Alex Cotton Email and Phone Number

AI Prior Authorization Strategy Engagement - Payor• Collaborated with executive stakeholders to create prior authorization AI/automation strategy and roadmap to improve provider relationships, decrease prior auth turn-around-times, and reduce administrative and medical costs.• Led 15+ interviews with IT, Clinical, and Strategy stakeholders to identify current state positioning, challenges, and opportunities within payor prior auth process.• Identified and initiated new AI process… Show more AI Prior Authorization Strategy Engagement - Payor• Collaborated with executive stakeholders to create prior authorization AI/automation strategy and roadmap to improve provider relationships, decrease prior auth turn-around-times, and reduce administrative and medical costs.• Led 15+ interviews with IT, Clinical, and Strategy stakeholders to identify current state positioning, challenges, and opportunities within payor prior auth process.• Identified and initiated new AI process, generating $5M/year in client savings. • Navigated complex vendor relationships, identifying short-term action plan to reduce organization costs by $6.25M/annually.Data Platform Product Team Expansion - Payor• Scaled 4-person platform admin team into fully-fledged data enhancement group, establishing dedicated scrum teams and patterned approaches to roll out and support enterprise data transformation tools including Databricks, Talend, and DataStage.• Led 25+ interviews with product engineering, business teams, and product owners to determine a funding and execution estimate for an enterprise Talend migration effort, supporting product owner in 2024 strategy planning and budgeting.• Managed staffing responsibilities for 15-person team, actively monitoring matrixed project workstreams to ensure consistent allocation of resources and continued data delivery across the organizationCybersecurity Strategy Engagement - Banking• Created tailored vulnerability management (VM) operating framework and maturity model alongside SMEs to drive client cyber initiatives by aligning executive leadership on a shared vision for a future VM Program.• Conducted 15+ stakeholder interviews to identify current state VM tools, processes, and challenges, synthesizing key takeaways for executive presentation.• Developed roadmap, processes, and interaction model to achieve incremental improvements to targeted Vulnerability Management maturity level. Show less

Fortune 500 Managed Care Provider Acquisition• Conducted analysis to locate savings opportunities across Medicaid and Medicare lines of business, automating manual excel functions to identify over $1M in integration synergies across 20 different providers.• Presented findings to executive stakeholders in weekly meetings to develop provider contract negotiation strategy, enhancing client relations and furthering a $42 million local market savings target.Payor Durable Medical… Show more Fortune 500 Managed Care Provider Acquisition• Conducted analysis to locate savings opportunities across Medicaid and Medicare lines of business, automating manual excel functions to identify over $1M in integration synergies across 20 different providers.• Presented findings to executive stakeholders in weekly meetings to develop provider contract negotiation strategy, enhancing client relations and furthering a $42 million local market savings target.Payor Durable Medical Equipment Strategy Review• Reviewed payor prior authorization process flow, collaborating with subject matter experts to recommend critical process changes regarding member tracking and coordination to augment member quality and speed of care.• Led stakeholder interviews with market-leading durable medical equipment vendors to identify industry-best capabilities, presenting a comprehensive vendor transition roadmap to payor executive leadership, motivating organization change to alleviate durable medical equipment grievances.Payor Value Based Care Strategy Implementation• Analyzed provider-sponsored health plan VBC programs and capabilities, developing network management and analytics strategy to support gainshare performance and future VBC program development. Show less

• Created a model to identify changes to safety stock levels utilizing sensitivity analysis, resulting in adjustments of up to 30% in 15 products and the stocking of 10 new products, reducing department lead times by three to four weeks.• Implemented a new system for forecasting Custom Biotech’s largest customer through meetings with sales and logistics teams, saving more than 50 hours annually and drastically improving data retention.• Extracted and organized logistics data… Show more • Created a model to identify changes to safety stock levels utilizing sensitivity analysis, resulting in adjustments of up to 30% in 15 products and the stocking of 10 new products, reducing department lead times by three to four weeks.• Implemented a new system for forecasting Custom Biotech’s largest customer through meetings with sales and logistics teams, saving more than 50 hours annually and drastically improving data retention.• Extracted and organized logistics data from more than 100 Custom Biotech contracts for input into SAP, expediting order processing and ensuring contract compliance. Show less

Humanitarian Worker• Provided 40 hours of translation for Timmy Global Health optic medical exams, working alongside a team of doctors to care for and distribute glasses to more than 500 patients with no previous access to physician care.• Built two roofs, two floors, one house frame, and one septic tank with a team composed of nine American students and six Dominican workers, giving two families of six or more persons clean, sustainable living accommodations.

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