Continuous Improvement Network

Charles Ward Carroll

Franklin, TN ***** 972-***-****

*********@******.*** LinkedIn URL

Operations Executive

20+ years success maximizing results, profitability, and ROI in healthcare and nonprofit industries

Motivated, entrepreneurial, and dynamic CEO with proven expertise in all aspects of start-up and operations of diverse organizations in fast-paced and complex environments. Intuitive leader with robust business acumen and talent for transforming strategies into tactical solutions; skilled communicator able to forge solid relationships at all organizational levels, coordinate cross-functional resources effectively, and motivate teams to exceed objectives. Analytical and organized as well as highly adaptable, proactive, and pragmatic.

Areas of Expertise

•Insurance Operations

•Hospital Organizations

•HMO Operations

•Network Development

•P&L Accountability

•Strategic Planning

•Organizational Development

•Grant Procurement

•Regulatory Compliance

•Change Management

•Continuous Improvement

•Leadership & Training

Career Experience

Johnson Lane Group, LLC – Dallas, TX / San Francisco, CA / Nashville, TN

SENIOR PARTNER & CONSULTANT (2009 to Present)

Deliver comprehensive network evaluation and development strategies, including recruitment and technology planning solutions, for HMO, ACO, PSMH, and Hospital Provider networks. Consult hospital systems and Physician Groups on start-up strategies, CMS Medicare Advantage strategies, network contracting and development, and project management.

Selected Contributions:

Leveraged industry expertise to provide consultation on waste, fraud, and abuse compliance.

Spearheaded research into census demographic tracking to create targeted healthcare recommendations and write grants.

Guided team building, market position, and technology integration strategies for ACOs nationwide.

Served as member of National Committee on Quality Assurance, providing model implementation and overseeing project management.

Central Georgia Health Network – Macon, GA

CEO (2015 to 2018)

Directed all aspects of operations and strategic planning for clinically integrated health network with +1K physicians. Provided single signature managed care authority with all government and private payors.

Selected Contributions:

Successfully developed and implement multiple value-based programs, emphasizing cost effective growth and proactive solutions.

Created visibility focused mission and branding strategies with integration of new technologies and platforms into EMR metrics.

Optum – Minneapolis, MN

VICE PRESIDENT OF NETWORK OPTIMIZATION & POPULATION HEALTH (2012 to 2014)

Owned relationship with Central States clients for Provider Operations redesign, including commercial lines product development, statewide exchange and Medicaid products, organizational culture shifts, and change strategies. Managed analytics technology representation for Stars and HEDIS.

Selected Contributions:

Orchestrated proactive process improvement strategies for data-mart build and tactical implementation.

Designed and launched network optimization and incentive programs for high-profile Medical Home and CI initiatives.

Managed provider group risk analytics and quality assurance reviews for ACOs and provider groups.

Molina Healthcare of Texas – San Antonio, TX

PRESIDENT & CEO (2007 to 2009)

Led strategic development and RFP design for start-up venture in competitive market. Owned all operations, compliance, regulatory, and expansion aspects of organization as well as full P&L accountability.

Selected Contributions:

Coordinated efforts of cross-functional staff in multiple cities, cultivating culture focused on continuous improvement through strategic solutions and collaboration.

Developed and implemented new processes to establish compliance with federal and state regulations while enabling performance improvements.

Additional experience as President & CEO, Senior VP of Managed Care, and Director of Physicians Network.

Education & Credentials

Master of Arts in Organizational Development & Human Resources Strategies

University of San Francisco – San Francisco, CA

Bachelor of Arts in Marketing & Business Communications

Biola University – La Mirada, CA

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