Beth Rotter, Phd, Mph Email & Phone Number

St. Louis, Mo, Us

Purchase, Ny, Us

Dynamic and visionary leader who plays a crucial role in driving business growth and clinical outcomes through the strategic utilization of data and AI technologies. Collaborates with cross-functional teams, leads data & AI roadmaps, and fosters a culture of innovation to deliver impactful solutions.

Saint Louis, Mo, Us

Operational Efficiency: Responsible for $15M operating budget. Streamlined support process for new RFP bids/re-procurements, resulting in $300B+ in revenue. Ensured requirements for CMS, Federal, State, and NCQA, HEDIS, and Star regulations and accreditations were achieved. Led rigorous review of vendor RFIs which determined what investments/assets would be scaled vs. retired. Implemented organizational quality assurance protocols to support standardized reviews prior to dissemination. Supported effective launch of new business capabilities with rapid adoption and proper change & project management, communications, and training/upskilling end-users.Population Health Outcomes: Clinical, Quality, and Public Health leader, designing and executing Enterprise-wide strategies for enhancing UX/member experience and population health program effectiveness. As the Product Owner for all Clinical technologies and platforms, provided data-driven insights to support clinical and quality teams with targeting the right members leveraging their preferred channels to improve outcomes while reducing unwarranted spend and utilization. Established standard views for comprehensive member profiling, including economic status, health equity, SDoH, educational attainment, and health care preferences. Data Science: Oversaw development of 30+ predictive AI/ML models for Enterprise partners (Clinical, Quality, Fraud Waste & Abuse, Finance, Network) identifying >$300M in cost avoidance and recoupment, outperforming industry gold standards. Led Command Centers for COVID-19 and Monkeypox Public Health Emergencies, coordinating and communicating hospitalization and public health outcome metrics to C-Suite Executives and CMS.

Saint Louis, Mo, Us

UX/Member Experience: Developed and monitored KPIs/OKRs supporting CM, UM, Call Center, Customer Satisfaction, Quality, Pharmacy, and Clinical Program operations to ensure a delightful and personalized UX/member experience. Maintained operational excellence by optimizing workflows, reducing friction points to improve efficiency and engagement. Created and expanded online tools and portfolios for efficient self-service availability, leveraging Agile methodologies and product management best practices.Directed Test & Learn team for Enterprise, applying A/B testing, lookalike segments, and detailed consumer profiling to understand which channels and preferences generate best member experience and engagement.

Saint Louis, Mo, Us

Employed statistical modeling, propensity score matching, sample size calculations, and other robust statistical methodologies to evaluate efficacy and impact of clinical programs and pilots on medical/pharmacy spend, utilization, health outcomes, and quality measures.

St. Louis, Mo, Us

In partnership with Washington University’s Social System Design Lab, Parents as Teachers and Nurses for Newborns, directed development of Raising St. Louis's transformational operating model by leveraging human system dynamics, participatory group model building methods, evidence-based practice, social justice, and capacity building.

St. Louis, Missouri, Us

Designed and implemented inaugural state of the art $5M Clinical Simulation Institute, including six simulation labs and more than 32 human patient simulators for nursing professional training.

St. Louis, Missouri, Us

Stewarded application and subsequent award of recognition as a Center of Excellence and Accreditation from Society for Simulation in Healthcare. Served as primary representative, speaker, and panel member at numerous annual national and international conferences. Researched and implemented industry-leading techniques of high-fidelity simulation as a teaching tool, while evaluating/monitoring effectiveness as a teaching modality.

St. Louis, Missouri, Us

Advised on enabling rapid deployment of best practices, and fostered environment of trust and system-wide excellence for BJC’s fifteen hospitals. Upheld commitment to make medicine better through evidence- based clinical quality interventions, innovations, project, and change management.

Doctor Of Philosophy - Phd, Public Health Studies

Summer Epidemiology Institute

Master Of Public Health - Mph

Bachelor Of Science - Bs, Health Administration; Minors: Biology, Business Administration