Kaley Wilkinson Email & Phone Number

Minneapolis, Mn, Us

Madison, Wisconsin, Us

In my role as SVP, Enterprise Strategy & Corporate Development, I am accountable for the development and execution of an enterprise growth strategy to achieve short term financial targets and long growth and sustainability across the enterprise. I am focused on growing market share, membership, and product expansion of our health plan across commercial and Medicare segments, while executing an operational turnaround. Additionally, I am responsible for identifying strategies and opportunities for revenue diversification across the enterprise.

Madison, Wisconsin, Us

WPS Health Solutions is an innovator in health insurance and a worldwide leader in claims administration, serving millions of beneficiaries in the United States and abroad.

Simpsonville, South Carolina, Us

In my role as SVP, Strategic Relationships at Proactive MD, I was responsible for driving sales for advanced primary care solutions including marketing & communications, pricing and contracting, and strategic partnerships to achieve organizational growth targets. I created a growth strategy that included sales and marketing plans, competitive pricing strategies, go to market strategies, and consultative selling strategies to meet market demands and position the organization for growth in an increasingly competitive market. I built and maintained broker and benefit consultant relationships with national top tier and regional firms to create new business opportunities while also providing subject matter expertise pertaining to employer benefits strategies. I served as thought leader in value-based care and actively participated in industry specific associations, conferences, and speaking engagements.

Denver, Colorado, Us

In my role as Senior Vice President of National Accounts & Enterprise Strategy at Everside Health, I was responsible for driving sales of advanced primary care solutions for self-funded employer groups of all sizes with a focus on large and jumbo enterprise accounts in collaboration with top tier brokers and benefits consultants, key market influencers, and direct to employer channels to reduce healthcare spend and provide employers with access to high value primary care. Achieved top sales in my territory in less than one year, leading to promotion from Vice President of Sales to SVP.

New York, Ny, Us

As Federal Health Leader at Mercer, I was responsible for the development and execution of Mercer’s Federal Health strategy with a focus on value-based care and innovative care delivery and payment model solutions for federal health agencies to improve the U.S. healthcare system and drive revenue growth for the firm. Led strategy and innovation for a multimillion-dollar, five-year contract for a large government agency; created 12 innovations that were piloted over the course of several years with a focus on care delivery and payment reform, modernization of healthcare services, maximizing efficiencies and value, and achieving the Triple Aim in their effort to become an integrated delivery system that is cost effective and offers superior outcomes for beneficiaries. I was responsible for business development and sales for all Federal Health business with a focus on high-dollar, multi-year contracts driving large revenue growth for the firm. I created and maintained relationships with government health agencies to provide strategic recommendations for growth and opportunities for organizational improvements. I collaborated internally with stakeholders across the firm to gain support of the Federal Health strategy, secure shared resources to support engagements, and leverage best practices and intellectual capital.

New York, Ny, Us

As Principal of Strategy & Innovation, I co-developed Mercer’s high value care strategy, empowering employers and providers to collectively transform the healthcare system by introducing disruptive innovation and delivering data-driven, value-based care solutions. I led product design, consulting services, and go to market strategy for a portfolio of high value care solutions that would allow employers to tackle the cost and quality challenges of employer sponsored healthcare. I provided thought leadership and consulting services to clients on topics pertaining to value-based care strategies and was responsible for prospecting new clients, issuing RFPs and RFIs, generating SOWs, securing engagements, and creating and managing project budgets to ensure on time and on budget delivery.

Eagan, Mn, Us

As Sr. Director, Provider Collaboration, I served as executive business leader for the formation and implementation of activities related to the strategic, financial, and legal aspects of strategic partnerships and acquisitions with providers within Minnesota with the goal of decreasing total cost of care and reinventing care delivery in Minnesota. I led the creation of a joint venture from ideation to signing of legal agreements between a large provider system and BCBSMN to advance BCBSMN’s care strategy and provider network strategy and support the provider system in migrating from fee-for-service to a value-based payment model. Additionally, I drove the development of a highly strategic partnership that would increase the level of integration between BCBSMN and a prominent provider care system and lead to significant differentiation and growth opportunities for BCBSMN including a reduction in the total cost of care by 20-40%, creation of a growth trajectory with increased market share, diversified revenue and income streams through a shared P&L and aligned health plan and provider financial incentives through shared risk and reward. I led development of a five-year strategic plan for provider collaboration, provider relations, and provider network business units to position BCBSMN to lead strategically in the face of increasing competitive threats, shifting healthcare economics, and rapidly evolving consumer expectations. I was responsible for the design, analysis and engagement of potential partnerships and acquisition targets in the care delivery space in alignment with the provider and care delivery strategy, supported design and execution of contemporary care delivery models, and developed collaboration between payers, providers, and innovators.

Us

Minneapolis, Mn, Us

Eden Prairie , Mn, Us

In my role as a Clinical Program Manager at Carol Corporation (acquired by Optum), I led clients through care model transition from volume to value-based care by creating innovative solutions that supported care redesign efforts to improve quality, efficiency, and cost in healthcare delivery.

New York, Ny, Us

Provided strategic planning and organizational assessment and development, including comprehensive market analyses, formulation of vision, and identification and evaluation of strategic options to health care organizations. Developed business plans for clinical service lines including demand and financial modeling and program development. Provided utilization and space need projections, operational assessment and redesign, and facility and campus long-range master planning.

Chicago, Il, Us

Participated in development of project proposals, presentations and deliverables, and all aspects of client engagements including developing and maintaining client relationships. Managed client engagements and internal project teams. Performed market, facility, and departmental analyses and assessments, determined strategic issues and opportunities, and prepared recommendations and potential solutions to address client needs. Developed expertise in pediatric and women's service line planning. Created medical staff development plans.

Grand Rapids, Mi, Us

Master Of Health Administration, Healthcare Administration

B.S., Health Services Administration

Education record