Asif Merchant

Asif Merchant Email and Phone Number

Individual and Group Network Strategy | Healthcare Performance Management | MBA, PMP @ Guidehouse
Asif Merchant's Location
Greater Chicago Area, United States
About Asif Merchant

I am a healthcare performance improvement leader with over a decade of experience in developing, implementing, and analyzing efficacy of strategic initiatives. I specialize in total cost of care improvement within the network and clinical domains for healthcare payers, within both consulting and industry. I have a deep passion for creating and monitoring leading trends and KPIs to monitor performance and identifying areas for improvement.I am a lifelong Chicagoan and received my Bachelor of Business Administration from Loyola University Chicago and my Master of Business Administration from the University of Illinois at Urbana-Champaign. In my free time you can find me blasting the trumpet at the Arlington Heights Community Concert Band, playing pick-up basketball, or on a stroll with my loving wife and daughter.

Asif Merchant's Current Company Details
Guidehouse

Guidehouse

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Individual and Group Network Strategy | Healthcare Performance Management | MBA, PMP
Website:
guidehouse.se
Employees:
14935
Asif Merchant Work Experience Details
  • Guidehouse
    Guidehouse
  • Health Care Service Corporation
    Senior Manager, Network Strategy
    Health Care Service Corporation Nov 2023 - Present
  • Centene Corporation
    Director, Network Performance
    Centene Corporation Oct 2022 - Nov 2023
    Led network performance management efforts across four Marketplace product offerings in 30 market segments. Closely collaborated with local market contracting leaders to remediate network underperformance and identify new networks in line with product growth and expansion targets.
  • Centene Corporation
    Senior Manager, Network Performance
    Centene Corporation Nov 2021 - Oct 2022
    Implemented network contracting cost savings strategies and monitored financial performance for multiple product lines and markets totaling $200M plus of annual cost savings.
  • Aarete
    Manager, Healthcare Consulting
    Aarete Dec 2019 - Nov 2021
    Led several consulting engagements to improve total cost of care for large Medicaid and Commercial payers. Managed pre-implementation of claims adjudication platform migration for large east cost Commercial payer and secured multiple expansion contracts.
  • Aarete
    Senior Healthcare Consultant
    Aarete Dec 2018 - Dec 2019
    Demonstrated proficiency in leveraging SQL to analyze payer claims data to identify areas of high utilization. Partnered with multiple Medicaid payers to implement new cost-savings initiatives.
  • Aarete
    Healthcare Consultant
    Aarete Jan 2018 - Dec 2018
    Greater Chicago Area
    Analyzed healthcare claims overpayments in excess of $1M and reported anomalies to multiple Medicaid clients. Partnered directly with Claims Operations Teams to further investigate and submit recoveries.
  • Accenture
    Consulting Analyst
    Accenture Sep 2015 - Jan 2018
    Greater Chicago Area
    Analyzed inpatient and outpatient reimbursement trends for large Midwest payer and benchmarked over $100M of paid utilization against competitive intelligence for reimbursement renegotiation efforts.
  • Chicago Public Schools
    Financial Strategy Analyst - Budgets
    Chicago Public Schools Jun 2014 - Aug 2015
    Greater Chicago Area
    Oversaw annual budgeting allocation process for 10 public schools across Chicagoland area.
  • Cvs Health
    Specialty Pharmacy Finance Intern
    Cvs Health Mar 2013 - Dec 2013
    Greater Chicago Area
    Oversaw P&L for three specialty drugs and reported monthly financials to Specialty Finance leadership.

Asif Merchant Education Details

Frequently Asked Questions about Asif Merchant

What company does Asif Merchant work for?

Asif Merchant works for Guidehouse

What is Asif Merchant's role at the current company?

Asif Merchant's current role is Individual and Group Network Strategy | Healthcare Performance Management | MBA, PMP.

What schools did Asif Merchant attend?

Asif Merchant attended University Of Illinois Urbana-Champaign, Loyola University Chicago.

Who are Asif Merchant's colleagues?

Asif Merchant's colleagues are Manimaran K, Monika Venkateshan, Donia Hashimi, Kelsey Rush, Cpa, Cfe, Ananthalakshmi A G, Nghia Le, Catina Pruitt.

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