Tomás Valdivia, MD/MS

3x founder; 1 IPO & 2 acquisitions. Health Plan and HC Services Expert.

Rates

20min: $250
50min: $625

Note: rates for large healthcare organizations or financial/consulting firms may vary.

Brief Bio

  • Co-Founder and Chief Health and Equity Officer @ Bright Health Group – IPO in 2021
  • Co-Founder and President @ Carol Corporation – acquired by Optum Insights
  • Former Chief Medical Officer @ Definity Health – acquired by UnitedHealthGroup
  • Founder and CEO @ Advanced Informatics – acquired by Providence Equity
  • Board Member @ SSM Health, one of the largest integrated delivery systems in the US
  • Board Member @ Intermountain Health, Canyons Region
  • Senior Advisor @ InTandem Capital

Some Areas of Expertise

  • Health plans
  • Clinical strategy
  • Selling to employers
  • Risk adjustment
  • Clinical operations
  • Diversity, Equity, and Inclusion
  • Social Determinants of Health
  • Health Plan Quality Initiatives & Outcomes
  • Public health
  • Healthcare policy
  • Health system governance
  • Provider Networks

Extended Bio

Tom Valdivia, MD, MS is a successful healthcare executive with more than 20 years of experience founding, building and selling companies in the health care technology, provider accountable care services, health consumer and health benefits sectors.

Most recently, Tom co-founded and served as the Chief Health Officer at Bright Health (NYSE: NEUE), which offers affordable, benefit-driven Medicare Advantage health insurance where his responsibilities spanned clinical strategy, risk adjustment, Stars, and clinical and non-clinical operations.

Prior to Bright Health, Mr. Valdivia served as Co-Founder and President of Carol Corporation, which developed the first direct-to-consumer health services exchange. Carol provided strategic, technical and analytical services to large providers across the country including Texas Health Resources, Fairview Health Services, Iowa Health System and UMass Memorial. The Company was sold to Optum Insight in October 2011.

In addition to his role at Carol Corporation, Tom also served the role of Chief Medical Officer at Definity Health (sold to UnitedHealth Care) and was the Founder and CEO of Advanced Informatics.

He is a Board Member at SSM Health, one of the largest integrated delivery systems in the US, a Board Member at Intermountain Health, Canyons Region and a Senior Advisor at InTandem Capital.

Tom received his bachelor of arts degree from Carleton College and his doctor of medicine from the University of Minnesota.

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