A dynamic leader with a strong track record of driving strategic initiatives to enhance business performance and customer satisfaction. Led the development and management of communication and CRM platforms, optimizing internal collaboration and driving substantial revenue growth of over $2MM. Additionally, orchestrated the rollout of a scheduling platform, streamlining processes and generating significant revenue exceeding $3MM. By meticulously overseeing the Request for Proposal (RFP) process for workforce management, secured cost-effective solutions, resulting in substantial cost savings and improved resource allocation. With a keen focus on innovation and operational efficiency, I am dedicated to driving continuous improvement and delivering impactful results.

In my current position, I function as a Subject Matter Expert from a health payer background, providing ROI solutions and proposals to prospective clients, solving problems through the product suite, driving growth of a client payer portfolio, overseeing contracts worth $5MM to $10MM. I analyze client pain points and goals, providing innovative solutions within a tight timeframe. I also ensure the appropriate product and strategy exist to assist clients in achieving goals. In more specifics, I understood the buying capacity of the health payers, pricing out product to maximize revenue as well as utilize market dynamics knowledge and market landscape, the product and healthcare trends, all while aligning to organizational goals. I analyzed and predicted ROI, providing insights to the client regarding recuperating money on the investment. I also sold a product for $400K within a few months of hiring, underpinning with a backbone of healthcare knowledge. Furthermore, I provided expertise in health plans regarding the workflow, procedures, policies, departments and roles. I served as a trusted advisor to senior leadership and clinical teams of clients, providing guidance on market growth, contracting, population health, STAR Measures, and value-based care. In addition, I crafted a strategy and playbook of best practices for optimal Medicare Star Rating performance, defining, executing and enhancing the Stars strategy including HEDIS, Part D, and CAHPS. I collaborated with Clinical Data Analytics, Product, and Strategy teams to evaluate and enhance market fit and product roadmaps and grow SaaS product, providing client feedback for improvements and redesigns. Expertly, I directed cross-functional teams of solution delivery professionals, boosting both client delivery satisfaction and career growth. Finally, I developed a strategic pricing model for new deals, upscaling, and cross-selling opportunities.

For these three years, I oversaw a $3MM P&L, planned and executed to drive revenue, improved clinical programs, and managed a high-performance team of 6 developers and business analysts. I operated as a product owner of data product, helping business stakeholders evaluate performance of clinical programs. In more detail, I escalated member compliance across 13 HEDIS measures, directly impacting health plan ratings. I also boosted dual Special Needs members' (Medicare and Medicaid) compliance from 34% to 40% in plans of 4+ stars. In addition, I escalated overall enrollment in Medicare plans rated four or higher STARS Health plan from 79% to 84%. I also improved processes, performance, and efficiency through cross functional collaboration and healthcare leadership. Moreover, I optimized performance nationally on Stars measures and met goals in partnership with UHG Customer Experience, Growth, Clinical, Service Operations, and Network leaders. I also delivered strategic and tactical targeting logic for 11+ clinical campaigns, achieving 4 or higher star ratings on health plans. Translating goals into operational metrics and key targets, I identified KPIs as well as managed and monitored project plans. Last but not least, I innovated product to grow a line of business.

As a consultant, I led strategy for a government program, providing consultation on targeting members for clinical campaigns, quickly becoming a national measure owner for COA measure. I accurately and concisely reported key metrics and performance to senior executives, analyzing and forecasting, while tracking multiple cross-functional teams on activities and targets. I also presented data and solutions together, leading the entire national program and functioning one level above title. I analyzed, reviewed, forecasted, and trended complex datasets for leadership decisions regarding HEDIS performance and progress. Furthermore, I increased the program compliance rating, efficiency, and participation for Care of Older Adults (COA), saving $4M. Lastly, I researched and analyzed data and business processes, improved existing systems and processes, increasing data quality and accuracy of multiple-member engagement programs.

, I led functional and segment teams and managed projects end-to-end. I provided explanation and insights to stakeholders on complex issues and built requirements during QA for the developer, translating requirements into company savings. I also ensured the algorithm or requirement met the business need. Of note, I created 10 algorithms that generated millions in savings in Medicare, Medicaid, E and I (employer and individual). I also analyzed proof of concept and implemented, optimizing call center inventory. Finally, I evaluated all source systems to understand data modeling for all medical claims and membership data.