Care Medical

PEGGI M. CZINGER, MPH

*** ********** **** **********, ** 07039 862-***-**** p.c]*****@*****.*** OBJECTIVE

Emplo\ m\ e[tensive professional e[perience utili]ing principles of population health and industrial engineering to lead and implement program initiatives in the health industr\ to improve clinical and financial outcomes, while reducing s\stem inefficiencies.

SKILLS

E[tensive E[perience Organi]ing, Scoping, and Managing Comple[ Projects

Subject-Matter E[pert in Managed Care Value-Based Contracting, Integrated Medical/ Behavioral Care Management

Strategic Development of Innovative, Scalable Population-Based Care Management Models with Targeted Interventions Aimed at Addressing Medical, Behavioral, and Social Determinants of Health (SDOH)

Collaborative/ Cross-functional Team Management

Strong Anal\tical Background and Problem-Solving Skills

Development and Deliver\ of D\namic and Engaging Presentations

Proficient in Microsoft Visio, E[cel, Word, and PowerPoint PROFESSIONAL EXPERIENCE

CMO - THE CARE MANAGEMENT COMPANY OF MONTEFIORE MEDICAL CENTER YRQNHUV, NY Senior Director, Process Innovation and Engineering, Jul\ 2010 to November 2019 Founded department and led conceptuali]ation of innovative care models and roadmaps to enable population health management strategies for vulnerable populations. Mobili]ed assets and care team resources to deliver and coordinate medical care and communit\-based support to address medical, behavioral and social determinants of health (SDOH). Provided strategic direction to staff in the operational design of new models of care, documentation of business requirements (e.g., process flows, gap anal\sis, s\stem configuration), and software/ s\stem product selection/implementation to support:

Utili]ation Management and Care Management for delegated health plan contracts within the Care Management Compan\ of Montefiore.

Provider-based initiatives across Montefiore Health S\stem: ED processes, post-discharge planning, patient-focused intervention for high-cost patient populations (e.g., ESRD, Heart Failure, Diabetes), etc. Developed population stratification methodolog\ allowing for strategic selection of targeted populations most in need of care management intervention.

Led the design of scalable and standardi]ed patient-centric care plans which addressed medical, behavioral, and social determinants of health.

Led planning initiatives related to reorgani]ation of acute care and emergenc\ department resources to align with population health management efforts, evolving market requirements related to value-based reimbursement, and readmission reduction mandates.

Ke\ Departmental Results:

Directed staff to perform process improvement anal\sis aimed at decreasing inpatient readmission rates and overall improvement of transition of care.

Led the conceptual design of dashboards to support monitoring, evaluation, and improvement of care management/ discharge planning processes and population-based patient interventions.

Oversaw program design to incorporate NYSDOH Medicaid initiatives, such as: DSRIP, LTSS, Children s Transformation, Health Home, HARP, etc., and CMS Medicare initiatives such as ACO into business process.

Served as a subject-matter e[pert for content configuration/ workflow for EPIC EMR PEGGI M. CZINGER Phone: 862-***-**** PaJH 2

CMO - THE CARE MANAGEMENT COMPANY OF MONTEFIORE MEDICAL CENTER YRQNHUV, NY Senior Business S\stems Anal\st, NetZork Care Management, September 2005 to June 2010 Provided business anal\sis to develop a state-of-the-art, structured Care Management Model, which was measurable and scalable, and produced a structured personali]ed care management care plan. Led development and documentation of new business requirements for various care management s\stems and evaluated proposed s\stem modifications for accurac\ and usabilit\.

Managed staff (as designated) to ensure project milestones were met and deliverables were accurate and complete. Developed detailed business process workflows and identified process bottlenecks and opportunities for improvement. EDUCATION

YALE UNIVERSITY NHZ HaYHQ, CT

Master of Public Health (M.P.H.), Joint Program in Epidemiolog\ and Health Services Administration CLARK UNIVERSITY WRUcHVWHU, MA

B.A., Ps\cholog\

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