Nancy Horstmann Email & Phone Number

Texas, United States

Texas, United States

▶ SNAPSHOT:As Senior Executive Vice President and Chief Financial Officer, I provide oversight and leadership to develop and implement initiatives to achieve corporate goals, including the implementation of productivity standards across the organization, the development of a quarterly forecasting process, and a Five-Year Business Plan and Forecast. ▶ DELIVERED RESULTS:• Collaborated with teams and developed Medical/Pharmacy initiatives of $20M to improve financial performance in 2024/2025. • Improved the 2024 Budget process and presentation to the Board for approval in November 2023. • Significantly decreased the number of days by 10 to close and distribute the monthly financial statements.• Worked with teams to improve the monitoring, reporting, and communication of medical utilization and cost trends.

▶ SNAPSHOT:As Interim President, I was brought on to build teams and collaborate with stakeholders to deliver healthcare to 13,000 Medicare Advantage members in Tampa Bay's four-county service areas. I developed and implemented strategic plans to exceed Board directed financial and operational goals focusing on high member engagement and satisfaction. I led a Third-Party Administrator selection process, including proposal requests and analysis, site visits, pricing, and financial analysis, insource/outsource functional review, contract review, and Board recommendation. I established a health plan dashboard to monitor and improve financial and operational results. ▶ DELIVERED RESULTS:• Achieved successful 2022 CMS Program Audit result with zero Correction Actions Required and a National Committee for Quality Assurance (NCQA) Three Year Accreditation.• Improved Risk Adjustment Scores from .87 in 2021 to .99 in 2022.• Achieved the highest CMS 5-Star rating for 2022 in recognition of the high-quality care provided to Medicare Advantage members.• Developed the Health Plan Strategic Initiatives resulting in a decrease in the medical loss ratio and administrative loss ratio for 2022 of 12.3% and 3.9%, respectively.

▶ SNAPSHOT:As Chief Executive and part of the CHRISTUS Health System, I provided oversight and leadership as CEO of the CHRISTUS Health Plan to build strong teams to deliver operations and financial accountability results, regulatory compliance, clinical management, marketing and sales, product development, and project management. I increased member retention to 92% by providing high customer service for Medicare Advantage members in Texas. ▶ DELIVERED RESULTS:• Reviewed Grew to 45K Plan Members, $330M in Revenue, and $13M in Net Operating Income.• Achieved 90%+ in High Customer Service Levels from 2019 – 2021. • Reduced Turnover to 12% by Implementing Plans for High Associate Engagement.• Increased Non-Operating Income by $1.6M by Selling Medicaid Line of Business.

Tulsa, Ok, Us

▶ SNAPSHOT:As Executive Vice President and Chief Financial Officer, I provided oversight and leadership to develop and implement corporate goals for membership growth and financial results through medical and pharmacy initiatives, pricing and underwriting guidelines, case management, and member and provider satisfaction. I managed an $800M budget, 200 staff, and six direct reports with specific responsibility for provider relations, network contracting and development, medical management, financial accounting and analysis, financial compliance, underwriting, pharmacy management, systems configuration, human resources, and corporate data reporting and analysis. ▶ DELIVERED RESULTS:• Successful in negotiating a pharmacy benefits manager contract, resulting in $96M in savings over next three years.• Maintained revenue growth for Commercial, Medicare, and Medicaid product lines to 220,000 members and profitable operations.• Negotiated capitated, performance-based, and fee-for-service provider contractual arrangements.• Implemented financial action plans for premium increases, including product and benefit plan design changes to improve results.

▶ SNAPSHOT:As Executive Vice President and Chief Financial Officer, I provided oversight and financial and strategic leadership for a 140,000 provider-owned HMO serving 33 counties and 11 corporations, focusing on employing physicians and delivering Medicare, Medicaid, and Commercial products to market. Maintained bottom line and operational responsibility for medical management, network development, provider relations, finance, data reporting, premium billing, eligibility, underwriting, and compliance.▶ DELIVERED RESULTS:• Participated in the Memorial Sisters of Charity Health Network Board of Directors and the Finance Committee of a joint venture between the Sisters of Charity Health Care System and the Memorial Healthcare System.• Significantly expanded the provider network to include 5,000 physicians and 54 hospitals, including offering a Medicare product through a joint venture between major healthcare systems.• Grew to 20,000 and 40,000 members, respectively, and $300M in total health plan premium revenue by working with teams to implement Medicare and Medicaid products.• Led the Health Plan’s Operations Committee, developed a high-level corporate report and statistics for all operational areas, hospital and physician utilization reporting, and improved financial reporting package for the Board of Directors.

Antwerpen, Be