Carrie Raffaelli Email & Phone Number

New York, Ny, Us

Led the product commercialization of a VC-backed Software as a Medical Device (SaMD) company.Delivered the first FDA-approved AI guidance ultrasound technology designed to acquire and interpret ultrasound images for point-of-care echocardiograms in clinics and homes.• Managed product concept through commercial launch of a tech-enabled service comprised of advanced analytics, care delivery, workflow automation, and a national provider network of cardiologists.• Defined the customer experience (CX) strategy resulting in a Net Promoter Score of 91 (U.S. regions). • Matured the product organization by implementing a product lifecycle management process, product roadmap, UX research, OKRs, and KPIs focused on clinical, operational, CX and financial outcomes.

Eden Prairie , Mn, Us

Led technical product management for 20+ data science teams (U.S. and global) focused on artificial intelligence (AI), Internet of Things (IoT), Extended Reality (XR), genomics, and graph technology. • Managed the product portfolio comprised of 75+ use cases (microservices) focused on precision medicine, population health, and workflow automation.• Utilized real-world data representing 150+ million individuals for AI model training and graph database.• Defined the IoT product strategy and enterprise architecture for real-time data streaming of medical devices and wearables used by UnitedHealthcare Medicare Advantage members for at-home care.

Us

Accelerated corporate R&D initiatives and strategic partnerships shared between Optum and UnitedHealthcare, including investment opportunities with startup companies focused on digital health, data analytics, and patient care management. Led technical due diligence and facilitated contract negotiations with medical device companies.

Eden Prairie , Mn, Us

Managed technical product management teams involving 300+ cross-functional employees from engineering, UX design, operations, marketing, and customer success (U.S. and global teams). • Delivered B2B2C solutions used by 25+ million individuals for OptumCare and UnitedHealthcare. • Managed the P&L, product portfolio, roadmap, and agile development process for SaaS solutions focused on care management, population health, payer member benefits, and quality reporting. • On special assignment, led the redesign of Optum’s product delivery lifecycle process to support digital transformation initiatives. Trained over 5,000 employees in product management discipline. Streamlined 6 different delivery lifecycles into a single enterprise process for managing 100+ products.• On special assignment, led end-to-end development and commercialization of the first and largest U.S. publicly available price transparency database and web application comprised of 50 million individuals and de-identified claims data. Launched Guroo.com in partnership with HCCI and payer organizations to provide national access to U.S. healthcare cost data. Completed in less than 90 days. Influenced federal policies for hospital price transparency rules.

Eden Prairie , Mn, Us

Led product strategy for Medicare Advantage Risk Adjustment analytics solutions covering 30% of the Medicare Advantage market and 4+ million members.• Defined new SaaS applications for Optum’s Risk Adjustment analytics solutions. New functionality supported double digit growth for Optum’s Star Rating and HEDIS quality measure services.• Successfully led multiple RFP sales opportunities exceeding $100 million in revenue.

Redmond, Washington, Us

Managed the product portfolio, roadmap, technical requirements, and end-to-end product lifecycle of Microsoft Amalga healthcare analytics services.• Delivered product concept to commercial launch a CMS quality measure application designed to support value-based care metrics for payers and providers. Included one of the first industry AI/ML models for hospital readmissions developed with Microsoft Research team. • Supported business development partnerships with healthcare providers and medical device companies using HealthVault as an integration platform for patient medical record data.• Ranked top 4% Microsoft employee performance across four consecutive years.

Washington, Dc, Us

Conducted White House regulatory reviews of healthcare policies and data collection initiatives issued by the Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS).• Approved over 200 healthcare regulations, including Medicare payment regulations exceeding $4 billion in federal dollars and $100 million in economic impact on hospitals, physicians, and payers. • Defined value-based payment models that used CMS quality measure reporting and risk adjustment standards. Defined industry standards for security, privacy, and healthcare data exchange.• Led White House briefings and interagency policy negotiations, including Executive Order meetings with public and private industry stakeholders representing payers, hospitals, physicians, public health agencies, pharmaceutical and medical device companies.• Awarded two Presidential Achievement Awards for regulatory analysis and policy negotiations.

Master Of Health Services Administration

Ba, Economics

Executive Education