Michael Byrne
Vice President of Medical Management @ VillageCare | Physician Executive
- Role
- Vice President of Medical Management at VillageCare
- Location
- Brooklyn, NY, US
- LinkedIn followers
- 500 followers
About Michael Byrne
As Vice President of Medical Management at VillageCare, I oversee Medicare Advantage, MLTC and D-SNP lines of business, ensuring CMS compliance and managing total cost of care. My role includes chairing the Credentialing Committee and co-chairing the Utilization Management and Quality Committees. I lead a team of medical directors and oversee utilization and medical management activities. I am committed to improving healthcare quality and outcomes. My focus remains on advancing patient care and addressing challenges including medical knowledge gaps and social determinants of health to achieve better medical outcomes.
Experience
Vice President of Medical Management
Jan 2025 — Present · NY, US
Responsible for total cost of care and CMS compliance for Medicare Advantage and D-SNP LOBs• Exceeded 2024 targets for inpatient admission with 20% and 11.5% YoY drop in D-SNP and MAP ADK
Education
The Johns Hopkins University
Bachelor of Arts (B.A.), Chemistry
NYU Grossman School of Medicine
Doctor of Medicine (M.D.), Medicine
The Pingry School
High School
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