Hunter Sinclair Email & Phone Number

Memphis, Tn, Us

Purchase, Ny, Us

Responsible for the continued growth of Teladoc's telehealth and chronic condition management services in the Medicare, Medicaid and Marketplace markets. I work with our 50+ government health plan partners to align our solutions with their strategic imperatives such as maximizing their MA Stars performance or providing access to mental health services for their Medicaid members. I also work with our product and operational teams to enhance and customize our programs to meet the unique needs of our Medicare, Medicaid and Marketplace members and customers.

New York, New York, Us

Built and launched Oscar's Medicare Advantage line of business (start-up within a start-up). Year 1 enrollment exceeded 1,600 members (one of the most successful first year launches for a new MA plan). Responsible for market selection, business development, and contract negotiations with 20+ of the country's premier health systems and physician groups. Worked daily with external partners as well as internal teams across marketing, sales, finance, clinical, quality and actuarial to design product and go-to-market strategy.Oscar Health is a technology-driven, consumer-focused health insurance startup that was founded in 2012. It is one of the country's fastest-growing health care companies and operated in 22 states across individual, small group and Medicare Advantage insurance products. Oscar's move into Medicare Advantage was facilitated by Google's direct investment of $375M in Oscar to support this expansion.

Eden Prairie , Mn, Us

My final year at the Advisory Board was spent as part of UnitedHealth's Optum Advisory Services division as a result of the acquisition of the Advisory Board Company.

Washington, District Of Columbia, Us

As a Vice President for Value-Based Care consulting, I built and co-led a Medicare strategy practice dedicated to helping clients develop and implement their population health strategies with a specific focus on Medicare/senior population strategies. I specialized in alternative payment models such as shared savings and bundled payments and provided strategic guidance to organizations regarding how to maximize performance under Medicare's alternative payments models (MACRA, MSSP, BPCI Advanced, CPC+) and integrate their Medicare strategy with their overall strategies. My clients spanned 37 states and included state governments, a Fortune 500 employer, large IPAs and many of the world's leading academic medical centers and health systems.The Advisory Board Company's Consulting division provides strategic advice to insurers, health systems and independent physician practices with a focus on aligning insurers, hospitals and physicians. ABC's Value-Based Care consulting team was recognized as the industry's premier consulting practice by both KLAS and Kennedy Vanguard.

Louisville, Kentucky, Us

At Humana, I was focused on both increasing the Medicare age-in conversion rate from Humana's other lines of business and improving Medicare Advantage market profitability. I identified multiple strategies to increase conversion rate for commercial customers aging-in to Medicare based on sales channel, network utilization and market characteristics. I also created a strategic framework to better understand how to improve profitability in individual Medicare Advantage markets by patient risk segmentation, analyzing key competitive forces and assessing clinical drivers of utilization.Humana is the fifth largest health insurance company in the US and the second largest Medicare Advantage plan.

Franklin, Tn, Us

As a consultant, I served internal and external hospital clients through engagements designed to improve quality of care, patient throughput, and the overall financial viability of rural hospitals. I helped QHR hospitals prepare for and determine the projected impact of health reform by developing an adaptable and complex financial model that was rolled out to our entire network of 150+ hospitals. I also played a major role in the analysis and redesign of many internal processes throughout our consulting organization.A division of Community Health Systems, Quorum Health Resources (QHR) was the largest hospital management company in the nation and the nation's 7th largest healthcare consulting firm.

Washington, District Of Columbia, Us

The Advisory Board Company (now part of United Health Group) was a global research, consulting, and technology firm helping hospital and university executives to better serve patients and students. They provided strategic guidance, actionable insights, web-based software solutions, and comprehensive implementation and management services to over 125,000 leaders at 3,200 health care and higher education organizations. Assisted Senior Principal over Revenue Cycle consulting with marketing and delivery of large, cross-departmental consulting engagements. Helped a 500+ bed hospital prepare for installation of EPIC through process mapping and interviews with staff. Developed numerous proposals, presentations, and contracts for current and prospective partner hospitals.

Master Of Business Administration (M.B.A.), Strategy, Health Sector Management

Bachelor'S Degree, Political Science And History (With Distinction)