WellCare of CENTENEFully Integrated Dual Eligible Program FIDE DSNP Operational implementation and oversight.Managed Long Term Services and Supports (MLTSS). Design and implementation of all services and operations from initial Customer Service to non-traditional provider management. Integration of 43,000 medicaid members from the purchase of a competitive HMO. Facilitated member and provider integration with outbound mail and telephonic campaigns to reduce abrasion.Provide senior level oversight to the delivery of exemplary service to our members, providers, and shareholders. Assessment and assurance of all service levels being achieved as compared to our contract standards. Coordination of corporate and field activities to drive the necessary change to maintain high service levels in all areas. Lead process improvement plan development and implementation. For start-up ventures, support the statement of work, identify standards, analyze ability to achieve standards (based on past performance, complexity etc.), assist with project management, conduct critical operational meetings.Coordinate activities to support readiness reviews for new start up ventures.Utilize strong writing and flow charting skills to analyze and describe workflow processes.Direct long term and short term planning including manpower, facility, training, and systems requirements.Interface with field and corporate management at all levels to determine what actions will be required to improve overall results.Develop and direct the implementation of strategies to substantially improve efficiencies and service provided in a cost effective manner.Direct the allocation of resources to ensure goals are met.Develop and direct the implementation of goals and performance standards for in each area assigned along with operations and field staff.Develop hiring and performance management strategies that enhance employee retention and morale working closely with corporate and field staff.

Identify, engage and implement new Medicaid business for the organization. Work closely with state regulators to identify solutions to their Medicaid program needs and leads WellCare's efforts to respond to RFI and RFP requests. Perform implementation planning and execution of new business opportunities. Assess the competitive landscape and market entry considerations to drive growth decisions. Projects:New Jersey Medicaid HMO ApplicationFlorida Managed Medical Assistance (MMA)South Carolina Duals Demonstration ProjectPatient Centered Medical Home (PCMH)NJ Managed Long Term Services/SupportsKey Duties and Responsibilities• Lead market assessment initiatives to correctly identify competitive landscape for new Medicaid business initiatives for the organization. Provides strategic and tactical leadership in the development of new and emerging businesses.• Develop thorough understanding of state Medicaid climate in order to provide recommendations and solutions for potential state Medicaid customers.• Assess operational infrastructure requirements and market specific resources required for implementation, while establishing the internal solutions projects to commence market entry.• Research, understand and communicate to leadership, reimbursement considerations and major cost drivers within a given market.• Develop market entry scorecard to provide preliminary assessment information to frame issues for senior leadership.• Develop, implement and monitor strategies, business plans and action steps to achieve maximum market penetration.• Direct the strategic planning process and establish key processes and roles.• Manage the execution of all activities related to the implementation of new Medicaid business opportunities.• Build strong cross-functional relationships with internal departments to implement business strategies.• Manage and develop direct reports.• Direct work assignments, measure results and provide guidance to direct reports.

Independent Business Consultant Appointed to various executive level and consultant positions for companies ranging from health care to manufacturing.

Responsible for transforming a large multi-specialty physician group into a more marketable entity to hospitals and payors.

Member of initial team tasked with implementing widespread change over to managed care practices within one of the top healthcare systems in the US.

Responsible for completing application for European Foundation for Quality Award. In-depth analysis of all systems and departments to compile completed application.

Three year program in which experience is gained in each operational area of an 805 bed facility. Objective is to train future executives in broad areas of responsibility within the acute-care hospital environment to prepare for future operations leadership.