SAMUEL HIATT
Summerfield
Summary
Dynamic leader in value-based care with a proven ability to enhance financial performance and patient outcomes. Expertise in launching complex clinical models and managing large multidisciplinary teams across diverse provider networks. Strong strategic thinker with in-depth knowledge of Medicare/MA program structure, contract negotiation, and cross-functional leadership.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Director of Medicare Program Operations
COMMUNITY CARE OF NORTH CAROLINA
Garner
10.2024 - Current
- Program Launch: Built and launched an Advance Primary Care Management (APCM) clinical model from the ground up in 4 months, focusing on patient outcomes and financial sustainability.
- Growth & Recruitment: Recruited 32 practices for APCM services; developed marketing materials and legal contracts to support Enhanced Care Management service roll-out.
- Leadership: Managed team of 30 (Pharmacists, Nurses, MAs) to achieve program KPIs and improve service delivery.
- Vendor Management: Sourced and contracted software partners, data aggregators, and lab partners; managed implementation of multiple products to enhance operational capabilities.
- Data Management: Built and managed all incoming and outgoing data pipelines including ensuring data access, integrity, and quality.
Director of Clinical Operations
UPSTREAM
Greensboro
06.2023 - 09.2024
- Network Management: Led ACO/VBC operations for 2 provider networks including 24 practices and 7 multidisciplinary care teams.
- Strategic Expansion: Managed an expansion strategy that doubled the network size while decreasing preventable utilization.
- Financial Performance: Drove top-line results through successful RAF and Clinical strategy implementation and execution.
- Program Development: Built and registered an MSSP enhanced track option for partner practices including the financial incentive structure and regulatory guardrails.
Clinical Pharmacist
UPSTREAM
Greensboro
09.2022 - 06.2023
- Built and led a multidisciplinary care team responsible for the longitudinal care management of Medicare/MA patients, improving quality scores and cross-office collaboration.
Pharmacy Manager and Market Healthcare Leader
WALMART HEALTH AND WELLNESS
High Point
06.2016 - 08.2022
- Led pharmacy team of 15, managing performance and operations to ensure service excellence.
Pharmacy Supervisor
CVS HEALTH
North Carolina
05.2014 - 06.2016
- Oversaw operational and financial performance for 24 pharmacies, supervising 70+ pharmacists and 200+ technicians to ensure effective service delivery.
Education
Doctor of Pharmacy -
Butler University
Indianapolis, INSkills
- Regulatory Compliance
- Healthcare Technology
- Product Implementation
- Budget Oversight
- Financial Sustainability
- Process Improvement
- Program development
- Strategic Planning
- Team Leadership
- Stakeholder Communication
- Contract Negotiation
- Strategic planning
- Vendor management
- Data analytics
Selected Achievements
- Achieved a 13.4% savings rate for ACO REACH.
- Delivered a 1.3 point improvement in STAR ratings in 3 months.
- Reduced 30-day readmissions by 35% and IPK by 37% for patients in care management.
- Exceeded enrollment targets by 22% and implemented RAF support across 15 different EMR systems.
Certification
- Board Certified Pharmacotherapy Specialist (BCPS) - BPS
- Licensed Pharmacist - North Carolina
Timeline
Director of Medicare Program Operations
COMMUNITY CARE OF NORTH CAROLINA
10.2024 - Current
Director of Clinical Operations
UPSTREAM
06.2023 - 09.2024
Clinical Pharmacist
UPSTREAM
09.2022 - 06.2023
Pharmacy Manager and Market Healthcare Leader
WALMART HEALTH AND WELLNESS
06.2016 - 08.2022
Pharmacy Supervisor
CVS HEALTH
05.2014 - 06.2016
Doctor of Pharmacy -
Butler University