Dana Lombardo
Centennial
Summary
Healthcare leader with proven experience managing and scaling value-based care programs across primary care, multi-specialty and post-acute organizations in multi-state environments. Expert in translating CMS and payer requirements into operational strategies that drive measurable improvements in quality performance, utilization management, and incentive outcomes. Highly skilled in performance monitoring, executive reporting, provider engagement, and care coordination design, with a strong record of regulatory compliance and continuous improvement.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Practice Manager
Summit Medical Consultants
11.2023 - 11.2025
- Led system-wide value-based care strategy and execution across 100+ post-acute facilities in multiple states, serving as the primary liaison between providers, facility leadership, care teams, analytics, and executive leadership to support ACO, MIPS, and I-SNP performance goals.
- Coordinated the implementation and daily management of enterprise value-based programs, including Chronic Care Management (CCM), Transitional Care Management (TCM), wellness and preventive care initiatives, and post-acute optimization strategies.
- Established annual performance targets aligned with CMS and payer quality measures, RAF optimization, Star Ratings, utilization benchmarks, and bonus opportunities; monitored progress through monthly and quarterly executive reporting.
- Built and maintained enterprise performance dashboards tracking clinical quality, utilization, cost trends, RAF accuracy, and Star Ratings, translating data into targeted improvement plans with medical directors, providers, and operational leaders.
- Oversaw data collection, validation, and submission processes for CMS and commercial payer programs, ensuring on-time, compliant reporting and improved documentation and coding workflows across clinical teams.
- Led geographic expansion into North and South Carolina, establishing infrastructure, standardized workflows, reporting processes, and leadership alignment to ensure consistent program execution and regulatory compliance.
- Built and led interdisciplinary teams including Care Coordinators, Nurses, EMTs, Physicians, and Administrative Leaders, supporting provider education, performance feedback, and accountability related to MIPS measures, risk adjustment documentation, and care coordination best practices.
- Developed and strengthened hospital system, ACO, and I-SNP partnerships, using data analysis to identify trends and barriers, improve patient outcomes, reduce avoidable utilization, and support long-term strategic alignment.
Care Navigation Supervisor
HealthONE Colorado Care Partners
02.2020 - 07.2023
- Led population health transformation and patient experience improvement through care navigation leadership and system redesign.
- Directed a care navigation team focused on improving patient engagement, health outcomes, and experience across the continuum
- Created and led a Social Determinants of Health (SDOH) initiative recognized nationally as a best-practice model
- Developed and implemented Transitions of Care and ADT visibility models to improve real-time patient tracking and transitions communication
- Served as a strategic liaison between payers, clinical teams, leadership, and community partners to enhance patient-centered care delivery
- Coached interdisciplinary staff on performance improvement, communication, and alignment with population health goals
Population Health Navigator
HealthONE Colorado Care Partners
08.2016 - 02.2020
- Supported large-scale transformation in value-based and patient-centered care delivery models.
- Supported practice transformation to align with emerging population health and patient experience frameworks
- Educated clinical and operational teams on improving patient flow, communication, and engagement
- Drove improvements in coordination, efficiency, and care delivery alignment
- Promoted to a leadership role based on results and initiative
Clinic Nurse
HealthONE Skyline Internal Medicine
01.2014 - 08.2016
Education
Bachelor of Science - Healthcare Leadership & Professional Development
Indiana State University
12.2024
Associate in General Studies - LPN Certificate
Carl Sandburg College
05.2008
Skills
- Value-Based Care Strategy
- ACO / MSSP Programs
- MIPS &Promoting Interoperability
- Risk Adjustment (RAF)
- HEDIS
- Post-Acute Operations
- Chronic Care Management (CCM)
- Transitional Care Management (TCM)
- Data Validation & Reporting
- CMS Compliance
- Provider Engagement
- Workflow Optimization
- Google Workspace
- Microsoft Applications
- Epic, Athena, Ethizo, eCW, Power BI, PointClickCare
Accomplishments
- 20% improvement in care coordination program performance.
- 5% reduction in avoidable hospital utilization.
- 3% improvement in RAF accuracy.
- 20% improvement in provider engagement and documentation consistency.
- Recognizing Excellence for Care Coordination Award Issued by Anthem BCBS · Jun 2022
Certification
- BLS for Healthcare Providers
- FEMA Emergency Management Institute
- Leadership Essentials Certificate – Leadership Institute
- HIPAA Privacy Officer
Timeline
Practice Manager
Summit Medical Consultants
11.2023 - 11.2025
Care Navigation Supervisor
HealthONE Colorado Care Partners
02.2020 - 07.2023
Population Health Navigator
HealthONE Colorado Care Partners
08.2016 - 02.2020
Clinic Nurse
HealthONE Skyline Internal Medicine
01.2014 - 08.2016
Associate in General Studies - LPN Certificate
Carl Sandburg College
Bachelor of Science - Healthcare Leadership & Professional Development
Indiana State University