Nsight is the fastest-growing remote patient monitoring, chronic care management, and behavioral health integration company servicing patients in the home nationwide. Our remote patient monitoring and care management solutions are providing a connected care experience daily. To learn more about Nsight, visit www.nsightcare.com.

myNEXUS (successfully built and sold company to Anthem) is a care management company utilizing state-of-the-art technology to manage home health, DME, wound care, and in-home assessments for national health plans. myNEXUS works with insurance plans, clients, caregivers and family members to improve health, quality of life, and prevent healthcare crises that can lead to expensive hospital stays and deteriorating health situations. We believe in innovation, creativity, and outside-of-the box thinking. •Develops and manages myNEXUS operational infrastructure to run all divisions within operations•Oversees all clinical and non-clinical operations for the company•Responsible for 1,000+ physicians, nurses, PT/OT therapists, wound care clinicians, and non-clinical staff at company•Defines clinical operations staff business requirements including ongoing refinements for new functions and system improvements.•Responsible for day-to-day utilization management operations, which includes referrals, medical necessity and application of medical policies and business processes.•Acts as an advocate and resource for members to promote health and wellness and seek treatment from providers to meet members’ needs.•Build out and manage a multifunctional implementations department that can bring online multiple health plans for successful programs.•Build out and manage multiple contact center operations that support both clinical and non-clinical operations•Develop relationships with vendors that can be utilized to outsource resources to support the company•Oversee all fulfillment activities related to member communications•Work with business development by participating in sales meetings with potential clients•Maintain professional relationships with all Health Plans, UM, and provider community•Works with finance and claims to implement utilization and cost management methodologies that control medical care and administrative expenses.

Executive Director at Optum for the state of Tennessee.•Lead the development and execution of strategic operational and P&L goals•Provide leadership, direction, and skill development to direct reports (Medical Director, Director of Clinical Operations, Sales Director, and Director of Network Development). Ensure appropriate prioritization of initiatives and proper tracking/measurements.•Develop the appropriate products, marketing, clinical, and operating strategies to maximize revenue and profit for UnitedHealth/Optum.•Develop marketing plans to enhance company and product awareness, direct the sales team to maximize gross adds, optimize the service area, and develop collaborative relationships with key partners.•Collaborate with Corporate Medical Services to provide appropriate coordination and delivery of medical care within the benefit structure..•Establish and maintain on-going relationships with key physician groups, hospitals, payers, and long-term care facilities.•Develop and maintain strong relationships within the community, including providers, business partners, and community alliances.•Manage client relationship management including the development and implementation of strategic partnerships for growth initiatives.•Promote a positive image of UnitedHealth/Optum within the community, providers, state regulators, and customers.•Ensure NCQA, state, and CMS regulatory compliance.•Review medical expense drivers and create plans to reduce waste and increase the affordability of our products.•Support compensation planning, performance management, staffing and employee relations concerns/issues, employee recruitment, training, self-directed teaming and employee development.•Administer the appropriate cost and service measurements (metrics, measures, controls) to ensure the achievement of all key performance objectives that impact profitability and position in the marketplace.

NaviHealth (successfully built and sold company to Optum) partners with health plans, health systems, and post-acute providers to manage the entire continuum of post-acute care. We utilize evidence-based protocols to optimize care and bundled payment methodologies to align all stakeholders. The result is optimized care/outcomes, reduced inpatient days, reduced hospital readmissions, and increased patient satisfaction.The Chief Operating Officer oversees all operational aspects of the company. The position is responsible for developing corporate operational strategies and is charged with facilitating these efforts. The COO provides the leadership, management, and vision necessary to ensure that the company achieves all internal and external goals. Has responsibility to put in place the proper operation controls, reporting procedures, and systems support to effectively grow the organization. The COO oversees all customer facing divisions across the country as well as back-office support, call centers, utilization management, prior authorizations, training, implementations, and facilities. Spearhead the development, communication, and implementation of effective growth strategies. Motivate and lead a high performance management team while mentoring senior level direct reports to cultivate a collaborative work environment. Responsible for P&L across all customer segments, budgeting, and capital expenditures. Represent the company at finalist sales presentations and regular performance update meetings with customers.

MedSolutions/eviCore (successfully built and sold company to Express Scripts/Cigna) is one of the country’s largest health care cost management companies for commercial, Medicare and Medicaid plans. Serve on the executive management team (report directly to CEO) and provide overall leadership and direction for all operations divisions. Responsible for multi-site operations which include intake, nursing, physicians, claims, call centers, web, customer service, provider data management, training, workforce management, project management, facilities management, informed choice, and all other operations divisions.•Responsible for overseeing and managing company’s members/patients•Operations comprised of 1,000 clinical and non-clinical employees•Responsible for the hiring and management of clinical and non-clinical staff•Built company operations infrastructure that supported 400% growth in revenue from 2005 to 2012.•Lowered company’s variable costs 42% and built an efficient service infrastructure that is both flexible and dynamic to meet provider and member/patient needs.•Elevated service delivery levels to best in class achieving and being recognized by J.D.Power awards for “Superior Customer Service” in 2007, 2008, 2009, and 2010 in healthcare.•Introduced the first fully transactional “self service” website to the company which reduced patient and provider calls by 64%.•Launched the first voice interactive IVR in 2008 that resulted in 40% less calls going to various departments checking on status of case or claims.•Developed and launched first work from home program (teleworking) in 2009 that resulted in 52% of Nurses, Physicians, and Intake reps working from home or remotely.•Negotiated and structured the largest corporate long term facilities deal in company history and was also one of the largest in Nashville in 2010. Resulted in substantial tax savings and incentives from the EDC, State, County, and City.

Senior Vice President and Executive Officer of national operations. Oversee all operations and customer service for banking division of Countrywide Financial Corporation, Inc. Member of the executive management team and bank officer of Countrywide Bank and the holding bank Treasury Bank, N.A. Managed a customer base of 1.5 million customers with over $44 billion in bank assets.

Director of Member Services overseeing all operations for a financial services corporation. Member of the executive management team and reported directly to the CEO. Assisted in securing VC start up seed money and built entire company from ground up. Presented to top 25 financial institutions and federal credit unions. Signed all contracts for any outsourcing of services or products. Worked closely with corporate customer base to make certain we were achieving all delivery goals. Managed senior management team with responsibilities for all customer service and front/back office operations.

Bank Officer and Manager of the Customer Care Call Centers within First Union Service Delivery (acquired by Wachovia and Wells Fargo). Responsible for managing daily operations of department consisting of Assistant Managers, Coaches, Senior Representatives, and Personal Service Representatives. Division was responsible for handling all ecommerce and remote banking services.