• Direct administration, compliance, finance, project management, and operations for Secured Retail Networks, an Inc. 5000 and CRN 150 fastest-growing company which designs, deploys, manages, and supports security and network compliance solutions for leading hospitality, restaurant, and retail brands.• Helped increase top-line annual revenue by 104%; expand recurring revenue stream by 293%; and grow managed client revenue by 685%.• Broadened client base by 41%, while achieving a 96.5% customer satisfaction rating. • Increased the company’s net promoter score by 9.3%. Revamped ticketing system to prioritize the most urgent and important customer requests.• Codified and documented protocols for network engineers; this ensured a consistent level of service.• Created and implemented consistent templates for master services agreement, statement of work, and non-disclosure agreement. • Achieved compliance with 12 key requirements and 200+ line items of the Payment Card Industry Data Security Standards (PCI DSS); this enabled us to market our services to 99% of merchants. • Equipped clients to be up to 50% more likely to withstand data breaches (which can cost up to $150M per breach). Helped clients pass annual vulnerability scans; perform PCI self-assessments; and complete annual attestations of compliance.• Helped increase recurring project management efficiency by 162% by creating protocols to define project structures, definitions, and scope; adding project touch points and stage gates; and implementing structured change orders.• Manage HR and payroll departments. Increased employee engagement through a 3-pronged social responsibility charter. Retained 22+% of staff for 10+ years; this outperformed the industry’s average tenure by 233+%.

• See above for key accomplishments.

• Directed data integrity and end-to-end data submission for $1B+ in annual claims for OptumInsight, a division of UnitedHealth Group.• Helped the largest Medicare Advantage plans improve the quality of their encounter data, which reduced costs; improved quality scores; enhanced health care outcomes; and ensured accurate and complete reporting.• Helped clients capture significant additional annual revenue. (Incomplete encounter data is the #1 cause of inaccurate diagnostic data reporting.)• Adhered to the Center for Medicare/Medicaid Services (CMS) requirements for Encounter Data System (EDS), Alternate Submission Methods (ASM), and Hierarchical Condition Category (HCC) data. • Implemented internal controls to ensure complete and accurate submissions. Performed end-to-end data reconciliation, and assessed leading indicators of data integrity. • Collaborated across departments to identify and resolve errors in the end-to-end data submission process.

• Directed risk adjustment data validation (RADV) for OptumInsight, the US’s largest full-service retrospective risk adjustment provider.• Oversaw RADV department and audit processes. • Helped achieve an 85-90% chart retrieval rate.• Helped increase the accuracy and completeness of client submissions.• Audited Hierarchical Condition Category (HCC) codes submitted to CMS; reconciled HCC codes with chart documentation.

• Directed cross-functional project management for MultiPlan’s network development division. • Led teams that developed MultiPlan’s best-in-class Medicare Advantage network, which today has 1M+ contracted providers.• Spearheaded initiatives to recruit providers; create provider contracts; and build out provider networks. • Helped clients reduce out-of-network claims by 67%.• Increased revenue by developing locality-based CMS rate schedules and pricing. Helped clients achieve 99% provider acceptance of reimbursement rates.

• Helped Beech Street become US’s largest privately-owned healthcare preferred provider organization (PPO).• Managed start-to-finish product development. Products included health benefits, healthcare management services, claims management, claims repricing, out-of-network cost-containment programs, and technology solutions. • Defined target markets; performed in-depth market analyses; and developed and defined successful products. • Identified partnership opportunities to broaden product line; negotiated contracts and licenses for new technologies or products.• Created marketing materials to effectively market and sell products. • Trained the entire organization on Beech Street’s product line, with an emphasis on consultative, solution-based sales techniques.

• Ensured accuracy of provider data and contracted reimbursement schedules for a national network of 400K+ healthcare providers.• Facilitated $2B in annual healthcare claims.• Developed and monitored production and quality standards. • Created business rules for IT system enhancements.