payer roles and over 20 years as a compassionate clinician, she delivers expertise to early-stage startups as a Clinical Advisor or Fractional CMO. If your startup aims to revolutionize patient healthcare experiences and seeks a physician with frontline clinical experience and payer insights to support market position and adoption, she is here to help. With a skill for problem-solving and a focus on clinical operations, she brings a unique perspective to drive exceptional outcomes. As a Board Certified Physiatrist with leadership roles in various payers and a history of evaluating healthcare startup proposals, she is committed to delivering straightforward recommendations and rolling up her sleeves to fulfill commitments. Let's work together to transform healthcare for the better.
Here are a few examples of the outcomes that she has achieved and how she can help your business get to the next level.
Incredible Administration
Implemented process improvements boosting compliance by 82% and met all regulatory guidelines. Facilitated a 500% jump in cases making it to Medical Director review by instituting real time UM data reporting. Resolved gaps in claims review process realizing a 300% increase in appropriately denied requests within 9 months. Identified key program to meet critical gap and provide meaningful personalized care at pivotal juncture, resulting in 2:1 ROI. Performed root cause analysis on skyrocketing costs, discovered and halted bad policy staunching $16M in losses in overpayments.
Designing the Process
Drove significant impact to behavioral health spend, realizing 64% reduction in inpatient utilization and saving an average of $11K per member over 2 years. Rebuilt MD program and outperformed industry averages by retaining 100% of all new hires. Key player in standing up both Medicare Advantage and ACA programs all within 8 months. Successfully helmed first foray into managed care, building the program from scratch and constructing the framework of systems to support it. Shored up gaps in spasticity care by building a fully operational weekly outpatient clinic from the ground up in 6 months’ time.
Building the Team
Outperformed average market growth by 419% for a new program launched amidst a pandemic, beating growth targets by 23.8%. Led a national initiative to standardize MD templates reducing workload 20.8% by eliminating rework. Led residency accreditation process to transform struggling 1-year program into full four-year accreditation. One of 60 physicians companywide nominated to attend national leadership development program. Rebuilt Medical Director team overseeing 500K+ members across 7 states and doubled region size within a year. Maintained 100% staff retention during major organizational upheaval despite industry expectation of 20% attrition.