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Melanie Gittiban
Executive Healthcare Operations Leader specializing in AI-enabled value-based care
Cascala HealthUniversity of Texas at ArlingtonDallas–Fort Worth, TX19 Years ExperienceExecutive Level
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About
Operations leader with deep healthcare delivery experience who joined a struggling VC-backed company and helped architect a full strategic pivot away from a fragmented home care LTSS agency model into a scalable chronic care telehealth/value-based care platform. Designed the end-to-end virtual care operating model (clinical team structure, triage/escalation workflows, EHR/RCM/call center ops) and rebuilt performance management around leading indicators to help leadership steer scaling decisions.
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Led a major strategic pivot from a home care LTSS agency model to a scalable chronic care telehealth/value-based care platform
Built a full virtual-care operating model (care team structure, staffing, workflows, pathways, documentation, communication loops)
Implemented performance management with leading-indicator KPIs (outreach, care gap closure, patient/caregiver engagement)
Stood up core operational functions for virtual care (EHR workflows, call center/outreach, engagement, RCM, state-specific practices)
Systematic operational diagnosis using workflow/SOP mapping, frontline listening, and operational data to find handoff/failure points
Effective executive advising: translates operational complexity into decision frameworks (operating rhythms, capacity and unit cost models) and dashboards
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Experience
Head of Clinical OperationsCascala Health · Mar 2024 – Present
Chief Operating Officer (Fractional)Cosán · Feb 2023 – Jul 2023part-time
Chief Operating OfficerVesta Healthcare · Mar 2020 – Sep 2022
Chief Administrative OfficerFort Worth Renal Group · Oct 2019 – Mar 2020
Executive Vice President, Post-Acute Network OperationsSignify Health / Remedy Partners · Aug 2015 – Sep 2019