Lee Hyman

Background

About Lee Hyman

Ability to see around corners. Through experience and intuition have honed the ability to anticipate problems and challenges before they arise. Experienced, pragmatic, and solutions-driven leader with extensive experience guiding teams and managing complex projects. Deep history and knowledge in contracting providers in Government and Commercial settings. Extensive healthcare experience with a unique level of knowledge and an expansive toolbox of skills. Operated and excelled at the nexus of Value Based Care on both the payer and provider side, lead Operations & Finance for an exciting Revenue Cycle Management start up utilizing AI and Automation, and rebuilt a Provider Audit program from the ground up. Committed to creating a team culture of equality, excellence, quality, and service. Culmination of these accomplishments have created an engagement of issues and opportunities in a comprehensive and holistic manner while deriving tangible and actionable solutions. NOTABLE ACCOMPLISHMENTS • Developed and implemented a viable Value Based Care Risk Bearing model that could be utilized and managed by providers seeking to transition from FFS to VBC contracts with a predicted 25% cost reduction impact • Owned and had responsibility for all financial and operational contracting efforts for the largest Medicaid payer in the market with over Medicaid and Medicare covered lives • Directed and managed over $115 million in annual external medical spend for one of the fastest growing and most progressive value-based care, full-risk primary care practices in the country • Directed all specialty and institutional care provided to over Kentucky & Georgia members ensuring it was delivered at the highest quality, lowest cost, and in the most appropriate setting • Drove the Operations and Finance of an exciting healthcare startup that grew from an idea in 2017 to an organization valued at over $10 million. Responsibilities included managing a combined onshore and offshore staff of over 40 FTEs; negotiated all vendor and client contracts; developed and managed financial forecast models; oversaw all A/R and A/P services; and provided industry guidance and knowledge to the Founder and CEO • Took over a failed physician audit program with five employees and completely re-engineered and developed it into a successful division with over 40 Certified Professional Coders while adding major managed care clients including Blue Cross Blue Shield of Massachusetts