Shiv Mulgaonker

About Me

Most recently, I led strategy at Accompany Health, which delivers home-based primary, social, and behavioral care to 20,000+ Medicare and Medicaid patients. Working directly with the CEO, COO, and Chief Growth Officer on initiatives spanning operations, product, and growth, I led our relationship with a national insurer covering ~40% of our patients and owned the terms of our value-based contract — under which Accompany was paid for keeping patients healthy, rather than for each service delivered. I also led R&D projects to reach our most remote and medically complex patients: partnering with 10+ public housing complexes to engage 300+ previously unreachable patients, launching a meal and nutrition program for ~6,000 patients across Massachusetts, and building a Medicaid enrollment and community resource-navigation platform for patients and community health workers. Throughout my tenure, I supported the executive team on our AI transformation — automating work such as billing and clinical note-taking, and bringing digital health tools to our clinicians.

Before Accompany, I helped scale Firsthand Cares into the country’s largest peer support program, serving ~6,000 individuals with serious mental illness (SMI) within Medicaid. Firsthand’s community care model is anchored by peers — practitioners who have themselves recovered from serious mental illness — and centers on rebuilding the trust SMI patients have lost in traditional care settings. My role was to help make this untraditional care model work: I led the team that implemented the company-wide performance management system, coached market leaders on operations, and built tools for care teams, including an outreach-prioritization engine and an app-based triage workflow.

I began my career at McKinsey & Company, where I was seconded to Gates Ventures, Bill Gates’ private office. There, I researched exemplar primary care and digital health in low- and middle-income countries, writing policy briefs for leaders including Bill Gates, President Macron, and Prime Minister Modi.

Outside of work, I enjoy serving my community. I founded and ran Texas for Expanding Opportunity, a nonprofit mentoring underprivileged middle schoolers in Austin, where I grew up. In my free time, I play pickup basketball and spend time outdoors; I’ve completed six half marathons and a full marathon, and most recently summited Kilimanjaro.

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