Kathryn Bean Email & Phone Number

Led a new strategic product initiative to evaluate vendors, spearheading partnership roadmaps and negotiations. • Created a new Surgical Center of Excellence request for proposal to enable capability to support value-based vendor payer partnerships. • Collaborated with Product Concept Team to develop preliminary estimates for system enhancements and worked with internal stakeholders to secure membership and preliminary pre-concept funding. • Vetted vendor partnership concept with Legal and Compliance to ensure all provider and network contracting questions were addressed. Portfolio owner of Accountable Care Organization (ACO) network products. • Oversight of 28 deals with 350k members with an Annualized Return of Investment of $40M. • Designed and launched ACO Governance Committee Board. Implemented two new ACO deals. Sunset 227 under-performing networks which achieved a savings of $250k. Archived 252 non-compliant marketing assets. • Designed an automated New Deal Intake process to quantify and qualify potential new ACO opportunities. Implemented a workflow process for implementation activities and monitor contracting guidelines

Led Aetna’s Commercial Health Compliance Team (18 direct reports). Executed CVS Health’s commitment to maintain a work environment that promotes ethical conduct and compliance with all Federal and State laws and regulations. • Led Compliance Change Management Committee to prioritize enhancements, determine release scope and content. Managed 5 direct reports responsible for the development of business requirements, user acceptance testing, communications, and training materials. Project managed work to reduce 300+ duplicate processes as part of Aetna’s merger with CVS. • Advocate for Mentorship Programs. Successfully launched the 1st Compliance & Internal Audit Mentoring Program at CVS Health.

Held various leadership roles focused on new product and program development, healthcare networks development and implementation. Promoted multiple times with increased responsibilities in directing/managing staff, budgeting, and implementing large enterprise strategic network product builds and migrations.• Worked cross-functionally with business stakeholders and Information Technology in a matrix environment. • Experience includes developing business requirements for system related projects and end-to-end business processes for health insurance products and programs (i.e., quoting/rating, enrollment, billing, provider contracting, network builds, claims adjudication, reporting.) • Developed communications (internal & external), training including marketing proof points & material.• Experience working with both internal and external stakeholders (Provider Partners/Hospitals and Independent Practice Associations).Key Accomplishments • Directed a team of technical product managers (12 direct reports) with expertise in network related products and behavioral health including mental health parity. • Managed $85M product development budget• Built the strategic network structures to support performance networks/tiered products (i.e., Accountable Care Organizations, Joint Ventures, Hospital Verticals, Institutes of Quality)• Developed and executed a governance process to support provider payments (Capitation & Encounters).• Implemented a naming standard procedure for products and networks impacting 90+ systems and 30+ business developed applications for HMO-based products in California.• Led the Executive Committee Regulatory Review Board. Managed annual funding portfolio ranging from ~$25M to $36M to implement unanticipated insurance or health care related laws. • Developed Integrated Capitation & Eligibility Files with California Independent Practice Associations.• Developed HIPAA business requirements for 270/271 EDI Real Time Eligibility Transactions.

Business Solution Delivery Lead/Supervisor | Project Manager Began working as an Underwriting Assistant that grew into a career at Aetna with a focus on product development and healthcare networks.

Bachelor Of Arts Degree, Organizational Management

Associates Of Art, Business Administration And Management, General