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As a leader in ÀÖÓ㣨Leyu£©ÌåÓý¹ÙÍø’s Health and Government Solutions team, J.D. assists client’s with transformation projects related to technology and operating models. His experience includes assessment and implementation of new operating models for the front, middle, and back office of payers and integrated delivery networks. His focus on sustainability of change has helped organizations obtain topline growth while reducing the cost of sale and delivery.

J.D. has been working with clients across the care continuum for 20+ years and serves organizations across commercial and government lines of business.

Recent engagements

• Assisted a multi-state health insurance plan in the development of a flexible operating and organizational model that reduced cost and enabled new products
• Led the development of a new target operating model for a multi-state health insurance plan focused on leveraging robotic process automation for prior authorizations
• Led the development of a new case sourcing algorithm focused on identifying members earlier for case and utilization management
• Assisted a healthcare technology company with the development of a 3-year product roadmap, including financial projections and adoption rates
• Led multiple Medicaid strategy projects including assistance with the New York Delivery System Redesign Incentive Program (DSRIP)
• Managed the assessment, design, and implementation of a multi-location care management strategy initiative for a national post-acute care hospital system
• Led multiple large health insurance projects focused on the transformation from volume to value-based reimbursement
• Led a market assessment and competitive analysis strategy for a commercial health insurance company
• Managed the development of a multi-year cost containment strategy for multiple healthcare providers
• Managed the assessment and design of a target operating model related to process and technology for a financial services organization
• Managed the program office for state based insurance provider to develop and implement a new end-to-end claims system
• Developed a multi-year market entry strategy for a global healthcare organization, focused on new offerings, operating models, and risk management strategies
• Managed the development of a multi-year growth strategy for a global provider of in-home senior care
• Managed the assessment and development of a global market entry strategy with a focus on the ASPAC region
• Managed the development of a staffing model and operational impact assessment focused on the impacts of the affordable care act on multiple health plans