Chief Medical Officer and Executive Vice President at WellCare Health Plans
Saint Petersburg, Florida
Results driven physician and business leader with broad experience in the highly competitive, rapidly changing health care industry. Passionate about finding solutions by creating transparency with data and aligning stakeholders to build a culture where clinical and financial outcomes improve. • International expert in clinical care and health outcomes • Demonstrated ability to design, build, operate and...
Results driven physician and business leader with broad experience in the highly competitive, rapidly changing health care industry. Passionate about finding solutions by creating transparency with data and aligning stakeholders to build a culture where clinical and financial outcomes improve. • International expert in clinical care and health outcomes • Demonstrated ability to design, build, operate and grow profitable products, services, and clinical programs. • 18 years experience in population health management services, analytics and technology • International expert in frail, senior and palliative populations, with track record building alliances and external relationships, dealing effectively with media and public policy. • Manages through ambiguity and chaos, building innovative and resourceful solutions while never losing sight of execution and delivery. • Proficient in integrating clinical and operational priorities and building and transforming clinical and population health solutions, working to transform the system. • Inspiring leader adept at elevating performance through focusing his team and external partners on new solutions and execution. • Physician executive who seeks out challenges that others hesitate to approach, thriving in a matrix environment. Specialties: • Health Plan Leadership • Academic Leadership • Health System support and consulting • Quaternary Teaching Hospital • Community Hospital • Rural Primary Care Practice • Emergency Room • Homecare and Hospice Direction • Long Term Care Medical Direction • Board Certified in Family Medicine • Board Certified in Geriatrics • Board Certified in Hospice and Palliative CareChief Medical Officer and Senior Vice President, Optum Global @ Oversee all clinical programs, ranging from wellbeing to the most complex medical conditions. Accountable for the clinical and quality governance of all of Optum's global solutions. From August 2014 to Present (1 year 3 months) London, United KingdomChief Medical Officer and Senior Vice President @ Oversees all clinical programs, ranging from wellness to the most complex medical conditions. Leads the clinical performance team, which is accountable for clinical care and quality in the company’s wellness, case management and disease management programs, as well as the clinical performance of external provider partners. Was CMO of the Care Solutions business within OptumHealth until 2012 when scope expanded to all OptumHealth Clinical Programs and businesses From 2010 to April 2014 (4 years) Eden Prairie, MinnesotaChief Medical Officer @ Recruited to launch advanced illness care program for Fairview System. • Instrumental in Fairview’s receiving $1 million grant to become one of six national palliative care leadership centers. • Designed, launched and operated comprehensive palliative care program – one of first interdisciplinary teams in the US – with $3 million P+L, including multiple inpatient and outpatient palliative care consultation programs, and an outpatient clinic. Accountable for over $1.2 million cost avoidance and substantial improvement in physical and emotional symptoms in advanced care cases. • Consulted with multiple US Healthcare systems, launching and operating palliative care products. • Trained over 70 health care systems in the formation of palliative care programs. • Hosted 2-4 Health Systems per month to evaluate opportunities to reduce variability in care and reduce inappropriate spending on advanced illness. • More than 50% of 100+ bed hospitals now have palliative care programs, largely as a result of this effort. • Launched and managed interdisciplinary palliative care teams at three Fairview Hospitals and consulted on palliative care patients at the University of Minnesota Medical Center. From February 2006 to 2010 (4 years) Chief Medical Officer and Senior Vice President, Ovations - UnitedHealthcare Medicare Solutions @ Senior clinical leader for all Medicare products including strategy, innovation, and deployment. Responsible for health care costs and clinical outcomes through managemement of clinical programs, physician performance, Medicare payment policy implementation, and clinical affordability initiatives with over 500 staff. • Hired as hospice and palliative care CMO designing and launching national palliative care case management program with reduced medical spending and improved clinical outcomes. Moved hospice from an operating loss to a positive IOI and tripled market penetration over 2 yrs. • Renegotiated behavioral health agreement, improving program while lowering annual spend by 20% • Led redesign of wellness and disease management programs, reducing annual spend by 40%, with no deterioration in medical expense. • P&L responsibility for Solutions for Caregivers business, the largest IOI in the Ovations book of business. • Redesigned Group Retiree clinical programs including industry differentiating case management program to assure consistent execution and contribute to product growth. • Physician leader of clinical pharmacy initiatives including medication therapy management programs, Part B, and MAPD integration reducing annual spending by over 10% • Accountable for payment integrity of claim processing and clinical affordability initiatives, creating root cause payment accuracy team with annual improvement in accuracy rates and substantial annual incremental financial return • Lead clinical performance management, including creation of first clinical effectiveness and clinical program workbook. • Promoted to manage all medical directors, medical payment and policy management in 2009 with operational responsibilty for claim payment policy, post-service pre-payment review, and post-payment review including appeals and audits. • Promoted to CMO in 2010 From 2006 to 2010 (4 years) Adjunct Assistant Professor @ Faculty and assistant professor designing curriculum and teaching through the medical school, the bioethics center, and the cancer center. • Chair, End of Life curriculum committee. • Member, University of Minnesota Ethics Committee, and National Comprehensive Cancer Center. • Expanded Palliative Care curriculum hours from two hours to over two days, over four years period, including mandatory field experience. • Created rotational program in palliative care for residents and fellows. From 1997 to 2010 (13 years) Principal @ Geriatric medical direction and consulting practice • Medical Director of Milaca Elim Home, Princeton Elim Home, and Guardian Angels Care Center accountable for all medical policy and oversight. - Created, built, and executed a medical direction model for three skilled nursing facilities in central Minnesota • Long Term Care and Pain Consultant, Stratis Health (QIO), 2002-2006. • Utilization and quality physician, Arkansas Blue Cross/Blue Shield 1996-1998. • Consultant to Aetna on Palliative Care program: - Assisted in design and oversight of Aetna’s compassionate care program, the first palliative care program from a national health plan From January 1990 to March 2006 (16 years 3 months) Executive and Medical Director of Palliative Care products and services @ Executive and Medical Director of Fairview Palliative Care Leadership Center, operating inpatient and outpatient palliative care programs and consulting with US health care systems to assist in launching and operating palliative care programs and products From 1997 to 2006 (9 years) Family Practice @ Family care practice, purchased by Fairview in 1993. Physician Family practice from 1990 to 1997, including obstetrics, pediatrics, adult medicine, and geriatrics. Half-time additional work as emergency room physician • Hospital and Clinic Leadership including redesign of geriatric care to include nurse practitioners, resulting in first shared risk geriatric business with providers, skilled nursing facilities and hospitals. • Integrated physician practice with Fairview Health System. • Expanded physician practice to three additional communities, including practice model, and clinic design. From July 1990 to March 2001 (10 years 9 months) Family Medicine Resident @ From 1987 to 1990 (3 years) Summit, NJDoctor of Medicine (MD) @ Jefferson Medical College of Thomas Jefferson University From 1983 to 1987 Master of Science (MS), Psychology within the Graduate School of Education @ University of Pennsylvania From 1982 to 1983 Mark Leenay is skilled in: Healthcare, Hospitals, Clinical Research, Medicare, Medicine, Disease Management, Case Managment, Pediatrics, Health Policy, Home Care, Inpatient, Leadership, Family Medicine, Program Management, Wellness, Clinical Trials, Strategy, Palliative Care, Healthcare Industry, Managed Care, Case Management, Medicaid, Healthcare Consulting, Emergency Room, Physicians, Healthcare Management, Informatics, Behavioral Health, Utilization Management, Diabetes, Health Insurance, Policy, Healthcare Information..., HIPAA
Chief Medical Officer and Senior Vice President, Optum Global
August 2014 to Present
London, United Kingdom
Chief Medical Officer and Senior Vice President
2010 to April 2014
Eden Prairie, Minnesota
Evercare Hospice, a Division of UnitedHealth Group
Chief Medical Officer
February 2006 to 2010
Chief Medical Officer and Senior Vice President, Ovations - UnitedHealthcare Medicare Solutions
2006 to 2010
University of Minnesota
Adjunct Assistant Professor
1997 to 2010
Geriatric Consulting Services
January 1990 to March 2006
Fairview Health Services
Executive and Medical Director of Palliative Care products and services
1997 to 2006
Fairview Northland Health System
July 1990 to March 2001
Family Medicine Resident
1987 to 1990
Oversee all clinical programs, ranging from wellbeing to the most complex medical conditions. Accountable for the clinical and quality governance of all of Optum's global solutions. Oversee all clinical programs, ranging from wellbeing to the most complex medical conditions. Accountable for the clinical and quality governance of all of Optum's global solutions.
What company does Mark Leenay work for?
Mark Leenay works for Optum
What is Mark Leenay's role at Optum?
Mark Leenay is Chief Medical Officer and Senior Vice President, Optum Global
What industry does Mark Leenay work in?
Mark Leenay works in the Hospital & Health Care industry.
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