Eugene Hyatt Email & Phone Number

Chester, VA, US

Richmond, Virginia, United States

Report to the Sr. Vice President, Product to develop care model analytics, provide financial modeling and recommendations for chronic condition initiatives, and identify value-based care cost trends in the markets impacting Medicaid and Medicare populations.Built and analyzed Medicaid chronic condition, medication adherence, and emergency room frequency.

Greater Atlanta Area

Richmond, Virginia, United States

Reported to the Sr. Director, Rx Pricing and Profitability to build-out the pricing team, establish price guidelines, build a comprehensive pricing and cost repository, and function as the Rx pricing subject matter expert for Pricing and Finance teams.Collaborated with the Rx Department and the national field sales team to identify and target high Rx sales.

Richmond, Virginia, United States

Reported to the Vice President of Pricing Strategy and Value Capture to lead Health Systems team to complete complex renewal financial reviews, set competitive pricing while increasing margin, and identify areas for margin improvement.Conducted comprehensive price elasticity analysis, delving into year-over-year price change drivers (volume, mix, and cost.

Greater Pittsburgh Area

Directed the Creating Customer Value (C2V) Analytics Team of 5 analysts and consultants in building comprehensive cost savings identification models to size the opportunities for use in pricing and clinical ROI development.Partnered with business unit partners to accelerate Highmark’s achievement of a $200 million dollar cost savings target in seven.

Greater Atlanta Area

Presented diabetic test analytics (HBA1C) to the CEO and physician board of a major multispecialty medical group account, resulting in a change in their medical policy to increase diabetic screening (HBA1C) testing with LabCorp, worth $208K/month or $2.5 million dollars annually once fully implemented.Developed episodes of care laboratory test analytics.

Atlanta, Georgia

Designed innovative market financial models that identified over $31 million dollars in savings per market and presented this analysis to BCBS market leads, providing insight for savings achievement.Mentored and provided developmental opportunities for the Medical Economics team to be consultants for key healthcare clients and their initiatives.Built.

Atlanta, Georgia

Integrated pricing scenarios for Medicare utilization in selected markets to determine best implantable device pricing strategies across multiple device types i.e., ortho, neuro, etc.Defined implantable device utilization best practices across peer groups for physicians and facilities using comparative statistics and national utilization pattern.

Alpharetta, Georgia

Established an “industry first” actuarially validated savings methodology (patent pending) that drove a 200%+ increase in the revenue growth rate for IPG. The model identified savings by site of service and has verified savings of multiple millions of dollars for health plan implant management.Produced a methodology to reclassify missing and miscellaneous.

Researched and developed methodologies to measure hospital performance for both cost efficiency and quality outcomes (Centers of Excellence Program). Published results on Cigna’s national website to assist members in making informed medical decisions. Trained Medical Directors and contracting staff in the effective use of Centers of Excellence data in.

Developed computer models to forecast regional healthcare utilization and pharmacy budgets for two consecutive years, directly resulting in budget surpluses for both yearsCompleted complex RFP/RFI medical and demographic responses for regional statesImproved HEDIS rates by increasing encounter data capture and establishing region-wide standards for quality.

Master'S, Health Services Administration

Bachelor'S, Dietetics

High School Diploma