Mitchell Zack

Executive Director, Payer Contracting and Strategy at UCSF Health

Role
UCSF Health
Location
Newport Beach, CA, US
LinkedIn followers
500 followers

About Mitchell Zack

Highly skilled, senior-level executive who leads the development and execution of commercial, Medicare Advantage, and managed Medicaid contracting strategies, negotiations, and payer relationships. Consistently negotiates superior contract rates and terms with payers, while increasing revenue growth and improving financial performance. Recognized as a subject matter expert on managed care contracting and payer strategy that uses teamwork, communication, and education to guide and support senior leadership and key stakeholders toward profitable contract negotiation outcomes. Possess comprehensive and entrepreneurial healthcare management leadership experience in academic and community health systems, physician groups, and payer organizations, leading successful strategic, operational, and financial initiatives that create greater efficiencies and financial success. Lead healthcare organizations to embrace value-based care and population health management, creating greater value for patients, providers, and payers.AREAS OF EXPERTISE Managed Care Contracting Build Strategic Alliances Oversee Analytics Division Negotiate Value-Based Contracts Lead Change and Innovation Manage Virtual Contracting Teams Grow Revenue and Profit Develop New Business Spearhead Government RelationsKEY ACHIEVEMENTS:• Consistently negotiate higher than market contract rate increases effecting 79% of UCSF Health’s $6 billion in annual revenue for adult, pediatric, and psychiatric facilities, physician groups, and joint ventures.• Achieved $121 million in annual rate increases and enhanced contract terms for Providence, all within the first 18 months. Created successful ambulatory care network contracting strategies for California, including retail and ASC business development activities.• Successfully led Cigna’s development and launch of multiple alternative payment model products in Arizona and Nevada, creating alignment between unaligned organizations in pursuit of the Triple Aim. More than new customers initially enrolled in these products.• Build strong, collaborative relationships between payers, major hospitals, and physician leaders in California, Arizona, and Nevada, facilitating the development of positive alignments between payers and providers.• Designed John Muir Health’s payer strategy and negotiated all payer contracts representing $850 million in annual revenue for acute-care hospitals, associated physicians, behavioral health hospital, and surgery centers, and downstream contracting for 800 IPA physicians and ancillary providers.

Experience

  1. UCSF Health

    Present

Education

  • University of California, Irvine - The Paul Merage School of Business

    Master of Business Administration - MBA, Healthcare

  • UCLA

    Bachelor of Arts - BA, Biology

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