Scott Hartley Email & Phone Number

Saint Louis, Mo, Us

Us

Built and led the UHG Enterprise Performance Team reporting to the EVP Enterprise Operations. This was a senior team designed to partner with business leaders and lead several critical change efforts at any given time. Examples include:• Served as Enterprise Lead to two Optum Enterprise Clinical Services programs driving $356m and $110m of run rate benefits. Architected and gained CFO buy-in for a value-based third-party professional services partnership. Areas of personal focus included population health call center, global workforce leverage, clinical workflow automation, and value realization management. • Co-architected the Enterprise Consumer Navigation Program, which objectively assessed advocacy from the outside in and rapidly sparked actions to take a top client from dissatisfied to recognizing their most successful enrollment to-date. • Stood up an Enterprise COVID-19 Analytics platform to quickly drive meaningful data for the Chief Medical Officer and Office of the CEO, including providing epidemiology data to help protect the workforce. Volunteered for and drove symptom-checking compliance application adoption from < 20% to > 90%. Sponsored the filing of three related patents. • Directed the Enterprise Workplace Strategy for the Office of the CEO, a multi-year strategy encompassing over 200,000 employees to help attract, retain, and inspire talent and drive employee satisfaction; including work models, real estate, and talent acquisition. Partnered across the enterprise with Operations, Human Capital, and Real Estate.

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Built and led the UnitedHealthcare Transformation Team that reported into the EVP UHC Operations. Primary focus of this team was leadership of a multi-billion cost transformation in UnitedHealthcare as part of a broader Enterprise Transformation. The Transformation program targeted 200 basis points of operating cost ratio. In addition to leading specific value-creation initiatives, I led the overall value realization process across hundreds of projects from ideation to validation, helping realize billions in run rate cost benefits in UnitedHealthcare.

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Built and led the first UnitedHealthcare Employer & Individual (aka Commercial) Operations Transformation Team, reporting to the COO E&I Operations. The team consisted of ~ 20 value architects with accountability to help inspire and drive meaningful improvements to service, cost, and other senior leadership priorities.• Led the UnitedHealthcare Benefit Operations Transformation program that realized $380m in run rate benefits across shared services such as claims processing and call centers. • Served as the UnitedHealthcare Commercial Operations leader for a portion of a new administrative platform and shared services implementation. This included partnering with IT, leading the operations ramp-up, and supporting the COO to ensure readiness for the successful initial go-live.• Partnered with Operational Leaders to structure and execute various other priority engagements including Consumer Resolution Improvement, Appeals Improvement, and Consumer Service Effectiveness.

Us

Helped build and lead a senior problem-solving team focused on a dynamic portfolio of challenging projects that spanned across UnitedHealth Group, reporting into the President of Operations for UHG. • Led a de novo Claims, Appeals, and Payment Integrity Shared Services build in one of the largest private health care organizations in Brazil, driving hundreds of millions in BR reals (4:1 to US$) in value. Scope included recruiting, training, configuration, procedures, metrics, and provider change management. Subsequently partnered with UHG and in-country leaders to lead an Affordability Program across Payment Integrity, Clinical, and Provider Network.• Led a Payment Integrity Reengineering Program that realized $1.5b in savings on a $4.2b base. Subsequently led development of a novel payment integrity analytics offering that produced over $1b in value for the organization’s self-insured clients. • Led and oversaw the team on numerous other engagements across areas such as Medicare STARS, Delegated Entity, and Provider Data, as well as in delivering certain professional education services including Lean Six Sigma.

Naperville, Il, Us

EquiClaim was a subsidiary of the private equity-owned (WCAS) Viant parent. Led the creation of the formal Government Payment Integrity capability with an emphasis on state and local government payers. With the help of team members, secured two top five revenue clients in Texas Medicaid and California Corrections that ultimately contributed to the successful sale of EquiClaim.• Developed and closed sales including two state Medicaid agencies, a large state corrections health agency, multiple Medicaid managed care organizations, a national Medicare plan and a municipality.• Developed mutually beneficial teaming relationships with multiple organizations to successfully enhance both EquiClaim’s and our partners’ ability to win contracts and deliver value. In one example, assembled a team including an innovative corrections health administrative processor and a clinical editing platform company to win and deliver on the California Corrections Healthcare contract.• Led team in the development of an intensive client opportunity assessment approach that supported identification of over $500m in client savings opportunities.• Led relationship and early-stage account management to implement and transition these unique clients and contracts into EquiClaim’s operations.

Dublin 2, Ie

Progressed from entry level analyst to partner in 2001. Collaborated on more than forty health care engagements involving reengineering, strategy, and technology implementation with a variety of providers, state governments, and payers. Focused extensively on business and offering development as a leader of multiple key practice areas. Became known for tangible client value creation at speed. Achieved top 10% scores in internal leadership and people development. Example engagements included:• Co-developed and led the Payment Integrity practice. This industry-leading practice focused on sustainably addressing root issues versus perpetual recoveries, and delivered over $1.1b of savings to clients while achieving results for Accenture via value-based compensation structures. Co-authored a patent awarded for an Advanced Insurance Record Audit and Payment Integrity platform.• Led provider relationships and engagements in hospitals, clinics and practice management companies, and laboratories in areas such as revenue cycle and clinical systems implementation. Clients included UAB Health, Northside Hospital, Children’s Egleston Hospital, LabCorp, PhyCor, Guthrie Clinic, Straub Medical Center, Tidewater Physicians Group, Arnett Clinic, Holt-Krock Clinic, Hamilton Medical Center.• Co-developed and led the State and Local Government Health Team that grew annual revenues to $100m. Led H&LS participation in Texas Medicaid Partnership, winning the subcontract valued initially at $140m. Led relationship with Kentucky Medicaid involving contract awards of over $25m. • Led engagements in the Medicare and Medicaid areas of a large health plan, including a shared services consolidation to two greenfield and regional operations centers. Benefits exceeded $65m.