Sam Hiatt
Director of Medicare Program Operations @Community Care of North Carolina
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WORK HISTORY
Director of Medicare Program Operations @Community Care of North Carolina
NC, US
Responsible for developing, building, and managing a new Medicare Care Management services model under the Advanced Primary Care Management service through CMS.• Build a clinical and financial model to bring care management support to the Medicare population for partner practices.• Hire and lead multidisciplinary clinical teams including Clinical Pharmacists, Registered Nurses, and Medical Assistants• Hire and lead administrative support staff including a scheduling team and practice billing support.• Identify, evaluate, and negotiate contracts with outside vendors to provide services such as Care Management software, after hours call-center support, virtual visit capabilities, and VoIP capabilities.• Recruit, contract, and manage relationships with partner practices within the network.
EDUCATION
Butler University
Doctorate of Pharmacy, Pharmacy
Butler University
Minor, Business Administration, Management and Operations
SKILLS
ABOUT SAM HIATT
As a dedicated leader in healthcare operations with a proven track record of enhancing patient and practice outcomes while driving financial performance, I currently serve as the Director of Medicare Program Operations at Community Care of North Carolina. In this role, I have had the opportunity to build a new Medicare clinical support program bringing multidisciplinary support to independent PCP offices across the state of North Carolina. My responsibilities include managing all aspects of program operations and spearheading value-based care operations.I lead and support multidisciplinary care teams, including clinical pharmacists, nurses, licensed practical nurses, and certified medical assistants, to deliver comprehensive post-acute and longitudinal patient care. My focus is on improving patient outcomes and reducing utilization through effective team management and innovative care strategies.In addition to overseeing performance and outcomes, I handle process evaluation and improvement for both internal and external stakeholders, recruit new practice and provider partners, negotiate contracts, integrate technology, and manage P&L responsibilities. My career includes extensive experience in both value-based care and community pharmacy settings, where I have held various leadership roles.I am passionate about driving operational excellence and improving patient care through strategic initiatives and collaborative team efforts.
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