Michael Sauls Email & Phone Number

Mumbai, Mh, In

Clifton, Nj, Us

Expanded presence within named health plans (new logos and client success/management) nationwide. Solutions include:• Credentialing and Provider Data Management technology platforms and BPO/BPS• Call Center/Customer Experience Platforms and BPO (member and provider)• Claims Processing automation and BPS• Robotic Process Automation/Machine Learning/Artificial Intelligence• Price Transparency

Florham Park, New Jersey, Us

Provided solutioning, go-to market strategy, and thought leadership for Conduent’s Health Plan Portfolio (Payment Integrity, Claims Administration, and Medical Management/Analytics) while focusing on expanding presence within health plans nationwide.Led cross-functional teams of Sales, Marketing, and delivery partners to determine pursuit approach, engagement scope, cost/pricing/margin projections, and resource requirements.

Florham Park, New Jersey, Us

Led a team of 14 Account Executives as a player/coach servicing more than 100 health plans nationwide with a focus on expanding our presence within current and new partners that included cross-functional solutions and services that address the administrative needs of clients as well as lowering overall expenses (both medical and administrative). Offerings included Payment Integrity, Core Claims Administration, Medical Management/Analytics, Human Resources, Customer Experience – Member/Provider Engagement, Member Enrollment, and Print/Mail solutions (platforms/applications management, BPS, BPO, BPaaS)

Windsor, Connecticut, Us

Executed the overall account development and expansion plans for custom development and robotic process automation for traditional DST offerings (Claims Administrative Platforms, BPS, BPO, BPaaS).Developed and executed the solution offering and go-to-market strategy for Payment Integrity platforms (Medical Spend Reduction) and premium enhancement for the health plan market that included Medicare, Medicaid, and Commercial Plans. Established strategic partnerships with specialty service providers to deliver these solutions to health plan clients that was provided via an at-risk/success-based contracting arrangement.

Us

Created account expansion plans as the new business development lead for ICD10, Payment Integrity, Operations Excellence, and Systems Integration.Spearheaded and developed full solution and go-to-market strategy for Optum’s ICD-10 consulting practice including services and platforms for the cross-functional health plan value chain (claims, regulatory compliance, technology, financial management, provider network management and risk management/actuarial services) including financial impact analytics indicating potential shifts in payment structure and medical loss ratio.Collaborated with cross-functional offering leads to conduct market research and author/publish white papers, conduct webinars, and present at industry conferences and to market analysts.

Led Health Plan IT Operations and Consulting Services for Health Plan BPO/BPS Client in Colorado while driving growth through account expansion with new solutions and professional services.Led large scale Facets implementation including best-shore solutions for large health plan in Louisiana.

Led all account and client IT infrastructure operations while expanding presence with the firm’s largest strategic BPS health system client in Fort Worth, Texas.

Dallas, Texas, Us

In partnership with Perot Systems Corporation, provided strategy and thought leadership and as well as solution development and approach for Tenet Health Plan CIOs nationwide.

West Hartford, Us

In the final role, led all account operations while supporting client IT infrastructure for both payer claims and provider practice management administrative platforms for HCA North Texas.