Andrew Billi

Experience

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  IHI

  Jan 2006 - Jan 2008

  Project Coordinator

  Provided project support to three Quality Improvement teams working in South Africa, Ghana, and Malawi.Created and maintained a communication system and a database of institutional knowledge which operated across continents.Served as logistic coordinator for international conferences in Europe and South Africa of up to 50 IHI team members, partners, and faculty.Daily work included topic research, communica¬tions set-up, finance and reimbursements, updating and scaling up the Developing Countries website, and acquiring and dispensing local knowledge to staff in US and southern Africa. Show less

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  University of Michigan Health System

  May 2009 - Aug 2009

  Summer Intern - Department of Anatomic Pathology

  Mapped current-state value stream for permanent and frozen section specimen processing in Anatomic Pathology.Mentored staff on implementing Lean Thinking tools in daily work.Devised a system for tracking specimens from collection to reporting and recording of value-added vs. non-value-added time.Identified 65% non-value-added process and wait time per specimen and supported efforts to design a single-piece flow system.

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  Blue Cross Blue Shield of Michigan

  Feb 2010 - now

  Managed contracting, onboarding, and enablement of 20 provider groups and hospital systems for BCBSM’s Blueprint for Affordability program, which includes over half of BCBSM’s attributed Commercial and Medicare Advantage PPO membership. Led team responsible for managing risk-bearing provider group relationships and identifying performance drivers and cost savings opportunities for payer-provider collaboration meetings.Interfaced with clinical and executive leadership teams to set strategic direction for design and evolution of the PPO risk programs to deliver savings for BCBSM and its customers. Provide subject matter expertise to the design and implementation of the provider performance and opportunity reporting, including home-grown and vendor-derived solutions. Show less Consult with POs and practices on the adoption of quality improvement methods.Support the development and operations of the BCBSM Value Partnerships and Physician Group Incentive Program.Strengthen relationships with Physician Organization and Organized Systems of Care leadership across Southeast Michigan. Develop strategies to improve PO cost and quality performance by analyzing internal data streams (registries, EHRs, EDWs) and external data streams (payer claims, dashboards, and datasets). Conduct annual Patient Centered Medical Home (PCMH) assessments and consult on the implementation of PCMH capabilities in primary care and specialist offices. Assist POs in engaging specialty care physicians in population health discussions and in implementing both the PCMH-Neighborhood concept and specialist fee incentives. Maintain knowledge on Michigan’s health care environment (HIEs, POs, Hospital Community), CMS, and the National Health Care Reform Show less Provided Lean consulting and supported project management for the 24/7 Nurse Call Line component redesign.Utilized current and future-state value stream mapping and A3 problem solving to engage management and staff in improving ROI.Developed reporting, data analysis, and trending tools that identified greater than six minutes of non-value-added time per inbound call.Assisted with resource modeling, call-delivery pilot development, and component design documentation.Obtained in-depth knowledge of member-facing wellness products and customer solutions including Healthy Blue Living. Show less

  • Director, Blueprint PPO Risk Contracting

    Jul 2021 - now

  • Manager, Network Performance and Contracting

    Aug 2018 - Jul 2021

  • Sr. Healthcare Analyst - PGIP Field Team

    Feb 2013 - Aug 2018

  • Healthcare Analyst

    Aug 2010 - Feb 2013

  • Senior Analyst

    Feb 2010 - Aug 2010