Deborah Shartle

About Deborah Shartle

Deborah Shartle is a diversified Clinical Director and Strategic Business Partner with 15+ years’ experience in population health management, care management, health equity, program leadership, accreditation, and innovation. She has held prominent roles as an Executive healthcare partner, leading omnichannel healthcare solutions and population health management strategies for commercial, government, employer groups, and at-risk populations. As a catalyst for innovation and patient-centric solutions, she has led flagship enterprise-wide initiatives. With a Doctor of Pharmacy (PharmD) degree, and leadership training through Duke Corporate Education, Deborah delivers relevant solutions through a clinical, operational, and business perspective. She effectuates change by serving as a collaborative executive counterpart, leading clinical operations team across Commercial and Cross-Enterprise Strategic Innovation (CESI) to drive performance and unity of goals.Valued as a Thought Leader for her rigorous devotion to improving health equity, patient experience, and quality of living, she has led innovation that earned her the CVS Health Breakthrough Achievement Award. She has written publications, authored a study with cited publication on PubMed.gov, and serves as an advocate for health equity, market access, and intervention management. BUSINESS IMPACT: Value-based Healthcare Clinical Operations Fiscal Management Clinical Product DevelopmentLeadership Distinction: Clinical Director, FEP Patient-Centered Care, managing 70+ interdisciplinary professionals, developing national programs, and driving continuous quality improvements, with fiscal management of a $7M+ budget generating $14M+ in annual revenue. Leads the URAC accredited Medication Therapy Management (MTM) Program to actively manage plan member lives. Leads Patient-Centered Care Operation; Accreditation requirements; leadership performance management; HEDIS & Clinical Stars; MTM Program Analytics; and program development. Acumen in data analytics for health innovation, driving clinical consistency, budget management, & integrated health solutions for continuum of care. Developed, created buy-in, and led first-ever health engagement campaign initiatives that were adopted into annual campaigns: Flu Vaccine, Diabetic A1c, and Care Management.LEADERSHIP IN: Strategic Advisory Solutions, URAC & NCQA Accreditation, Integrated Care & Delivery, Clinical Services, Client relations, Patient Education

Experience

1. Director of Clinical Services

   CVS Health

   Feb 2007 — Present · Phoenix, AZ, US

   Appointed as Clinical Director, FEP Patient-Centered Care, to lead enterprise-wide omnichannel healthcare solutions and population health management strategies to advance health outcomes, quality of care, and value-driven patient objectives while reducing healthcare costs. Expansive role encompasses day-to-day leadership of the FEP Patient-Centered Care Operation; oversight of Accreditation requirements; leadership performance management; HEDIS and OPM QCR support; MTM Program Analytics; and program development. LEADERSHIP & INNOVATION Lead the URAC accredited Medication Therapy Management Program; additionally the PCare Program exclusively supports CVS Health’s URAC DTM accreditation. Lead fiscal management and due diligence of a $7M+ budget that generates $14M+ in annual revenue. Developed MTM clinical documentation system; Established PCare analytics for adherence, HEDIS measures and cost effective analysis. Developed a disease state assessment for the LGBTQ community to ensure standardized baseline care is afforded to all as part of the Care Management Program services and Health Equity initiatives. Strategic leadership for the design and implementation of all programs tied to driving engagement, outcomes, and effectiveness of the Commercial Care Management and Specialty Program portfolio. Created the collaborative referral process with CVS Health channels and BCBS plans. JMCP published health outcomes study proving the value of MTM - cited on pubmed.gov (link in publication section.) Enable revenue growth through product innovations that yield scalable solutions, and lead quality improvements in clinical operations, services, integrated care, health policies, systems, products, and technologies.

Education

• Midwestern University

  Doctor of Pharmacy (PharmD), Pharmacy

• University of Iowa

  Bachelor of Pharmacy, Pharmacy