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* Forward-thinking and outcomes-driven Senior Health Care Executive offering comprehensive achievements and key contributions managing business operations within dynamic health care settings. Significant start-up experience in establishing an organization’s revenue streams, business operations, and programs.* Visionary leader with impressive record of bringing cutting-edge technologies to health care, developing strategies that transform delivery of health care, and leading organizations through periods of dramatic growth and new levels of operational efficiency, productivity, and profitability. Accustomed to making high-stakes decisions, working with C-level executives, and overcoming complex challenges to deliver exceptional results.* A catalyst for change with expertise in analyzing existing operations and implementing the necessary strategies and business practices that produce exceptional results. Expert in identifying opportunities or creating them from a seed concept. Keen insight into industry trends and unique needs of health care organizations.* Polished communicator with superior relationship-building and rapport-building skills. Foster an environment of team orientation and high morale. Big 5 consulting experience with health care organizations in both domestic and international markets. Experienced delivering key note presentations and providing media and analyst interviews.Most notable positions:OptumCOO / SVP Consumer Solutions GroupWellPoint / AnthemVice President Health IT StrategyVice President Care ManagementAccenturePartner / Senior Executive — Health Payers Client Group Health Management OfferingI've had great success driving unusually large-scale national and global initiatives including development of artificial intelligence for Anthem, and earlier in my career, a key leadership role on the largest civilian IT project in the world for England's National Health Service.
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Chief Operating OfficerHumankindPhoenix, Az, Us -
Chief Operating OfficerAircare Health Oct 2023 - PresentSaint Paul, Minnesota, UsUsing human connection, we identify the root cause for the silent majority of people who are suffering. We proactively reach out to offer help and change people's lives. -
Company OwnerBe Surprised Jun 2023 - Jun 2024 -
Chief Operating Officer & Chief Technology OfficerSpectrumai Aug 2021 - Jun 2023Los Angeles, Ca, Us -
Vice President TransformationBlue Cross And Blue Shield Of Kansas City Aug 2020 - Jul 2021Kansas City, Mo, Us -
Svp & General Manager Clinical ServicesExl Jul 2019 - Aug 2020New York, Ny, Us -
Senior Vice President, Healthcare ServicesExl Jan 2019 - Aug 2020New York, Ny, Us -
Board Of DirectorsBig Brothers Big Sisters Twin Cities Jan 2017 - Aug 2020Minneapolis, Minnesota, Us -
Vp Clinical ProgramsUnitedhealth Group Mar 2018 - Oct 2018Us -
Optum - Coo / Svp Consumer Solutions GroupUnitedhealth Group Aug 2016 - Mar 2018Us -
Optum - Svp Business Transformation & Capabilities, Consumer Solutions GroupUnitedhealth Group Dec 2015 - Mar 2018Us -
Strategic AdvisorHealthline Media 2015 - May 2017New York, Ny, UsServe as an advisor for business development opportunities with potential sales and channel partners. Advise company’s executive leadership on product strategy and roadmap as well as potential partnerships. -
Owner / Independent ConsultantBigham Consulting, Llc 2014 - Dec 2015Provide strategic and operational consulting for health care start-ups and mid-sized companies. Support clients with various aspects of their business such as business development, acquisitions, investments, partnerships, sales, product strategy, and recruitment. Representative clients include: Healthline, Inc., Orion Health, MITEM Corporation, Frost Data Capital, Pinscriptive, Tellit, Sentrian, Zintera and Sutter Health Plan.* Managed multi-team effort to bring new software product to market. Delivered successful proof of concept at primary care practice with physician users, which yielded revenue increase of more than 15%.* Devised payer go-to-market strategy for health IT company; advised on payer sales activities and messaging, including product ROI.* Completed financial, operational, strategic assessment for failing company and made recommendations to Board of Directors.
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Vice President Health It StrategyWellpoint Apr 2012 - 2014Indianapolis, Indiana, UsLed joint business creation with IBM to deliver first application of IBM Watson to health care industry. Created new P&L to bring Watson-based solutions to market. Directed enterprise-wide health IT strategy and delivery of HIT initiatives.* Developed and commercialized first application of IBM Watson solutions to health care industry, including a groundbreaking oncology treatment decision support solutions for providers and a utilization management solution for providers and health plan medical management operations. Measurably enhanced company’s reputation as an innovator through numerous key note presentations, media and analysts interviews, and U.S. Congressional briefings.* Prepared go-to-market plans to bring Watson-based solutions to market and add new source of revenue for WellPoint.* Designed and commercialized longitudinal patient record solution to aggregate patient data from provider clinical systems and health plan administrative systems.* Headed enterprise-wide strategy, deployment, and adoption of Availity’s multi-payer portal for administrative and clinical transactions; replaced high-cost and outdated legacy provider portals in 14 states.* Served as executive sponsor for enterprise-wide clinical integration platform initiative to migrate utilization management, case management, and disease management into a single, integrated platform across all regions and lines of business and become ICD-10 compliant. -
Vice President Care ManagementWellpoint Oct 2009 - Apr 2012Indianapolis, Indiana, UsServed as Chief of Staff for $600 million budget and a 6,000 resource organization that provides utilization management, case management, and disease management for 35 million members in commercial, Medicare, and Medicaid lines of business.* Formed strategy and created new WellPoint subsidiary for clinical sourcing, including business case development, senior executive approval and funding, hiring, and negotiation of $400 million subcontractor contract to use labor and infrastructure in India and the Philippines.* Off-shored 900 clinical and support positions to deliver $100M in annual value in SG&A savings and new programs.* Coordinated large-scale, innovative, complex initiatives such as reengineering utilization management throughout enterprise to reduce variation, use of IBM Watson to transform utilization management and enable provider-decision support, developing strategy for longitudinal patient record capability, and creating groundbreaking P&L subsidiary to deliver offshore services.* Oversaw 200+ initiative portfolio, including prioritization, resource management, and delivery.* Delivered production support for five medical management systems for utilization management and case management.* Produced operational clinical analytics, including senior executive operations dashboards and requirements definition and prioritization for enterprise-wide clinical data storage and reporting tool.* Oversaw enterprise efforts to achieve ICD-10 compliance on clinical systems, incorporating thousands of ICD-10 requirements. -
Ceo/PresidentAnthem Utilization Management Services, Inc. Apr 2011 - Mar 2013Served as responsible officer and lead for utilization management regulatory compliance. Oversaw two WellPoint subsidiaries to deliver utilization management regulatory compliance nationwide. Maintained utilization management licenses in 29 states. Monitored regulatory changes and facilitated operational and letter changes as needed. Managed state filings, notifications, and other utilization management interactions.
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Senior Executive/PartnerAccenture Sep 1994 - Oct 2009Dublin 2, IePartner / Senior Executive — Health Payer Client Group, Global Health Management OfferingWorked with broad range of corporations to provide management consulting services focused on improving operational efficiency, productivity, and bottom-line results. Additional key clients not listed below include: Cigna, Aetna, UnitedHealth Group, PacifiCare, and Kaiser Permanente. Representative clients served include (further details for each project available upon request:* WellPoint: Standardized Clinical Review.* WellPoint: Lean Utilization Management.* Large Health Insurer (name omitted for confidentiality): Product Value Attribution.* Large Health Insurer (name omitted for confidentiality): Disease Management Program Design.* Large Health Insurer (name omitted for confidentiality): Intake & Utilization Management Enhancements.* Large Health Insurer (name omitted for confidentiality): Clinical Platform Assessment.* Stanford Hospital & Clinics: Epic Design Parameters.* England’s National Health Service.* Health Net.* Large National Insurer (name omitted for confidentiality): A/R Business Process Outsourcing.* Large National Insurer (name omitted for confidentiality): Provider Portal Design & Development.* St. Luke’s Episcopal Hospital HBOC Care Management Design & Implementation. -
Assistant Professor - Speech CommunicationTexas A&M University - Japan May 1992 - May 1994College Station, Tx, UsEstablished academic department at branch campus. Developed all freshman and sophomore coursework to meet university requirements. Designed and taught various courses. Advised students on academic requirements for liberal arts. Taught several community courses and private students.
Elizabeth Bigham Skills
Elizabeth Bigham Education Details
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Texas A&M UniversitySpeech Communication -
Texas A&M UniversityEducation
Frequently Asked Questions about Elizabeth Bigham
What company does Elizabeth Bigham work for?
Elizabeth Bigham works for Humankind
What is Elizabeth Bigham's role at the current company?
Elizabeth Bigham's current role is Chief Operating Officer.
What is Elizabeth Bigham's email address?
Elizabeth Bigham's email address is el****@****ice.com
What is Elizabeth Bigham's direct phone number?
Elizabeth Bigham's direct phone number is +181823*****
What schools did Elizabeth Bigham attend?
Elizabeth Bigham attended Texas A&m University, Texas A&m University.
What skills is Elizabeth Bigham known for?
Elizabeth Bigham has skills like Big 5 Consulting Experience, Strategic Planning, Change Management, P&l Management, Performance And Process Improvement, Healthcare Industry, New Business Development, Disease Management, Operations Management, Portfolio Management, Clinical Program Assessment, Health It.
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