Racheal Hernandez
Lead Director of Operations @CVS Health
Signup · Get unlimited contacts
WORK HISTORY
Lead Director of Operations @CVS Health
Oversee the development and execution of innovative strategies to improve patient outcomes and performance in value based care contract.Partner with health systems to collaborate and build transformative programs unique to local markets to enhance operational performance in MSSP and CMMI programs such as REACH and Flex. Negotiate contracts and KPIs, connect resources internally and externally to fill gaps for success in value based care performance, and manage performance based on individual and corporate P&L.Selected Contributions• Partner with health systems (and IPOs) to collaborate and build transformative programs unique to the local market to enhance operational performance in MSSP and CMMI programs such as REACH and Flex.• Negotiate contracts and KPIs, connect resources internally and externally to fill gaps for success in value-based care performance, and manage performance based on individual and corporate P&L.• Lead transformation initiatives to enhance patient care and collaboration between clinical services and provider networks, achieving improved quality scores (HEDIS/ Stars) and reduce medical costs for dedicated populations.• Build and maintain relationships with executive leaders (internally and externally) and providers to drive performance metrics and strategic alignment.• Monitor local and regional performance, providing insights to ACO leadership to optimize quality and efficiency.• Identify opportunities for improvement through data analysis, influencing strategic decisions and driving actionable results.
EDUCATION
Johns Hopkins Bloomberg School of Public Health
Master's degree, Patient Safety and Healthcare Quality
University of Wisconsin-Parkside
Bachelor's of Science
ABOUT RACHEAL HERNANDEZ
Currently spearheading operations at CVS Health, my focus is on transforming practices to enhance patient care quality. With a robust background in operational leadership, our teams have driven substantial improvements in patient access and satisfaction. At Rush University Medical Center, we established critical partnerships and standardized processes, contributing to the organization\'s overarching goals. Leveraging skills in problem-solving and new business development, I am committed to fostering a culture of safety and excellence in healthcare.
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.