Mark J. Jamilkowski

Healthcare Expert / Advisor

Innovative industry leader with extensive experience solving complex issues with a focus on practical solutions and bottom-line results. Brings a passionate, creative and disruptive approach that underscores a desire to change healthcare delivery for the betterment of all. Energized by the discovery of “what is possible” and sparking collaborative dialog to drive tangible results.

Harnesses an entrepreneurial mindset coupled with a background in risk management and finance to bridge strategic initiative to successful execution. Helps clients think differently and move forward in such initiatives as value-based contracting and related financial strategies, population health based initiatives and related insurance product design, and innovation around consumer engagement. Motivating leader and mentor who excels at guiding others to achieve professional and personal growth.

HIGHLIGHTS

Payor operations and finance: Direct industry experience, investment banking and consulting roles. Re-aligned processes to achieve market and product strategic objectives. Analysis and risk management associated with economics of risk-based contracting. Product design and pricing, network design and claims cost management. Regulatory compliance and accounting. Investment banking / capital management. Mergers and acquisitions.
Provider population health management: Assist provider senior management to achieve population health objectives, including quality improvement. Operations and capability gap assessments. Infrastructure and data/analytic enablement of population health strategies.
Provider financial strategies for healthcare reform: Design and analysis of alternative business strategies for health systems, including clinical integrated networks. Evaluate physician reimbursement strategies and options aligned with outcomes-based incentives. Plan the transition from fee for service to value based (outcomes oriented) contracting.
Representative clients: Cigna, Aetna, BS Ca, Carefirst, BCBS NC, IBC, Wellpoint/Anthem, Florida Blue, Montefiore Health System, Univ. of New Mexico Health System, Centra/Piedmont Health System, Wellcare, State of New York