Michael Ruiz is a Partner at Chartis and a leader in managed care economics, financial performance transformation, and value-based care strategy. He brings more than 20 years of healthcare leadership experience spanning national health plans, provider organizations, healthcare services companies, and consulting firms.
Mike works with health systems, physician enterprises, and provider organizations to improve financial performance, strengthen payer strategy, optimize managed care operations, and build sustainable value-based care models. His expertise includes managed care contracting, Medicare Advantage strategy, value-based reimbursement, payer-provider partnerships, revenue optimization, risk enablement, network development, and enterprise growth strategy. Mike is recognized for helping health systems translate managed care from a contracting function into a strategic enterprise capability by aligning payer economics with organizational strategy, physician alignment, revenue cycle performance, analytics, and value-based care execution. In his current role, he is responsible for establishing managed care as an enterprise growth platform across Chartis by embedding payer economics into strategy, revenue cycle, analytics, digital transformation, and physician enterprise engagements.
Prior to joining Chartis, Mike served as Senior Director at Premier, where he developed and launched the organization's managed care advisory capabilities. He established Premier's managed care go-to-market strategy, expanded the managed care pipeline from inception to more than $3 million, built and trained a team of managed care consultants, and led the development of technology-enabled solutions spanning managed care benchmarking, price transparency, market assessment, yield analysis, and network adequacy. Previously, at Guidehouse, Mike led managed care and financial performance engagements for health systems, physician groups, and payer organizations nationwide. He managed a portfolio of complex client engagements focused on revenue optimization and payer-provider transformation, directed business development activities across a national pipeline, and supported negotiations that generated more than $100 million in additional net revenue for provider organizations through clinical integration, shared savings, pay-for-performance, and other innovative contracting arrangements.
Mike's career also includes executive leadership roles with Wayforth, Center for Diagnostic Imaging, UCare, UnitedHealthcare, and Blue Cross and Blue Shield of Minnesota. Across these organizations, he designed and implemented value-based reimbursement models, accountable care arrangements, provider contracting strategies, Medicare Advantage performance initiatives, and payer-provider partnerships across commercial, Medicare, and Medicaid markets. His experience on both the payer and provider sides of healthcare gives him a distinctive perspective on reimbursement strategy, market dynamics, financial sustainability, quality improvement, and access to care.
Mike is a frequent speaker on value-based care, managed care strategy, data-driven decision-making, and innovative payer-provider partnerships. He has served as a presenter and conference chair at national healthcare leadership forums.
Mike earned his Bachelor of Arts in Political Science from the University of Minnesota.
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