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Highmark and Lehigh Valley Business Present: Save Your Company Money with Lehigh Valley Flex Blue
Date: October 13, 2021 at 12 p.m.
Carol Michaels, MPH, MCHES®
Carol is the Administrator of Care Coordination for Populytics, Inc., a wholly owned population health management and analytics company of Lehigh Valley Health Network (LVHN), located in Allentown, Pa. In this role, Carol leads operations for the Care Coordination teams focused on achieving the Quadruple Aim and successful value-based care initiatives. Carol’s oversight includes utilization management, case management, disease management, corporate wellness, and employee assistance programs, which foster connections between providers, patients, and resources in the community. She supervises a multi-disciplinary clinical team that collaborates with Populytics’ Analytics and Informatics teams to leverage actionable data to improve patient outcomes. Her teams successfully achieved multiple National Committee for Quality Assurance (NCQA) program accreditations in Case Management, Population Health Programs, and Wellness and Health Promotion.
Carol is a Master Certified Health Education Specialist with more than 15 years of experience in public health, and community and population health management. She earned Biology and Public Health degrees from Bucknell University and the University of North Carolina – Greensboro, respectively. Before joining Populytics, Carol was a Health Educator whose work ranged from health communications research at the National Institutes of Health to municipal health department and grass-roots community initiatives. Carol currently serves on the board for the Eastern PA chapter of the American College of Healthcare Executives as membership co-chair and also volunteers her time with her church’s community service projects.
Gerald J. Walsh is Highmark Health’s Vice President of Provider Partnerships Market Executive.
In this role, Mr. Walsh is responsible for identifying and cultivating strategic provider partnerships in support of Highmark’s Living Health strategy across multiple markets. Delivering on growth and the goals of the Quadruple Aim through innovative relationships.
Prior to his current role, Mr. Walsh was Highmark’s Vice President of Provider Contracting and Relations responsible for ensuring that Highmark has accessible and available provider networks to support the various products and benefit plans that are offered in the Central, Northeast and Leigh regions of Pennsylvania and the state of Delaware. Mr. Walsh also oversaw provider relations ensuring that contracted providers are following Highmark’s policies and procedures, providing Highmark’s members a seamless and customer-focused experience when accessing the network.
Previously, Mr. Walsh was the Vice President of Strategic & Business Planning for Blue Cross of Northeastern Pennsylvania (BCNEPA). As Vice President of Strategic & Business Planning, his responsibilities included enterprise strategic planning, portfolio management, and oversight for Pharmacy, the Strategic Project Office and AllOne Health Group, Inc.
Mr. Walsh has more than 25 years of healthcare experience, including the last 20 in various leadership positions with BCNEPA and Highmark. He has a Master’s Degree in Health Administration from King’s College (Wilkes Barre, Pennsylvania) and a Bachelor’s Degree in Health Administration from the University of Scranton (Scranton, Pennsylvania).