● Initiated strategic plans for market development including analysis of products, provider network opportunities, and member retention using tapestry segmentation, market analysis, and price transparency data.● Sponsored multi-department committee to address member care needs, customer complaints, coordinating care, and researching member options.● Performed medical economics functions including contract analysis and recommendations, development of price transparency products, and executive dashboard development.● Optimized competitor database and insights generation through enhanced functionality and reporting.

● Identified target markets and developed expansion market roadmap for executive leadership.● Achieved market research efficiencies through streamlined workflows and competitor database development. ● Managed Network Analytics functions including scaling team offerings in GIS, cost reporting, and network strategy.

● Built and operationalized standard reporting package for network adequacy reporting, medical cost reporting, and network strategy recommendations.● Developed multi-department team for network product strategy sessions, increasing speed to market from 1 year to 6 months.● Identified 20%+ savings on multiple contracts by utilizing expertise in contract analysis and analyzing claim trend data.

● Scaled and managed department to resolve provider issues, credential providers, and develop provider network team products; increased provider network size by 50%.● Streamlined department processes, improving provider onboarding time from 60 days to 21 days.● Negotiated health plan agreements and maintained provider relationships.● Developed and provided training materials for network providers on health plan products and digital tools.● Established and operationalized processes for grievance and appeals services.

● Completed key project deliverables contributing to company accreditation for new line of business entry.● Utilized project management skills to decrease credentialing backlog by 85% through team coordination and operating efficiencies.● Managed relationships with network providers through outreach, marketing materials development, and site visits.