The Blackshire Group LLC, our successes

2019-2020- Developed Care, Value based purchasing (VBP), UM/QI, Behavioral Health and High Fidelity Wraparound (children and youth), and Network models; and authored the RFP responses for the models for Medicaid programs in MA, MT, WY, PA and for Medi-Cal Pharmacy carve-out.

2018-2019- Lead successful multi-state URAC Dental Accreditation 

2019 Provided subject matter support for Hawaii Medicaid/Duals re-procurement

2018 Authored sections for successful LA CSoC bid

2017-2018 Designed care, population health, VBP and IDD models; network/provider components of TX STAR+PLUS (LTSS) and STAR CHIP RFPs

2017-Subject matter input to develop integrated pop health management software to predict/prompt care gaps, meet HEDIS, NCQA, State/Fed standards

2017- Developed compliant model, drafted RFP sections for MCO Medicaid bid in NM

2016-2017- VA MCO MLTSS implementation-developed policies/procedures, assessment tools;  Model of Care and call centers, training plans, staff ratios. Authored MOC sections for D-SNP application.

2016-Developed Model of Care-Drafted bid sections Virginia MLTSS MCO Medicaid

2013-2016-Interim Executive NY Commercial/Medicaid HMO from application, through start-up , readiness review defense, implementation. Authored 2 HARP (BH/SUD) RFQ responses.

2014-Interim Operational Executive for start-up field nursing assessments program Virginia CMS Dual Eligibles Pilot-established office, hired staff, developed polices, interfaced with client.

2013-2014-Developed clinical model for DE Medicaid MCO bidder, authored bid 

2013-Performed an HMO/MCO/FIDA/MLTSS feasibility study for private NJ investors

2013-Project managed, lead various workgroups, developed Model of Care, and authored DISCO/HCBS RFP/application for New York Developmental Disabilities entity

2012-2013-Researched/wrote financial grants for a children's dyslexia learning center-Philadelphia 

2012-2015present Healthcare Advisor to DE Legislators

2008-2009-Interim Executive start-up home health agency.