Developed competitor insights and financials by leveraging public and other third-party data, and policy and regulatory changes. Interviewed industry experts across multiple industries to inform the strategic direction of core services, including Medicaid, Medicare, and Exchange. ● Crafted and deployed dashboards to track key metrics, as well as provided strategic insights, enhancing market leadership's planning and decision-making capabilities.● Developed financial models to evaluate external policy and regulatory impacts, such as Medicaid redeterminations, state-driven reductions in Medicaid reimbursement rates, and financial implications of membership transitions from Medicaid to Exchange, informing organizational strategic positioning.● Accelerated delivery of competitor quarterly earnings report summaries from 48 hours to same day, significantly enhancing timeliness and relevance of strategic insights for internal stakeholders.

Formulated comprehensive network strategy for commercial and government market solutions. Led program to enhance network competitiveness by focusing on provider quality, cost and access, while increasing provider performance data sharing and partnership. Developed new commercial products.● Pioneered eConsults and remote patient monitoring with rural provider partners, enhancing patient management and expanding access to care.● Championed and influenced Provider Relations team strategies in response to state employee and Medicaid RFPs. Influenced the development of new member benefits and provider engagement offerings.● Directed Medicaid initiatives including the expansion of provider training on awareness of adverse childhood experiences, development of a rural maternity health partnership with a large healthcare system, and championing of community paramedicine adoption and funding. Advanced provider capabilities and community health outcomes. ● Developed provider stratification processes based on cost, quality, and access metrics to enhance network configurations.● Created a new commercial health insurance product for the Minnesota market. Led an integrated team of operational leaders and technical product managers to implement the new product.● Led adherence to provider network adequacy standards for commercial and government products. Improved member access to high quality, low-cost providers.

Drove service line growth in partnership with clinical and administrative leaders to develop short- and long-term strategic initiatives at the site and enterprise levels. Prepared feasibility studies, capital needs assessments, and strategic plans to support organizational growth across multiple sites and across markets. ● Achieved 4 years of double-digit volume and revenue growth for both Neuroscience and Bone and Joint Institutes, boosting site and enterprise growth and profitability.● Directed multi-disciplinary visioning exercises and steering committees, fostering long-term organizational planning and collaborative decision-making.● Created physician demand models by aligning current staffing with strategic growth targets and market demand. ● Developed consumer research and advanced analytics tools, guiding medical group and retail health strategies.● Created ambulatory site selection tool to drive recommendations for site development and retrenchment strategies, optimizing healthcare access in identified communities.● Contributed to team dedicated to incubating new, financially viable care delivery models to promote innovation within the health system.● Partnered with independent physicians by aligning medical group goals with hospital, service line, and community priorities.