Catherine Campbell

Catherine Campbell Email and Phone Number

CEO | Healthcare Leader | Expert in M&A, P&L Management, and Government Programs | National Advocate for Underserved Communities | Proven Board Member with Strategic Planning & Operational Excellence @ Healthmine
Catherine Campbell's Location
Los Angeles Metropolitan Area, United States, United States
About Catherine Campbell

My appointments at several national health care organizations reflects a commitment to strategic growth and consumer insights, particularly within Medicare and Medicaid programs. Serving the most vulnerable people in our communities has been a hallmark throughout my tenure.At the helm of Carelon Health, my focus was on delivering exceptional patient care for those with chronic and complex conditions. With over 2.5 years steering CareMore and Aspire Health, I have shaped a nationally recognized patient care delivery system, enhancing services through home visits and virtual appointments as well as continuing the excellent care delivered at the care centers across the U.S. Prior to the Carelon Health leader role, as Principal at CBC Advisers, LLC, I partnered with healthcare entities to drive shareholder and customer value, leveraging my expertise in Government Programs, Consumer Marketing and Corporate Governance. My strategic advisory has been pivotal for startups and nonprofits aiming to transform healthcare delivery. Our team's collaboration at Molina Healthcare led to a substantial increase in product offerings and a significant redesign that surged profits, underscoring our commitment to P&L accountability and serving underserved communities.Current Board experience includes HealthMine, Inc., a privately held consumer engagement platform, as well as advisory roles with several private equity firms.

Catherine Campbell's Current Company Details
Healthmine

Healthmine

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CEO | Healthcare Leader | Expert in M&A, P&L Management, and Government Programs | National Advocate for Underserved Communities | Proven Board Member with Strategic Planning & Operational Excellence
Catherine Campbell Work Experience Details
  • Healthmine
    Advisory Board Member
    Healthmine 2020 - Present
    Dallas, Tx, Us
    • Collaborate with the CEO to set organizational strategy, ensuring alignment with long-term goals and market expansion.• Advise the CEO and executive team on identifying and capitalizing on new market opportunities for growth.• Serve as the government programs expert for the management team, providing insights and guidance on navigating complex regulatory environments.
  • Carelon Health
    President & Chief Executive Officer
    Carelon Health 2021 - 2024
    Cerritos, California, Us
    Oversaw and managed $5 billion national care delivery organization serving Medicare and Medicaid members through clinics, virtual and at-home services, focused on chronic and complex conditions, and nation’s largest independent home-based palliative care business, with oversight of nationally recognized CareMore Health and Aspire Palliative Health subsidiaries. • Promoted pre-tax margin improvement of 45% in year one of turnaround efforts.• Implemented and scaled national best practices for medical cost trend management, operational efficiencies, and administrative cost control, driving significant improvements in profitability and sustainability across Duals, Medicare Advantage, and Medicaid populations.• Redesigned clinical models, achieved leadership upgrades, and drove performance improvements in Quality / Stars and coding documentation and accuracy. Improved compliance, operational, and payment integrity functions by building a combination of cost-effective in-house and vendor solutions and deploying national talent and structure reorganization to foster improved performance and scaled efficiencies.• Increased patient satisfaction and business performance, achieving consistent national best-in-class patient NPS score of 96, Stars of 4.0 or greater, and risk scores in top 1% of accuracy nationally.• Tapped for enterprise-wide leadership, acting as Medicare Advantage business consultant and National Network Contracting advisor and serving on PAC board of directors.• Served as a national advocate for chronic and complex, serious illnesses and the underserved. Spoke at industry events and client platforms to build and enhance brand in healthcare industry. Sought after as motivational speaker on topics of behavioral health and suicide, underserved communities, disparities in health care, serious illness and palliative care, and care in home.
  • Cbc Advisers, Llc
    Principal
    Cbc Advisers, Llc 2020 - 2021
    Leveraged over 30 years of healthcare expertise, including 20 years in government program leadership, to provide advisory services and serve in board roles for several national healthcare startups focused on Medicare- and Medicaid-managed care solutions. In 2021, served as Executive-in-Residence, guiding national growth and scaling strategies while developing a P&L performance framework for a U.S. primary care and provider startup.VILLAGEMD PRIMARY CARE CLINICS, Chicago, Illinois | Executive in Residence / Senior Vice President• Managed national P&L for a $15 billion organization, ensuring operational efficiency and financial performance across 75+ primary care clinics during a period of rapid growth.• Supervised regional SVPs and market general managers, driving top-line growth, implementing cost-of-care initiatives, and achieving gross margin targets across clinics in 11 states.• Led national scaling efforts, including the development of risk coding, quality initiatives, and population health programs to enhance performance in a value-based care delivery model.• Oversaw all regional and national payer relationships, ensuring alignment with organizational goals and strengthening partnerships.• Onboarded three to five new primary care clinics weekly, supporting rapid expansion and ensuring operational readiness during a time of unprecedented growth.• Developed and delivered a national clinic scaling strategy and pro formas, driving profitability and long-term sustainability across the organization’s clinic network.APPRISS HEALTH, Louisville, Kentucky | Advisory Board• Named to advisory board for Louisville’s Appriss Health, facilitating real-time, tech-enabled comprehensive care coordination for whole physical and behavioral health needs.• Provided expertise in aligning technology solutions with healthcare strategies, improving patient outcomes and operational efficiency.
  • Molina Healthcare
    Senior Vice President
    Molina Healthcare 2018 - 2020
    Long Beach, California, Us
    Tapped as national leader for $3 billion Medicare P&L and drove turnaround efforts (membership of 120,000 Medicaid-Medicare dual members across 12-state footprint). Served as one of top 15 officers of enterprise, working together to restore financial and operational health of distressed property while also operating as one of two growth officers to help drive organic and inorganic growth in Medicare and Marketplace.• Designed and led enterprise through national strategic planning efforts to drive substantial organic growth. Delivered 2.5-fold expansion of Medicare Advantage Duals footprint coast to coast. Upgraded supplemental benefit partnerships to national leading vendors to drive increased membership and expanded provider partnerships, effectively creating larger Medicare revenue and margin contribution to overall earnings.• Drove pre-tax margin improvement from $66 million to $200 million in three years on same-store portfolio.• Built capabilities from ground up for both Medicare and Marketplace. Recruited top-performing sales leadership, recruited national and local broker partners, installed captive sales management, launched nationally recognized sales training, and built telesales capability performing above national average. Drove significant redesign across sales channels, yielding year-one 32% improvement in sales for both Medicare and Marketplace and largest Medicare AEP sales results in company’s history.• Installed national best practices, standardization, and scale in medical cost trend management, operations, and administrative cost management to drive improved profitability and sustainability.• Built first-ever national Medicare Stars Quality program for enterprise, resulting in immediate score improvements and increased competitiveness in key markets.
  • Molina Healthcare
    President, Medicare Regions
    Molina Healthcare 2017 - 2018
    Long Beach, California, Us
    National Medicare leader for top Government Programs company in the U.S. Product portfolio includes Medicare Advantage, MMP, and one of the largest D-SNP programs in the country.
  • Blue Shield Of California
    Vice President / General Manager, Senior Markets
    Blue Shield Of California 2013 - 2017
    Oakland, California, Us
    P/L responsibility for top 20 Medicare Advantage program in U.S.; $2.5B Senior Markets division of one the largest Blues plans in the nation. Product portfolio includes Duals, Medicare Advantage, Medicare Supplement and Part D for both Group Retiree as well as individual/consumer direct enrollments.
  • Anthem, Inc.
    Vice President, Strategy, Planning & Business Development
    Anthem, Inc. 2010 - 2012
    Indianapolis, Indiana, Us
    Recruited by WLP to address need for leadership to drive Health Care Reform strategies for the $45B Commercial/Group division of the company and effect change toward a high-performance management approach.
  • Coventry Health Care, An Aetna Company
    Chief Sales & Marketing Officer, Consumer Markets (Medicare, Medicaid & Individual)
    Coventry Health Care, An Aetna Company 2007 - 2010
    London, Gb
  • Cbc Advisers, Llc
    Principal
    Cbc Advisers, Llc 2003 - 2007
    Principal client was New York Life Insurance Company, Inc. Contracted to revamp growth strategy of Long Term Care product line. Other clients included the American Red Cross/Mid-Atlantic, and a Midwest health care company.
  • Pacificare
    Vice President, Marketing -- Senior Solutions
    Pacificare 2002 - 2003
    Los Angeles, Us
  • Magellan Health Services
    Vice President, Strategic Planning & Marketing
    Magellan Health Services 1995 - 1998
    Frisco, Texas, Us
  • Carefirst Bluecross Blueshield
    Director, Corporate Communications
    Carefirst Bluecross Blueshield 1991 - 1995
    Baltimore, Md, Us

Catherine Campbell Education Details

  • University Of Maryland
    University Of Maryland
    Philip Merrill College Of Journalism
  • University Of Maryland
    University Of Maryland
    Philip Merrill College Of Journalism

Frequently Asked Questions about Catherine Campbell

What company does Catherine Campbell work for?

Catherine Campbell works for Healthmine

What is Catherine Campbell's role at the current company?

Catherine Campbell's current role is CEO | Healthcare Leader | Expert in M&A, P&L Management, and Government Programs | National Advocate for Underserved Communities | Proven Board Member with Strategic Planning & Operational Excellence.

What schools did Catherine Campbell attend?

Catherine Campbell attended University Of Maryland, University Of Maryland.

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