Ashley Harris Email & Phone Number

Bloomfield, CT, US

• Serve on the Medicare Senior Leadership Team and lead the development of the national MA network strategy.Primary focus areas:
• Advanced the national network team to centralize and own network oversight, provider contracting operations, and value-based and fee-for-service provider contracting for all markets.
• Led team to increase participation of membership aligned to a provider in a value-based agreement (VBA) to 65% overall for an increase of 5% nationally.
• Created dedicated governance team to enhance audit readiness, reduce non-standard contract terms, and streamline governance review of contracts and automated data sharing with providers.
• Responsible for the design and delivery of national provider incentive programs that aim to improve quality outcomes for over 300,000 customers by motivating providers to engage in driving quality prior to taking risk.
• Oversee the relationship management, contracting strategy and execution, operations, and outcomes of national MA risk partners.

Bloomfield, CT, US

• Medicare Advantage Market President- Alabama, Georgia, North Florida, Southern Mississippi (Oct 2021 - Feb 2023)
• Expanded scope of Medicare Advantage P&L responsibility to include the Alabama market (AL, SMS, and NFL) for an overall scope of 100 counties, ~100,000 customers, and over 16,000 providers.
• Accomplishments: Expansion into 16 new counties for 2023, grew network for new PPO product to match 89% of HMO network to drive marketability and provider satisfaction, and re-built AL health plan team talent and.
• Represented all markets through efforts to revise the Provider Operating Model and centralize function, such as provider relations, value-based contracting, and other health plan operations with high compliance.
• Accountable for P&L, operations, network performance, product development, growth, Star rating, and overall market strategy for 39-county service area and more than 30,000 customers.
• Responsible for Medicare Advantage FFS and value-based contracting strategy and execution for a network of over 9,000 providers.

Bloomfield, CT, US

• Network Operations Director - Atlanta, GA (March 2015-July 2018)Atlanta, GA
• Led a large provider engagement and operations team responsible for MA provider performance and provider relations in Georgia.
• Negotiated and managed provider contracts, including FFS, risk arrangements, capitation, and value-based.
• Engaged with physicians and health system partners to advance relationships and outcomes of MA population.
• Managed a team of trained professionals that provided training and education on accurate coding and documentation practices.
• Oversaw health plan network operations for compliance with timeliness and accuracy of provider data updates for physician network.

Bloomfield, CT, US

• Network Operations Manager, Cigna-HealthSpring, November 2011-May 2013 Birmingham, AL
• Responsible for managing and developing the physician network for two Independent Physician Associations (IPAs), including physician recruitment, contracting, and provider relationships.
• Accountable for creating, implementing, and measuring strategies to improve operations, quality, and financial performance of IPAs, and report out to senior leaders monthly.
• Organized and led regular meetings with physician board of directors, utilization management committee, and all IPA primary care physicians.Network Operations Representative, HealthSpring, Inc., December 2010-October.
• Assisted in managing three Independent Physician Associations (IPAs) to monitor and drive superior financial and quality performance for MA.
• Maintained relationships with physicians and their staff to encourage partnership and explain aligned incentives to improve the outcomes of their MA patient population.

Bloomfield, CT, US

• Rotational Development Associate, HealthSpring, Inc., June 2010-December 2010 Birmingham, AL
• Conducted analytics research in collaboration with the University of Alabama's Master's in Applied Statistics program to determine key metrics influencing financial performance.
• Facilitated HEDIS approach implementation for the new Stars program improving health plan performance in the Alabama market.
• Supported market expansion research, including the completion of financial pro-formas and network recruitment.

Tuscaloosa, AL, US

• Led full lifecycle project for Blue Cross of Alabama, including a buy-versus-build analysis and KPI dashboard prototype to display IT operations metrics to allow the CIO to align IT investments and priorities with.
• Participated in a case competition to form a marketing strategy for Proctor & Gamble to promote the Tide Loads of Hope program nationally.
• Recommended a web-based solution for a local company to deliver educational software to customers to increase market competitiveness.

Tuscaloosa, AL, US

• Facilitated the acquisition of necessary funding for Social Work faculty by handling proposal edits, application management, budget assistance, and grant submissions in line with specific agency criteria.
• Boosted awarded faculty research grants to secure $1.96M in funding during initial year supporting grants.
• Executed initial public relations campaign to market new research office services.

Bloomfield, CT, US

• Acted as interim marketing director for six weeks.
• Revised a tracking tool to better measure cost and performance of marketing efforts to simplify decision-making for campaign decisions for over 400,000 prospective enrollees.
• Served as project manager for the production of the 2010 provider directory, implementing process improvements and efforts that improved provider data accuracy for over 5,000 providers.

• Functioned as the initial contact for financial aid at UA and provided assistance on the completion of federal paperwork, verification documents, and loan terms and eligibility.
• Trained new employees to provide accurate instructions on a complex, ever-changing set of policies to attain financial aid.

• Authored profiles pieces on community individuals, public figures, and relevant topics of interest, requiring concise fact presentation and strict confidentiality.

Chapel Hill, North Carolina, US

• Advanced achievement of team selling goals as team manager by way of twice-daily meetings, constant correspondence with the regional manager, and refinement of sales practices
• Doubled total sales of the previous year’s sales team, personally leading the team in total sales of yellow- page advertising to local businesses by implementing improved selling strategies
• Strengthened leadership and management skills by attending two weeks of intensive sales training

• Ensured satisfaction of visiting constitutes with guided, informational tours of the U.S. Capitol
• Enhanced existing knowledge of federal government procedures, as a result of attending lectures from U.S. Congressmen and observing legislative debates on the Senate floor

Master Of Business Administration (Mba); M.S. Operations Management (Mis)

B.A. Communications & Information Sciences, Major: Journalism; Minor: Political Science