Senior Vice President Of Operations
Denver, Colorado, Us
Facilitated the sale of core assets to Centivo, bringing them their largest client at the time.Led operational strategies for Eligibility, Claims, Customer Service, Appeals & Grievances, Provider Contracting, Network Operations, Clinical Operations, and Client Success.Provided healthcare operational and technical expertise to support the organization raising Series A after growing member lives from 1,800 to nearly 18,000.Coauthored Description of Services and accompanying Administrative Services Agreement.Established key measurement systems to accurately assess operational, financial, and client performance, identifying profitability at a product, client, and broker/advisor level.Grew the business by outsourcing key functions vs. building internally to drive scalability opportunitiesEstablished a cash prepayment process to save clients on their claim spend.Devised strategies to effectively finance the member cost-share amount to negotiate better contracts with providers as a result of them not having to collect patient balances.
