Quality Assurance Health
Resume:
Cynthia S. Burnell **** Elbern Avenue
********@************.*** Columbus, Ohio 43209
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QUALIFICATIONS SUMMARY
Proven success in leading health program planning, policy development, implementation, administration, and
evaluation; developing staff and organizations; managing grants and contracts; and working collaboratively
with diverse constituencies.
PROFESSIONAL EXPERIENCE
Executive Director, Ohio Health Care Coverage and Quality Council April 2009 - Present
Implement and direct a newly created Council (housed at the Ohio Department of Insurance) comprised of
over 30 public and private partners to advance initiatives related to health care quality improvement and
enhanced cost-effectiveness. Accomplishments include:
• Coordinating Council creation with diverse constituencies, the legislature, and the Governor’s office
• Establishing, managing, and integrating the work of multiple task forces and work groups
• Achieving consensus for priorities and specific projects
• Developing and advancing the implementation of a multi-payer primary care home initiative
• Contracting with the Institute for Healthcare Improvement to implement a program to reduce
avoidable hospital readmissions
Director, Office of Healthy Ohio, Ohio Department of Health March 2007 – April 2009
Successfully developed and implemented a statewide initiative to promote health and prevent chronic
disease and injury. Accomplishments included:
• Defining program mission, strategic plan, and performance objectives
• Aligning existing federally-funded programs valued at over $30 million and administered by sixty
staff into the new Office
• Helping secure state funding and administer program budgets
• Convening a public - private Advisory Council
• Creating a focus on obesity prevention through dedicated staff, increased public-private coordination,
a statewide forum, and the first Ohio Obesity Prevention Plan
• Incorporating the state’s tobacco use control programs into the Office in under three months
• Participating in the State Health Care Coverage and State Quality Improvement Initiative teams
• Overseeing the development of “Community Profiles”, county-specific summaries of health and
chronic disease indicators
Assistant Deputy Director and Best Rx Program Director; Office of Family Stability
Ohio Department of Job and Family Services February 2004 - March 2007
Implemented a new statewide discount drug card program, Ohio’s Best Rx; accomplishments included:
• Developing and implementing pricing, rebate, eligibility, and other program policies
• Working collaboratively with the media, external advisory council, and interest groups
• Achieving a 30 % average reduction on consumer per prescription cost
Additional responsibilities as Assistant Deputy Director:
• Directed multiple human service programs, including federally-funded demonstrations
• Managed office-wide strategic planning and statewide outcomes management program
Chief, Bureau of Managed Health Care, Ohio Medicaid June 1992 - February 2004
Ohio Department of Job and Family Services
Directed the overall design, administration, and evaluation of the Ohio Medicaid managed care program.
Accomplishments included:
• Assuring and demonstrating access, quality of care, and consumer satisfaction through provider
panel verification, a managed care organization (MCO) contract compliance system, member
grievance process, annual member surveys, and external quality review
• Improving information management through ongoing system enhancements and the implementation
of encounter data submissions
• Developing and implementing data-driven performance improvement and incentive system
• Documenting cost-effectiveness compared to fee-for-service
• Designing and managing multiple MCO procurement and contracting processes, including rate-
setting with actuarial consultants
• Communicating with MCOs, providers and their associations, consumer representatives, the
legislature, the press, and the public on general and specific program issues
• Successfully negotiating with federal agencies on waiver design, approval, and amendments
• Coordinating program activities and problem resolution with other state and local agencies, including
the Ohio Departments of Insurance, Health, Mental Health, and Alcohol and Drug Addiction
Services
• Creating and implementing new enrollment, chronic care management, and payment strategies to
address the changing health care market and maintain program viability
• Developing a growing professional and administrative staff (200% growth in six years)
• Serving on the national Medicaid Managed Care Technical Advisory Group
• Presenting and participating at both state and national conferences
• Participating in national demonstration grants, including the Quality Assurance Reform Initiative and
Medicaid Working Group
OTHER EMPLOYMENT
Ohio Department of Health:
Health Planning Administrator: Implemented, administered, and oversaw the evaluation of the state-
funded Health Care for the Working Uninsured pilot projects; co-authored study of the uninsured in
Ohio.
Ohio Citizens Council: Planning / Government Relations Associate
Ohio Senate: Legislative Aide
EDUCATION
Master of Labor and Human Resources Bachelor of Arts, History
The Ohio State University The University of Akron
Graduated summa cum laude
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