November 19, 2012 -- Yamhill County Care Organization, one of Oregon’s newest Coordinated Care Organizations (CCOs) serving recipients of the Oregon Health Plan, has named James Carlough as its new Executive Director.
With more than 18 years experience working with managed care services and multiple health care delivery systems, Carlough combines business acumen with a broad knowledge of the community members served by the Oregon Health Plan, according to Silas Halloran-Steiner, the CCO’s board chairman.
“Jim’s experience in senior leadership positions with a diversity of health plans, will allow him to make an immediate contribution to Yamhill County Care Organization’s strategic planning and implementation efforts,” says Halloran-Steiner.
“Jim has lived with his wife and children in Newberg since 2005, so he is not only familiar with local concerns, but committed to our community’s well-being.”
Carlough, who says he feels deeply committed to vulnerable populations and delivery system enhancements, spent several years working with a Medicaid plan in Arizona. Most recently, Carlough served as senior manager, provider services, for CareOregon, the largest managed care organization serving OHP members.
Carlough’s task will be to manage both operations and coordinate with partner organizations, such as CareOregon and Mid-Valley Behavioral Care Network (MVBCN), which provide claims processing, provider contracting and other services for the CCO. He also will work with the board, member advisory council, and clinical advisory panel in developing a transformation plan demonstrating how Yamhill County Care Organization will work to improve health outcomes, increase member satisfaction and reduce costs. Each CCO is required to develop a transformation plan geared specifically to the needs of the local community it serves.
“I am excited about the opportunity to work with Yamhill County Care Organization,” says Carlough. “My goal is to increase access to services, help reduce costs, and benefit my local community.”
Yamhill County Care Organization has approximately 18,000 members.
