Responsible for overall financial management of business operations, investment activities, and enterprise risk management. Accountabilities also include actuarial, enterprise analytics, provider network management, and internal audit. Serve as a key partner to the CEO and business unit leaders in developing strategies and operating plans, identifying opportunities and risks, establishing and achieving financial targets, and analyzing operating results. Manage and monitor the company’s risk-based capital levels, lead the development of company-wide financial objectives, and establish annual operating and capital budgets. Staff the board Finance and Audit committees; serve a board member or officer for multiple subsidiaries and joint ventures.• Generated operating margins averaging 4% while growing revenue annual revenue from $3 billion to $6 billion in a highly competitive market during my tenure as CFO. Increased Net Assets from $740 million to $2.5 billion over the past five years. • Developed and implemented a best-in-class Enterprise Risk Management process—including multiple financial stress-testing scenarios—that is integrated into the company’s strategic planning.• Performed valuations and negotiated financial terms for several health plan acquisitions and strategic private equity investments. • Identified and communicated strategic risks associated with the company’s geographic and product concentration, which resulted in significant expansion into new markets and products. (Revenue from markets outside of Minnesota grew from 8% to 42% of total over the subsequent five years.)• Introduced strategic private equity and limited partnership investments into the investment portfolio. Implemented an innovative asset deployment strategy among legal entities that optimized returns, while ensuring that risk-based capital (RBC) would be sufficient in each regulated entity. Implemented a consolidated investment approach to manage the $2 billion portfolio

Responsible for financial analysis and reporting, financial projections and budgeting, actuarial finance (IBNR, pricing factors, and trend projections), provider analytics, clinical program analytics and evaluation, cost management strategies, and support for the board finance and audit committees. Also served as the key financial partner to business segment general managers and Chief Medical Officer in developing long-term strategies and business plans, identifying opportunities and risk, and analyzing operating results. • Initiated redesign of provider contracting process to improve and monitor financial performance, simplify risk-sharing arrangements, and enhance claims payment accuracy. Significantly reduced provider disputes and settlements. • Developed and implemented product and benefit design strategies to address adverse risk selection.• Implemented data warehouse strategy to support analytical and reporting needs of the organization. • Established comprehensive process to measure and monitor medical expense trends and drivers. Organized company-wide initiatives to address medical expense issues and achieve annual cost reduction targets.• Directed administrative expense benchmarking efforts that resulted in annual savings of $30 million.• Developed and implemented predictive modeling process to identify gaps in care and potential high-cost members for care management engagement.• Established the actuarial function and Medica and hired the first actuary for the company.• Performed evaluations of disease management and population health programs to determine whether there were any returns on the investment. Some programs were expanded, and others eliminated based on the analysis.• Initiated a comprehensive underwriting review that identified and corrected a variety of issues that were contributing to the suboptimal performance of one of the business units.

Responsible for overall financial management. Accountabilities include strategic planning, accounting operations, budgeting, financial reporting, billing and enrollment, investment policy, regulatory compliance, actuarial and underwriting, claims auditing, provider contracting, and information technology. Also responsible for managing and negotiating all payer contracts for the Intermountain Healthcare hospital system, which accounted for $1.5 billion in hospital revenues spread over 80 contracts with various insurance carriers and third-party administrators. • Developed and gained organizational support for system-wide payer contracting strategy and the long-term financial strategy for the health plan.• Developed and implemented financial turn-around plans to eliminate significant operating losses across several lines of business. • Introduced volume-adjusted administrative expense budgeting and reporting, which enabled the organization to reduce administrative costs by 20%.• Established the first financial risk-sharing arrangement between the health plan and the integrated delivery system.• Initiated the review and selection of a new claim platform.

System-wide accountability for financial aspects of managed care contracting and strategy, hospital pricing policies, cost accounting, financial measurement and monitoring systems, and multi-year financial projections