Author by Humana Chief Operating Officer, Author by Humana MSO, Inc.
Jan. 2020 - Jan. 2023Boston, Massachusetts, United StatesCare Delivery Strategy/Operations Onboarded with a mandate to (1) build a virtual-first (remote, supplemented with in-market clinicians) healthcare clinic offering Behavioral Health (BH) and/or General Medicine services as an extension of Medicare Advantage benefits. Enable performance of all non-clinical functions (HR, IT, Legal, Program & Project Management, Finance & Accounting, Compliance & Risk, Product & Technology, Communications & Marketing, Strategy & Culture, Procurement & Vendor Management). These functions are enabled by establishing, nurturing, leveraging & executing upon relationships across payor, provider, internal & external stakeholders. (2) identifying and influencing key market differentiators, including the Author by Humana culture, critical to optimizing the integrated service & technology offerings. These goals are pursuant to a mission to remove barriers to health & serve as a catalyst to help people live their best lives on their own terms. We accomplish this mission through our integrated clinical care model delivered through a Medicare Advantage experience, blending traditional provider & payor products & services, reimagined from the customer perspective. An integrated, Whole-Person Team, inclusive of re-designed Care Management & Utilization Management, augmented by a Care Delivery entity, allows for broad coverage of SDOH, BH, health care at home, HCD. Product Delivery Model Review & Redesign One of 11 leaders selected to represent Author’s 450+ associates in a working group tasked with assessing the people, process and technology operations at Author, proposing a future state for operations (people & process re-orgs), & aligning this model to both Author & enterprise (Humana) strategies. Over a 5-month period, collaborated to develop a model to define, prioritize & deliver solutions to strategically aligned jobs-to-be-done, including the communications, training & implementation plans.