▪ Lead 8-person team responsible for $2.5 billion commercial medical spend across hospital and physician network in MA, NH, RI, ME and VT totaling▪ Consistently delivered year over year unit cost trends below budget; for calendar year 2021, the unit cost trend realized at 95% of budget▪ Effectively developed and maintained total medical expense value-based arrangements across approximately 90% and 50% of the fully and local self-insured populations, respectively; these arrangements resulted in a 7% lower expense trend as compared to fee for service providers▪ While the department underwent organizational redesign, accountable for the management of over 35 staff charged with implementation of all provider agreements across the commercial, Medicaid and Medicare business lines totaling approximately $5 billion in medical costs▪ Implemented innovative care delivery initiatives including an orthopedic bundled payment arrangement (which resulted in a reduction of 32% of academic medical center usage) and a market-leading approach to the treatment of substa

▪ Led the development of the state-wide provider network (under mostly value-based terms) for the launch of a provider-sponsored Medicare Advantage plan (CarePartners of Connecticut)▪ Developed innovative clinical partnerships between Tufts Health Freedom Plan (a joint venture provider-sponsored health plan) and Granite Health (a consortium of providers who were also the plan’s co-owners)▪ Built innovative care delivery initiatives with Tufts Health Plan’s primary Rhode Island provider partner, Lifespan Health System; initiatives included real-time emergency department data exchange to prevent avoidable usage and creation of an onc

▪ Partnered with a 100-physician group based in New York to negotiate over $7 million in increased rates over a three-year period▪ Assisted a Minnesota based health system with I) restructuring a value-based program with the dominant health plan resulting in savings due to the development of a more accurate cost benchmark II) assessing and prioritizing clinical and financial opportunities under the value-based program resulting in improved performance and III) developing an internal funds flow model to promote efficient care delivery and align primary and specialty care provider and hospital incentives▪ Advised a Georgia based health system with its public payer reimbursement strategy, which resulted in the narrowing of health plan partners and the development and implementation of value-based terms

▪ Effectively managed the revenue budget by independently negotiating terms, rates (at or above budgeted expectations) and value-based constructs for all commercial and Medicare agreements, totaling a combined annual revenue of $190 million▪ Led initiative to establish an accountable care organization with traditional Medicare resulting in shared savings in excess of $11 million in 2013▪ Collaborated with clinical leaders to identify and prioritize opportunities for improvement in commercial and Medicare value-based agreements

Responsible for all financial management functions (forecasting and tracking expenditures, budgeting, cash management, accounting, federal revenue management and program integrity/provider compliance) for the $11 billion budget serving 1.3 million residents• Served as executive sponsor responsible for the creation and development of the statewide accountable care organization procurement• Effectively managed the grant process designed to provide funding to hospitals and health centers to further promote integrated and coordinated care

▪ Effectively managed the revenue budget by independently negotiating terms, rates (at or above budgeted expectations) and value-based constructs for all commercial and Medicare agreements, totaling a combined annual revenue of $190 million▪ Led initiative to establish an accountable care organization with traditional Medicare resulting in shared savings in excess of $11 million in 2013 ▪ Collaborated with clinical leaders to identify and prioritize opportunities for improvement in commercial and Medicare value-based agreements

Successfully managed the commercial medical cost budget of $2.1 billion, with unit cost trend arriving at approximately 1.0% below budgeted projection • Re-engineered budgeting workflow resulting in future year projected unit cost trends more than 0.5% below historical trends• Contributed to the development of value-based reimbursement models designed to reduce cost trends through the alignment of provider and health plan incentives

Managed workgroup responsible for supporting the financial needs and identifying prioritized areas of opportunity for improvement with the provider network delivering a medical budget of $2.1 billion• Led initiative to develop benchmarking tools detailing trends/network performance• Collaborated with reimbursement department in implementation of changes to policies resulting in over $12 million in savings over a three-year period