Wayne Rawlins, MD, MBA is WellSpark Health’s chief medical officer. In this role he is responsible for clinical health and wellbeing strategy at WellSpark Health. He is also responsible for demonstrating the value of addressing prevention, health and wellbeing on health outcomes, medical costs as well as non-financial metrics. Dr. Rawlins believes that well-designed and well-executed prevention, health and wellbeing programs can produce a positive ROI along with significant improvements in population health.
Prior to his role at WellSpark he served as the Vice President and Chief Medical Officer of ConnectiCare, a top performing health plan available to the residents of Connecticut. Dr. Rawlins was charged with enhancing ConnectiCare’s health care management programs to improve total population health for ConnectiCare members. His focus was on improving members’ access to care and improving population health outcomes as well as reducing medical costs. He worked closely with providers to ensure that ConnectiCare members receive the high-quality care they need.
Prior to joining ConnectiCare, Dr. Rawlins held several senior clinical leadership positions at large national health insurer. While there he served as the chief medical officer of student health segment, regional medical director, corporate clinical lead representing the chief medical officer in crisis management and disaster preparedness; and led the design, development and implementation of an industry-leading end-of-life care program.
Dr. Rawlins is a member of the NCQA Committee on Performance Measurement, which oversees the development and evolution of the HEDIS measurement set, one of the health care industry’s most widely used performance improvement tools. A leading immunization expert, Dr. Rawlins served as a member of the National Vaccine Advisory Committee, where he worked with the U.S. Department of Health and Human Services to advise and make recommendations on national vaccine policy. A specialist in health equity and resolving health disparities, Dr. Rawlins led efforts to identify and eliminate health disparities in racial and ethnic minority populations. Dr. Rawlins has served on several national organizations addressing health equity. He was an author of the noted Institute of Medicine Report: Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement.
He received his medical degree from the University of Connecticut, completed an internal medicine residency and chief residency at the University of Rochester in New York, and received an M.B.A. from Rensselaer Polytechnic Institute. Dr. Rawlins is board certified in internal medicine. He was a physician manager and practicing physician treating patients in a busy primary care practice for more than a decade.
Dr. Rawlins is former board chair of the United Way of Central and Northeastern Connecticut. He currently serves as a member of the board of directors of UCONN Health and as a member of the Medical Director Advisory Council of National Alliance of Healthcare Purchaser Coalitions.