Jennifer LoPiano

Behavioral health strategy and operations leader with 20 years of experience across digital health, health systems, health plans, integrated care, and high-growth healthcare organizations. Proven record of launching and scaling programs, building operating models, leading cross-functional execution, and translating clinical, financial, quality, and regulatory priorities into measurable results. Trusted partner to executive leaders with expertise in performance management, governance, workforce planning, care delivery, and sustainable growth.

Senior Manager, Behavioral Health – Strategy & Operations - GoHealth

(2023-06 - 2026-07)

• Scaled Collaborative Care services from a 3-clinic pilot to 15+ clinics by developing standardized operating models, implementation plans, workflows, and performance-management processes.
• Directed multi-market program launches spanning operational readiness, clinical workflow design, workforce planning, hiring, training, scheduling, and stakeholder adoption.
• Reduced time to first appointment from months-long waits to same-week access through redesigned intake, scheduling, and care-coordination workflows.
• Achieved approximately 70%–80% clinical improvement based on PHQ-9 and GAD-7 outcomes and maintained Net Promoter Scores above 85.
• Owned performance across access, utilization, capacity, revenue, quality, and clinical outcomes through KPI development, dashboards, operational analysis, and continuous improvement.
• Improved financial performance through billing workflow optimization, utilization management, documentation compliance, capacity planning, and revenue-integrity initiatives.
• Established documentation and audit standards supporting CMS requirements, billing accuracy, compliant reimbursement, and organizational readiness.
• Led Behavioral Health Care Managers and partnered across Clinical, Operations, Finance, Product, Analytics, and Revenue Cycle; delivered executive reporting and quarterly Steering Committee presentations.

Founder - Jennifer LoPiano, LCSW PLLC

(2018-01)

Founded as a multi-state telehealth psychotherapy practice in 2018 and expanded into behavioral health strategy and operations consulting in 2026.

• Advise healthcare organizations on program design, implementation, performance management, provider performance, workforce planning, clinical quality, and scalable care delivery.
• Translate clinical and business priorities into implementation plans, SOPs, KPI frameworks, governance structures, staffing models, documentation standards, and billing workflows.
• Partner with clinical, operational, financial, product, and executive stakeholders to strengthen access, quality, program performance, and sustainable growth.

Associate Regional Director, Clinical Operations - Concert Health

(2022-04 - 2023-05)

• Led East Coast operations for multi-state Collaborative Care partnerships, supporting 20+ behavioral health clinicians and their operational leaders.
• Directed new program and clinic-partnership launches, including onboarding, workflow integration, resource planning, provider adoption, and performance stabilization.
• Owned regional access, engagement, utilization, quality, and operational KPIs; used performance data and documentation audits to identify gaps and lead targeted improvements.
• Built capacity-forecasting and resource-allocation models to support staffing, regional planning, program growth, and consistent care delivery.
• Partnered with Clinical, Operations, Product, and executive leaders on strategic initiatives, change management, and scalable workflow design.
• Used Salesforce and Excel to manage provider operations, monitor performance, support planning, and drive continuous improvement.

Behavioral Health Program Manager - Vytalize Health

(2021-01 - 2022-04)

• Led implementation and expansion of Collaborative Care and integrated behavioral health services within a value-based primary care environment.
• Developed operating workflows, implementation plans, training, and change-management strategies supporting provider adoption and scalable delivery.
• Monitored utilization, quality, cost, and operational performance and evaluated opportunities to integrate behavioral health into value-based arrangements.

Behavioral Health & Substance Use Utilization Management - Brighton Health Plan Solutions–MagnaCare

(2019-01 - 2021-01)

Managed behavioral health and substance use utilization review within workers' compensation programs, applying medical-necessity criteria, payer policy, and regulatory requirements to support appropriate, cost-effective care.

Program Manager, Behavioral Health Utilization Management - CareConnect Insurance Company

(2016-07 - 2018-12)

Led multi-state behavioral health utilization management operations, staff performance, clinical review consistency, regulatory compliance, and cross-functional improvement initiatives.

Lead Social Worker, Intensive Case Management - HealthCare Partners

(2015-01 - 2016-12)

Led intensive case management for high-risk populations and supported program development, interdisciplinary coordination, workflow optimization, and utilization reduction.

Behavioral Health Utilization Management Clinician - Fidelis Care

(2013-01 - 2015-12)

Conducted behavioral health and substance use utilization reviews using medical-necessity criteria and partnered with providers on quality, cost-effective treatment and transitions of care.

Psychiatric Social Worker → Social Work Supervisor - Northwell Health

(2009-01 - 2013-12)

Progressed into leadership supervising inpatient social work staff and overseeing multidisciplinary treatment planning, discharge coordination, crisis intervention, quality improvement, and staff development.

Psychiatric Social Worker - Holliswood Hospital

(2006-01 - 2009-12)

Provided acute inpatient behavioral health services and collaborated with multidisciplinary teams to support safe transitions and positive outcomes.

Master of Social Work - Adelphi University

Bachelor of Science - Child & Family Studies - SUNY Oneonta