Charity Hefley Leigh

Healthcare executive with expertise in value-care strategy, network development, and risk-based contracting. Proven track record in driving provider network expansion and facilitating value-based transformation in complex multi-stakeholder environments. Strong advocate for independent primary care providers, enhancing their role in the healthcare system.

• 03/01/23, Current, Director of Network Development, OptumHealth, South Carolina, NC, Partnered with executive leadership teams to drive operational strategy and ensure timely delivery of high-visibility analyses and identification of opportunities that led to 93.7% YOY increase in total at-risk lives., Oversee expansion of network in North Carolina under National ACO model with plans to move to a fully delegated RBE model by 2027., Led cross-functional teams implementing operational improvements, resolving technical and organizational challenges affecting performance with favorable results exceeding key metrics including membership growth, IOI, and BUR., Managed monthly business reviews, performance forums with providers, and cross-functional operating rhythms to align organizational goals.
• 12/01/21, 02/28/23, Provider Relations Manager, Optum Home and Community, Georgia, Served as liaison between payers and providers, ensuring efficient care transitions and closing gaps via risk stratification and predictive analytics., Identified provider performance gaps through data analysis and recommended strategic interventions., Facilitated partnerships with key acute and post-acute care providers by coordinating, facilitating and leading partnership meetings aimed at enhancing efficiency of patient care delivery with notable metrics for overall state average for 30-day readmission: 14.9% and SNF ALOS 16.1 which was 5.8% below predictive value.
• 01/01/20, 12/31/21, Vice President of Business Development, HealthPro Heritage, Hunt Valley, MD, Directed strategic planning and execution of business development initiatives across multiple regions and provider settings., Negotiated and managed provider agreements generating $10M annual revenue., Presented executive-level performance reviews and collaborated on cross-functional strategy alignment., Launched new care delivery programs through structured project management and operational design.
• 04/01/18, 08/31/19, Vice President of Training and Development, Great Expressions Dental Centers, Southfield, MI, Oversaw major projects and launched new initiatives, such as a digital learning management system integrated with the Human Resource Information System, which automated onboarding and annual training curricula tailored to specific roles., Led a team of 3 Instructional Designers that created over one hundred individual staff development courses for clinical and non-clinical staff., Planned and developed content for leadership meetings and facilitated over twenty-five design thinking sessions to drive innovation and organizational transformation.
• 06/01/05, 03/31/18, Vice President- Vitality Rehabilitation, Genesis Rehabilitation Services, Kennett Square, PA, Promoted through roles of increased scope and accountability, advancing through several multi-state operations and customer service leadership positions before assuming the Vice-President role to launch a new service line., Led collaborative, cross-functional teams to develop clinical pathways focused on value-based care delivery models., Ensured seamless transitions of care and rehabilitation services through cooperative relationships with preferred partners for 5,000 patients/day in 100+ markets across 27 states., Collaborated with post-acute providers and conveners to develop value-based care pathways across Bundled Payment for Care Initiatives (BPCI) Model 3, Accountable Care Organizations (ACOs), Medicare Shared Savings Program (MSSP), and Comprehensive Care for Joint Replacement (CCJR) programs., Led multi-state operations in SC|GA|MS|LA|AL overseeing 135 rehabilitation contracts and $80M portfolio managing enterprise staffing, workforce planning and operational efficiency initiatives.