Michael Rosenfeld

Payer Growth Leader at Penguin Ai

Philadelphia, Pennsylvania, United States

About

With over 35 years of experience in healthcare, I am a passionate and strategic leader who strives to improve the quality, efficiency, and affordability of care for payers, providers, and members. My core competencies include business development, risk adjustment, quality, population health, and wellness. Throughout my career, I have significantly contributed to the growth of our cutting-edge healthcare companies, driving value for all stakeholders In my current role, I leverage my extensive network and knowledge of the healthcare market to identify and pursue new opportunities, establish and maintain strong relationships, and negotiate and close contracts with health plans and providers. I also collaborate with the product, clinical, and operational teams to ensure the successful implementation and delivery of Penguina Ai's solutions and provide feedback and insights to drive continuous improvement and innovation.

Experience

  • Payer Growth Leader at Penguin Ai
    Jan 2026 - Present · 7 mos

    Focused on growth, partnerships, and strategy for an enterprise AI platform that automates high-cost administrative workflows for payers and providers, including prior authorization, claims adjudication, risk adjustment, and revenue cycle operations.

  • Board Member at Broad Street Love
    Jun 2025 - Present · 1 yr 2 mos

    Broad Street Love provides stabilizing services to individuals experiencing deep poverty. BSL aims to meaningfully reduce the deep trauma and suffering caused by scarcity and break the cycle of hardship, hunger, and housing insecurity in Philadelphia. Guests are welcomed to receive a daily meal, mail service, personal care and hygiene items, support programs, personalized guidance, and more — all located within our warm, welcoming space on Broad Street in Center City.

  • Advisory Board Member at Archetype
    Jul 2020 - Present · 6 yrs 1 mo

    Archetype is a venture capital and consulting business focused on companies in the healthcare and workplace sectors.

  • VP, Business Development at Vatica Health
    Mar 2019 - Jan 2026 · 6 yrs 11 mos

    Vatica represents the next generation in risk adjustment, coding and quality by offering a unique blend of proprietary technology including dynamic computer-assisted diagnostic coding and clinical support that we deploy at the point of care to improve quality, increase revenue, and reduce audit risk for payers. Vatica’s in-office solution focuses on all PCP's in the network including the small to medium size independent practices that most plans and their vendors can’t reach. Our in-office clinical and administrative support drives the following results for our health plan clients: Vatica Results • 60%+ member engagement at the PCP • High Financial Performance - >25% Incremental increase in Risk Adjustment Revenue • Improved Quality Measures – Consistent 4-5 Star performance through automated QM documentation • Reduced RADV Audit Risk –100% of encounters and HCC codes reviewed for proper documentation • Quality of Coding – 98%+ Coding Compliance

  • Managing Director at Innovu, LLC
    Oct 2018 - Mar 2019 · 6 mos

    Innovu brings together vast silos of data to provide insight for advisors and employers to manage their human capital risk across healthcare, retirement, safety, workers comp and disability. Our cloud based solution empowers our key stakeholders to solve complex problems associated with the cost, quality and efficacy of healthcare and benefit programs.