Asif Merchant Email & Phone Number

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.

Implemented network contracting cost savings strategies and monitored financial performance for multiple product lines and markets totaling $200M plus of annual cost savings.

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.

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.

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.

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.

Greater Chicago Area

Oversaw annual budgeting allocation process for 10 public schools across Chicagoland area.

Greater Chicago Area

Oversaw P&L for three specialty drugs and reported monthly financials to Specialty Finance leadership.

Master Of Business Administration - Mba, Entrepreneurship & Strategic Innovation, Mergers & Acquisitions

Bachelor Of Business Administration - Bba, Economics