2019 Speakers

HEALTH PLANS

UCare

Michael Ruiz

Vice President of Provider Relations and Contracting
Blue Cross Blue Shield of Massachusetts

Robin Wright King

Director of Consumer-Directed Health (CDH) Strategy and Product Management
Horizon Blue Cross Blue Shield of New Jersey

Lili Brillstein

Director, Episodes of Care, Market Innovations
Priority Health

Jason Woods

Vice President, Provider Contracting
Kaiser Permanente

Raul Matas

Director of Analytics, National Claims Auto Adjudication & Outside Medical Expense
HEALTH SYSTEMS & HOSPITALS

Columbia University Medical Center

Khaled Kadry

Director of Revenue Cycle
St. Luke's Health System

Michael Rawdan, Ph.D., MBA

System Senior Director of Revenue Cycle & Patient Experience
Florida Cancer Specialists & Research Institute

Sierra Tomlinson RN MBA BSN OCN

Director of Value Based Care
Presbyterian Healthcare Services

Judy LB Parker, EdD

Enterprise Director of Patient Access
BANKS

J.P. Morgan

Stuart Hanson

Managing Director, Head of Healthcare Payments
Wells Fargo

June St. John, CTP

Senior Vice President, Healthcare Product Manager
BNY Mellon

Jim Crawford

Relationship Officer, Treasury Services Healthcare
INDUSTRY LEADERS

WEDI

Charles Stellar

President
CAQH CORE

Erin Weber

Director
If you are a health plan, hospital/health system or financial institution and would like to speak at this highly acclaimed forum please contact [email protected] For sponsorship opportunities, contact [email protected]

2019 Speakers

Michael Ruiz

Vice President of Provider Relations and Contracting
UCare

As UCare's Vice President of Provider Relations and Contracting, Michael Ruiz leads complex negotiations with providers and develops innovative Medicare, Medicaid and commercial value-based contracting arrangements. He also manages teams and processes to support improved operations and performance at UCare. Ruiz was most recently Vice President, Medicare Market Performance at UnitedHealthcare in Minnetonka, Minn. His responsibilities included overseeing value-based contracting analysis for incentive programs, addressing gaps in Medicare Star Ratings and improving medical cost performance for health plan members. He previously held positions as Senior Director, Accountable Care Strategy at UnitedHealthcare; Senior Provider Contract Manager with Blue Cross Blue Shield of Minnesota in Eagan, Minn.; Project Manager with Medical Management, Inc., of Portland, Ore.; and Hospital Director with Banfield Pet Hospitals in the Twin Cities area. Ruiz earned a Bachelor of Arts degree from the University of Minnesota. He is a member of the Health Care Financial Management Association. Ruiz and his family live in St. Paul, Minn., where he coaches the Mendota Heights Athletic Association Football, Highland Hoops Basketball League and Hi-Mac Baseball League, and is president of the Friends of the Oxford Pool.

Robin Wright King

Director of Consumer-Directed Health (CDH) Strategy and Product Management
Blue Cross Blue Shield of Massachusetts

Robin Wright King is Director of Consumer-Directed Health (CDH) Strategy and Product Management at Blue Cross Blue Shield of Massachusetts. She is responsible for the Plan's CDH strategy and offerings. Her work encompasses development of strategies to bring relevant and enabling benefit designs to the market that are easy to use and help members to make informed healthcare decisions for themselves and their families. This includes all aspects of the consumer engagement and experience for those enrolled in CDH plans including healthcare financial accounts, communications, education, wellness incentives, and adoption strategies. She previously managed the consumer-directed health function at Blue Cross Blue Shield of Michigan.

Lili Brillstein

Director, Episodes of Care, Market Innovations
Horizon Blue Cross Blue Shield of New Jersey

Lili Brillstein is a nationally recognized thought leader in the advancement of Episodes of Care as a value- based approach for specialty care. She is the Director of Episodes of Care for the Market Innovations team of Horizon Blue Cross Blue Shield of New Jersey, and, under her leadership, has built the largest program for commercially insured patients in the country. Lili is responsible for the overall direction, strategy, design and oversight of the Horizon Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. The program has grown to include additional orthopaedic episodes (including low back/laminectomy, shoulder replacement, knee arthroscopy), obstetrics and gynecology, GI (including a Crohn's episode with a fully integrated behavioral health component), cardiology, and oncology. Lili is a passionate advocate of Episodes of Care/Bundled Payments as a strategy to successfully migrate from fee for service to quality- & value-based models that rewards providers for excellent outcomes and patient experience, while reducing the overall cost of healthcare.

Lili is a guest lecturer on episodes of care/bundled payments at the Harvard Business School working under Michael Porter, and has co-authored several peer-reviewed articles on the subject of Episodes. In addition, Lili has served as an Advisor to CMS on bundled payments, and is on the Advisory Boards of the US Women’s Health Alliance and the Quality Cancer Care Alliance; both national coalitions focused on advancing value based care to improve quality and cost of care delivery. Lili’s expertise at cultivating functionally collaborative relationships between payers and providers across the full continuum of health care has allowed not only the pillars of the triple aim to be achieved, but the spirit of the relationships has shifted from one of adversaries to one of collaborators.

Jason Woods

Vice President, Provider Contracting
Priority Health

Raul Matas

Director of Analytics, National Claims Auto Adjudication & Outside Medical Expense
Kaiser Permanente

Raul is the director of analytics at Kaiser Health Plan Claims AA Optimization. He has also formerly led the operational reporting, project management office, application development, quality assurance and cost containment functions in the claims operation. Prior to his current role, he was one of the original core leadership team members on the program to replace the claims platform, and led the finance function and business case development for that project approved by KPCAC in 2010.

Raul began his career at KP in 2007 as an internal consultant supporting claims operations first in finance, then in quality. Prior to KP, Raul held roles at Hewlett-Packard HP Services North America where he began as a financial analyst and planning and reporting manager, then led the finance function for HP Global Corporate Account Sales Organization. Raul earned his undergraduate business degree in accounting and information systems and M.B.A. in finance, both from the University of Southern California.

Raul's daughter, Avery, attended both Wheelock College in Boston and Marymount Manhattan in New York City and is on a work study in Paris France. He lives in Pasadena, CA, with wife Nandani and performs regularly as an opera baritone in recitals and full productions with local opera companies.

Khaled Kadry

Director of Revenue Cycle
Columbia University Medical Center

Michael Rawdan, Ph.D., MBA

System Senior Director of Revenue Cycle & Patient Experience
St. Luke's Health System

Michael is responsible for Account Management & charter for a structure that redefines the Patient Financial Experience for the largest Provider in Idaho. He has over 20 years' experience in customer management and patient experience working for firms such as Capital One and Hewlett-Packard.

Michael has held various roles across diverse organizations including customer management and insights for Capital One. At Hewlett-Packard, Michael was the Executive responsible for a $2B e-Commerce organization. Within HP, Michael managed Data & Analytics to drive user interface changes that drove significant improvements in performance.

These experiences have led Michael to St. Luke's Health System where he has been tasked with identifying and developing solutions that improve Patient Financial Experience from end to end. This is defined as pre-patient experience through each step of the clinical and non-clinical touch points.

Michael holds a BS in Marketing from the University of Tampa, MBA from Northwest Nazarene University and a dual PhD. in International Business & Decision Sciences from NOVA Southeastern University.

Sierra Tomlinson RN MBA BSN OCN

Director of Value Based Care
Florida Cancer Specialists & Research Institute

A Florida native, Sierra entered the medical field in 2003 after graduating with a BSN from the University of Florida and MBA from Webster University. Prior to joining Florida Cancer Specialists (FCS) in 2009, she worked in multiple areas of healthcare, including patient care, reimbursement, and clinical and business management. During her time at FCS prior to being named the Director of Value Based Care Sierra worked as a Head Nurse caring for patients in multiple FCS clinics and then as Senior Project Manager in our Operational Excellence Department assisting in collaborative efforts with Clinical and Operations teams to enhance processes throughout the organization. As the Director of Value Based Care, Sierra is responsible for overseeing the success of the value-based care initiatives, as well as implementing new strategies to meet the needs of the demanding value-based programs. Sierra enjoys spending time with her family, volunteering, boating and cheering for the Gators.

Stuart Hanson

Managing Director, Head of Healthcare Payments
J.P. Morgan

June St. John, CTP

Senior Vice President, Healthcare Product Manager
Wells Fargo

June has 32 years of Treasury Services product management and customer service experience. Since 2005, she has helped lead Wells Fargo's solutions development for the healthcare industry. Currently she is responsible for Wells Fargo's Revenue Cycle Management - Claims Payment Solution for Commercial/Government Insurance Payments product strategy and Supplier Payment Solution, a healthcare provider supply chain management payables strategy.

June is a frequent presenter and author on the convergence of healthcare and banking.

June holds both graduate and undergraduate degrees from the University of North Florida in Jacksonville, FL.

Jim Crawford

Relationship Officer, Treasury Services Healthcares
BNY Mellon

Mr. Crawford is a relationship officer for the Healthcare Sales team for BNY Mellon's Treasury Services, responsible for marketing domestic and international cash management solutions to organizations in the healthcare industry. These include insurance companies, hospital systems, pharmaceuticals, biotech and both manufacturers and distributors of medical devices.

Prior to joining BNY Mellon, Jim led Finance and Accounting Business Processing Outsourcing (BPO) efforts in North America for Cognizant, a global leader in business and technology services, where he was responsible for business development for Finance and Accounting in North America. Jim's past roles include vice president of Business Development at SourceNet, the BNY Mellon Accounts Payable Services group where he managed relationships with the company's clients and prospects in the Midwest and Northeastern United States. Prior to joining SourceNet, Jim worked in a number of business development roles, developing human resources and benefits solutions for Automatic Data Processing (ADP) and led the document management outsourcing efforts for the Healthcare National Account organization of Standard Register. Jim is a graduate of Iowa State University.

Jim has been a guest speaker on the topic of financial process outsourcing and accounts payable processes at several National AFP conferences and over a dozen regional financial conferences and meetings.

Charles Stellar

President
WEDI

Mr. Crawford is a relationship officer for the Healthcare Sales team for BNY Mellon's Treasury Services, responsible for marketing domestic and international cash management solutions to organizations in the healthcare industry. These include insurance companies, hospital systems, pharmaceuticals, biotech and both manufacturers and distributors of medical devices.

Prior to joining BNY Mellon, Jim led Finance and Accounting Business Processing Outsourcing (BPO) efforts in North America for Cognizant, a global leader in business and technology services, where he was responsible for business development for Finance and Accounting in North America. Jim's past roles include vice president of Business Development at SourceNet, the BNY Mellon Accounts Payable Services group where he managed relationships with the company's clients and prospects in the Midwest and Northeastern United States. Prior to joining SourceNet, Jim worked in a number of business development roles, developing human resources and benefits solutions for Automatic Data Processing (ADP) and led the document management outsourcing efforts for the Healthcare National Account organization of Standard Register. Jim is a graduate of Iowa State University.

Jim has been a guest speaker on the topic of financial process outsourcing and accounts payable processes at several National AFP conferences and over a dozen regional financial conferences and meetings.

Erin Weber

Director
CAQH CORE

Erin Richter Weber is the Director of CAQH CORE, a non-profit alliance of healthcare industry leaders whose mission is the creation and adoption of healthcare operating rules that support standards, accelerate interoperability, and align administrative and clinical activities among providers, payers and consumers. Erin has been with CAQH CORE for more than eight years. In this role, she oversees the CAQH CORE operating rule development process, education and outreach, and participant relations. Prior to joining CAQH, Erin served as a consultant with PricewaterhouseCoopers LLP (PwC) where she managed engagements for government clients and as the lead revenue cycle researcher at the Advisory Board Company.

Judy LB Parker, EdD

Enterprise Director of Patient Access
Presbyterian Healthcare Services

Judy Parker is the Enterprise Director of Patient Access for Presbyterian Healthcare Services in Albuquerque, NM. Prior to Presbyterian Judy worked for a variety of for-profit and non-profit healthcare organizations, primarily in the Patient Access arena. Judy is a graduate from Grand Canyon University with a Masters in Leadership with an emphasis on Disaster Preparedness and Crisis Management. She is currently a candidate for an Educational Doctorate in Organizational Leadership with an emphasis on Health Care Administration. The focus on her dissertation is based on the patient experience. Judy is passionate about healthcare, Patient Access, and most importantly the patient’s perception of their experience.

Presbyterian Healthcare Services is focused on improving the patient experience, the patient’s financial outlook and improving the financial well-being of the organization. As part of the process PHS has focused on being an effective patient financial communicator. PHS has been recognized as a PFC adopter and proudly displays their certificates in each facility.