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Hina Iqbal

Hina Iqbal

Value-Based Care Executive Profile

Talent
ChicagoMember since July 27, 2026
Risk StratificationMedical Loss Ratio (MLR) OptimizationHEDIS Quality Gap ClosureHRDD&MJoint Operating Committees (JOCs)Physician EngagementExecutive CommunicationOperational Barrier RemovalChronic Disease ManagementAcute Care AvoidanceEMR Workflow Optimization
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Risk StratificationMedical Loss Ratio (MLR) OptimizationHEDIS Quality Gap ClosureHRDD&MJoint Operating Committees (JOCs)

About

Visionary Value-Based Care Leader who believes that exceptional clinical outcomes and financial health are the natural byproducts of a supported, high-accountability workforce. Leverages 13 years of clinical and administrative leadership—including regional oversight of 60 physicians across multiple states, 500+ employees, and over 28,000 total senior lives—to consistently drive membership growth and optimize contribution margins. Master of physician engagement, executive communication, and operational barrier removal.

Specializes in replacing corporate micromanagement with structured autonomy, building legacy clinical teams that take immense pride in their work and perpetually deliver market-leading Medical Loss Ratios (51% MLR in primary markets).

Experience

Telehealth Physician - Winona - Remote

(2025-08)

  • Deliver comprehensive, remote clinical evaluations and asynchronous care across multi-state jurisdictions adhering to state-specific telehealth regulatory frameworks.

Regional Chief Medical Officer / Executive Leadership - JenCare Senior Medical Center - Chicago, IL (Regional Oversight: IL, MI, LA)

Directed overall financial, clinical, and operational strategy across a multi-market, full-risk network spanning 28,000 total senior lives, 500+ clinical and operational staff members, and 60 primary care physicians.

  • Capitated P&L & Financial Management: Directed overall financial, clinical, and operational strategy across a multi-market, full-risk network spanning 28,000 total senior lives, 500+ clinical and operational staff members, and 60 primary care physicians.
  • Multi-Market Restructuring: Maintained market-leading performance in the core Chicago market ($200M P&L, 13,000 lives) while executing operational turnarounds in Detroit (5,000 lives) and Louisiana (10,000 lives) to optimize risk stratification and center profitability.
  • Medical Loss Ratio (MLR) Optimization: Maintained a market-leading 51% MLR in primary operations by driving proactive chronic disease management, targeted clinical stratification of high-risk senior patients, and aggressive acute care avoidance.
  • Hospitalization & Utilization Reduction: Reduced emergency department visits, inpatient admissions, and 30-day hospital readmissions through structured transitional care management (TCM) protocols and rapid post-discharge follow-up workflows.
  • EBT & Revenue Expansion: Delivered consistent YOY financial growth, achieving 3% favorability to plan in EBT and 7% in Revenue, while expanding regional membership by 20% (15% CAGR) through compelling value proposition messaging.
  • Culture & Workforce Retention: Built a high-retention clinical environment that lowered physician and non-physician staff turnover by 5% through compassionate leadership, operational barrier removal, and clinical autonomy.
  • Payor & Network Collaboration: Partnered strategically with payors and health plans to align quality metrics, optimize Joint Operating Committees (JOCs), and streamline specialist referral pathways for cost-effective care delivery.

Medical Director - JenCare Senior Medical Center - Oak Lawn & Berwyn, IL

(2018-06 - 2020-03)

Managed full P&L accountability for two high-volume, risk-bearing medical centers in a collaborative dyad leadership model.

  • Value-Based Center Operations: Managed full P&L accountability for two high-volume, risk-bearing medical centers in a collaborative dyad leadership model.
  • Clinical Huddle & Quality Oversight: Led daily super huddles and complex case reviews, coaching physicians on risk-adjustment accuracy (RAF/coding), HEDIS quality gap closures, and preventative care delivery.
  • Clinical Protocol Standardization: Engineered high-efficiency transitional care workflows and HRDD&M (high-risk disease detection and management) frameworks that significantly reduced acute utilization across center panels.

Lead Physician - JenCare Senior Medical Center - Oak Lawn, IL

(2013-06 - 2018-05)

  • Full-Risk Panel Management: Direct clinical oversight of a high-complexity, full-risk senior patient panel, providing accountable, proactive care that improved health outcomes while lowering total cost of care.
  • Specialty & Network Integration: Collaborated with hospitalists, utilization management teams, and specialist networks to build high-efficiency care pathways and reduce unnecessary out-of-network utilization.
  • Provider Training & Education: Led center-wide physician training on HEDIS quality metrics, risk-adjustment documentation, and EMR workflow optimization.

Education

Internal Medicine Residency - Internal Medicine - University of Illinois at Chicago (UIC) / Advocate Christ Medical Center (2010 - 2013)

M.B.B.S. - Bachelor of Medicine, Bachelor of Surgery - King Edward Medical University

Skills

Value-Based Care Executive Profile

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