Senior Director, Healthcare Quality Strategy
J&J HCS USA
Why I'm a JPAL
I enjoy partnering with others on innovation in health care, and have experience as a physician, healthcare payer executive, health delivery system executive, and now pharma exec. to share with others as a perspective.
Ira Klein, MD, MBA, FACP, is the Senior Director of Health Care Quality Strategy in the Strategic Customer Group of J&J Health Care Services, advancing Janssen’s ability to deliver industry-leading value-based solutions to the new value-based marketplace. Key areas of focus in this role include building the business case for Triple Aim Solutions, delivering high value collaborations with ecosystem partners in the IDN, ACO, Payer, and PBM space, and Janssen brand commercial strategy. This work is facilitated by a personal record of having worked on a variety of national quality and policy committees in D.C., and with many medical specialty societies and patient advocacy groups. Previously, he was the National Medical Director for Clinical Thought Leadership at Aetna, capping a 10 year career in the National Payer space. During this time, he founded the Oncology Solutions team, creating and administering value based and medical home contracts in oncology. In addition, during his time at Aetna he oversaw advanced analytics in population health and novel benefit designs for large self-insured employers, and developed wellness and chronic care programs that innovated in value based care and behavioral motivational theory. Prior to Aetna, he led the quality, cost and care management area for the Bayshore Community Health System, including inpatient, outpatient, sub-acute, and long-term care services. This included oversight of all utilization management, JCAHO credentialing, CMS quality programs, and medical staff management. Prior to that, he was CMO of Elderplan, a CMS enacted Medicare Demonstration Project in NYC serving the frail elderly. In this role, he reorganized a pharmacy benefit structure for Medicare eligible members (5 years prior to CMS Part D), created coordinated care programs for multiple morbidities, and led quality and clinical reporting to governmental agencies. He began his career practicing Internal Medicine for 7 years at Robert Wood Johnson Medical School as an Assistant Professor in the Division of General Internal Medicine. Ira holds a BS from Rutgers University College of Pharmacy, an MD from University of Medicine and Dentistry of New Jersey – Robert Wood Johnson Medical School, and an MBA from Rutgers University, graduating with honors from all three programs. He has a personal interest in health information technology and data security, previously certified in the medical HIT area.
"Price is what you pay, value is what you receive"
Now on my 3rd (or 4th) career, depending on your definition.