2020 Speakers

The Clearing House

Irfan Ahmad

Senior Vice President, Product Development and Strategy
East TX IPA/ACO

Mark R. Anderson, CPHIMS, FHIMSS

COO
EHNAC

Lee Barrett

Executive Director
IBM

Donna Houlne BSN, MHA, MHRM

US Healthcare Leader, Global Business Services
Atrium Health

W. Christopher Johnson, FHFMA

Vice President Patient Financial Services
Kaiser Permanente

Raul Matas

Director of Analytics, National Claims Auto Adjudication & Outside Medical Expense
NYU Langone Health

Christopher M. Petrilli, MD

SFHM, Value Based Management
St. Luke's Health System

Michael Rawdan, Ph.D., MBA

System Senior Director of Revenue Cycle & Patient Experience
Montefiore Medical Center

Samuel E. Rubenstein

Chief Architect, Business & Revenue Cycle Solutions
NACHA

Brad Smith, AAP

Senior Director, ACH Network Administration & Industry Verticals
Wells Fargo

June St. John

Senior Vice President, CTP Healthcare Product Manager
UPMC

Dr. Adele Towers

Director of Risk Adjustment, University of Pittsburgh Physician Services Division
Cleveland Clinic

Patrick Violette

Director of Customer Service
Novant Health

April H. York

Revenue Cycle Services
BCBS NC

Jake Yount

Director of Provider Networks
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]

2020 Speakers

Irfan Ahmad

Senior Vice President, Product Development and Strategy
The Clearing House

Irfan Ahmad is Senior Vice President, Product Development and Strategy for The Clearing House. Mr. Ahmad is deeply engaged in the development of several new digital payments initiatives, including real-time payments where he is responsible for the product development work stream. In this role, he works with internal and external technology experts and bank executives to define, develop, and launch the new U.S. payments infrastructure.

Mr. Ahmad brings expertise in payments, product development, strategic planning from his previous work in PriceWaterhouseCoopers consulting practice, where he focused on medical banking and assisting financial service companies define their healthcare strategy and implement payment transaction solutions. He also managed product development and strategic planning for products at Medco Health Solutions.

Mr. Ahmad has a Master’s degree in Public Health from Yale University, and a B.A. in Biology from St. Mary’s College of Maryland.

Mark R. Anderson, LFHIMSS, CPHIMS

COO
East TX IPA/ACO

Mr. Anderson is one of the nation's premier IT futurists dedicated to health care. He has 45 years’ experience in Healthcare as a CEO, CFO and the corporate CIO at 4 IDNs and has worked with over 250 hospitals and over 26,000 physicians. Additionally, since 2010, Mr. Anderson has worked with 28 ACOs regarding moving from FFS to VBR, has created over 20 Care Coordination and Patient Engagement programs, and has developed the 7-Stages of VBR functionality matrix. Finally, Mr. Anderson has served as an Expert Witness on numerous legal cases dealing with Healthcare Technologies, hospital protocols, and malpractice cases.

Lee Barrett

Executive Director
EHNAC

Lee Barrett is the Executive Director of The Electronic Healthcare Network Accreditation Commission (EHNAC), a federally recognized, standards development organization designed to improve transactional quality, operational efficiency and data security in healthcare, where has served in that capacity since the commission's inception in 1993. He has 10 years of experience leading healthcare professional services organizations including PricewaterhouseCoopers, SAIC, Covansys and Virtusa and 20 years in senior management roles in payer organizations including Travelers and Aetna. He has held senior leadership positions with the American Dental Association Business Enterprises Inc. (ADABEI), the for-profit, wholly owned subsidiary of the ADA, a provider organization and has led several healthcare software/services development companies including: MBEXX, Claredi, HealthEC and others in which for many he facilitated their growth and acquisition. He has served as chairman of WEDI, and ASCX12N Insurance Subcommittee and currently serves on the eHi Leadership Council and DirectTrust Board and has been on many other industry boards.

A member of both the HHS Cybersecurity Task Force (405d) and ONC Fast Healthcare Interoperability Resources (FHIR) Tiger Team as well as Chair of the National Trust Network Data Sharing and Cybersecurity Task Group, Barrett works on key HIT industry initiatives that lay the foundation for health information technology – including support and implementation of important healthcare legislative mandates. He speaks nationally regarding security, privacy, ransomware and cybersecurity risk management/assessment and mitigation strategies, tactics and best practices and is a continued go-to resource for industry media.

Donna Houlne BSN, MHA, MHRM

US Healthcare Leader, Global Business Services
IBM

Donna Houlne, a senior healthcare executive with more than 30 years of hospital operations and consulting experience, has proven ability to create multi-disciplinary alliances and teams in order to meet the demands of the challenging and fluid healthcare environment. Recognized for being a hands-on, pro-active troubleshooter who can rapidly identify business problems, formulate resolution strategies, initiate change and implement new processes in challenging and diverse environments.

Key strengths include: Ability to develop and manage complex and diverse relationships; Strong project management; highly principled and values driven individual; Resourceful and creative problem-solver;

Donna has worked in or served most segments of the healthcare industry including Provider; not-for-profit, for-profit, academic medical centers; physician office practices healthcare payers, and life science industry.

W. Christopher Johnson, FHFMA

Vice President Patient Financial Services
Atrium Health, formerly Carolinas Healthcare System

Chris Johnson has been employed in the healthcare finance field for more than 30 years. During this time Chris has worked in multiple environments including sole community providers, an academic medical center and in integrated healthcare delivery system. He is current employed by Atrium Health in Charlotte as Vice President Revenue Cycle Management Regional Facilities and Unified Business Office. In his current role, Chris oversees the Unified Business Office which is responsible for “patient facing” billing functions for both hospital and professional billing operations for the Atrium Health Owned facilities. In addition, Chris leads the Regional PFS Team which supports revenue cycle operations for the regional healthcare facilities affiliated with the HealthCare System. Chris is a Fellow in the Healthcare Financial Management Association and an active member of the North Carolina Chapter of HFMA where he has served in numerous leadership positions including Chapter President. Chris has also worked with National HFMA on the Board of Examiners, National Advisory Council, Regional Executive for Region IV, and the Chapter Advancement Team. In 2017 received the Fredrick C. Morgan Award, the highest service award presented by National HFMA. Chris received his bachelor’s degree in Business Administration from Montreat College in Black Mountain, North Carolina, and is certified in Epic Resolute Hospital Billing and Single Billing Office Administration.

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.

Christopher M. Petrilli, MD

SFHM, Value Based Management
NYU Langone Health

Christopher Petrilli is an Assistant Professor in the Department of Medicine at the NYU School of Medicine and the Clinical Lead of the Manhattan Campus for Value Based Management. He is responsible for evaluating and implementing innovative projects aimed at enhancing value in the health system and serves as co-chair for Clinical Oversight Group, a multidisciplinary committee with the mission of providing the highest quality care for patients with an emphasis on controlling inappropriate spending. He also serves as a national director of industry relations for the High Value Practice Academic Alliance.

Prior to moving to NYU in 2018, he was an Assistant Professor in the Department of Internal Medicine at the University of Michigan Medical School. He served as the faculty lead for University of Michigan’s site in the Dell Medicine’s Choosing Wisely STARS program. He was as the Value Innovator for the Michigan Program for Value Enhancement and the the Co-Chair of Michigan Medicine’s Laboratory Stewardship Committee.

Prior to Medical School, Dr. Petrilli was a financial analyst for JPMorgan Chase Bank and a Senior Financial Analyst for Nexxar Group. He is a Certified Healthcare Financial Professional by the Healthcare Financial Management Association. Dr. Petrilli received his Medical Degree from Georgetown University, and completed his residency training in Internal Medicine at University of Michigan where he also served as Chief Medical Resident. He received his undergraduate degree in finance and accounting at Georgetown University, where he served as Co-Chairman and CEO of the Georgetown University Alumni Student Credit Union - the largest entirely student run financial institution in the nation.

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.

Samuel E. Rubenstein

Chief Architect, Business & Revenue Cycle Solutions
Montefiore Medical Center

Mr. Rubenstein joined the information technology department of the Montefiore Medical Center in 1999 as Assistant Director of Revenue & Financial Systems. In that role he has managed key strategic initiatives, including the design, development and deployment of applications that serve as a delivery hub and intelligent work flow engine predicated on the use of X12 transaction sets, and the medical centers core revenue cycle applications.

Mr. Rubenstein brings many years of industry experience and regulatory knowledge in a variety of health care venues including Acute Care Hospitals, Long Term Care Facilities, Ambulatory Care Centers, Physician Practices and specialty healthcare organizations.

In 2003 Mr. Rubenstein was promoted to Technical Director, Revenue Cycle, Business & Care Management solutions for MMC and also assumed the additional role of Practice Director / Delivery Executive, Revenue & Financial Solutions at Emerging Health Information Technology (a wholly owned subsidiary of Montefiore Medical Center). In this role Mr. Rubenstein leads Emerging Health’s team of revenue & financial solutions consultants and has managed multiple engagements in the areas of Revenue Cycle process optimization, installation and replacement of core revenue cycle, financial and clinical applications. Mr. Rubenstein has successfully assisted MMC and outside clients to achieve increased productivity and improved operational performance, thru the expanded use of electronic transaction exchange and automate the management of the revenue cycle and exchange of required information with external entities and integration of that data into core systems.

Most recently Mr. Rubenstein was promoted to the position of Chief Architect for Revenue Cycle & Business Information solutions in 2013 and is currently leading strategic initiatives for MMC in the revenue cycle areas including preparations for ICD-10, ACO’s, and Healthcare Reform and Payer Operations. Mr. Rubenstein is also responsible for architectural solution designs related to the install of EPIC’s revenue cycle solutions including Tapestry for the ACO / Payer Operations modules across the health system.

Prior to joining Montefiore Medical Center, Mr. Rubenstein served in the capacity of Chief Information Officer at the Kingsbrook Jewish Medical Center for 19 years, where he was responsible for a number of departments including all Information Technology areas, Patient Accounting, Admissions, Health Information Management, Safety & Security and others. Mr. Rubenstein and his team successfully implemented many systems including Revenue Cycle, Clinical, Ancillary, & Administrative solutions including the development of a claims management system to allow for the editing, correction, and transmission of electronic claims to various payers in the mid 1980’s. Prior to that, Mr. Rubenstein served as the Patient Accounts Manager at the Hospital for Joint Diseases for 3 years.

Mr. Rubenstein has also served in organizational leadership roles including Secretary / Treasurer, Health Information Systems Users Group (6 years), President, Keane PATCOM National Users Group (4 years), Associate Trustee, Board of Directors - Kingsbrook Jewish Medical Center (8 years). Currently Mr. Rubenstein represents MMC as a member of the Board for WEDI and Vice Chair for Education

Brad Smith

AAP, Senior Director, ACH Network Administration & Industry Verticals
NACHA

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.

, ,

Dr. Adele Towers

Director of Risk Adjustment, University of Pittsburgh Physician Services Division
UPMC

Dr. Towers is the Director of Risk Adjustment for UPMC Enterprises, and is also a geriatrician on the faculty at the University of Pittsburgh. At UPMC Enterprises, she is directly involved in the development of healthcare related technology, with emphasis on use of Natural Language Processing (NLP) for Risk Adjustment coding and use of Clinical Analytics to optimize clinical performance. Prior to this role, she has served as the Medical Director for Health Information Management at UPMC with responsibility for Clinical Documentation Improvement as well as inpatient coding denials and appeals. She has been on the faculty in the Division of Geriatric Medicine at the University of Pittsburgh for over 25 years and continues to see patients at the Benedum Geriatric Center in UPMC. She is the former Medical Staff President at UPMC Presbyterian, and her prior positions have been as Vice Chair for Quality Improvement and Patient Safety for the Department of Medicine, Medical Director of UPMC Home Health, Medical Director of the Benedum Geriatric Center and Medical Director of Primary Care at the Western Psychiatric Institute and Clinic. Dr. Towers has presented the experience at UPMC with use of NLP and Clinical Analytics at multiple regional and national conferences.

Patrick Violette

Director of Customer Service
Cleveland Clinic

April H. York

Senior Director, Revenue Cycle Services
Novant Health

Jake Yount

Director of Provider Networks
Blue Cross and Blue Shield of North Carolina