Nicholas Ramos Email & Phone Number

Canton, Ma, Us

Entrusted with the commercial strategy and portfolio development for the Massachusetts Merged Market. Responsibilities include: - Analyzing health care trends to create innovative solutions that improve health care access and delivery, while optimizing reimbursement models and provider network designs - Manage network and benefit designs by leading initiatives that maintain efficiencies across various product lines - Developing affordable product offerings to members that promote preventive, essential, and routine wellness - Collaborating with executive leadership on market direction and areas to excel amongst health insurance carriers - Lead cross-functional market team aimed at reducing health care costs, optimizing benefit designs, and expanding ancillary programs

Cultivated and spear-headed initiatives aimed at increasing access to care, improving care coordination, promoting medical-dental integration, and developing digital products that address gaps in oral health. Responsibilities included: - Developing potential business opportunities from business cases to proof-of-concepts for both internal products and external partners - Successfully led B2B and B2C products through go-to-market and implementation while maintaining program success throughout expansion - Created long-term roadmaps for oral-health products that promoted strategic growth - Established partnerships between health start-ups, dental practices, payers and educational institutions - Promoted innovative oral health initiatives - such as minimally invasive care and teledentistry/telehealth - through new delivery models, digitally integrated experiences, and client-specific programs

Boston, Massachusetts, Us

Canton, Massachusetts, Us

Developed, enhanced, and managed digital platforms, systems, and products designed to improve customer experience, address gaps in the health care journey, and provide better integration of health care information. Responsible for: - Leading Agile Teams in improving company-wide digital tools and platforms, such as member portal, broker portals, and member mobile apps, while maintaining constant workflow check-ins - Developing virtual health strategies and successfully increasing the digital presence through new products - such as plan comparison tools, digital health insurance cards, telehealth programs, and integrated CRM systems - for members, brokers, and employers - Developing multi-phased approaches to innovative digital experiences around mobile health and managing release cycles

Canton, Massachusetts, Us

Manager of corporate/member-wide health programs and initiatives aimed at providing ancillary benefits to improve the mental and physical well-being of members. Responsibilities included: - Developing new wellness and cost-saving benefits to various lines of business - Implementing healthcare cost transparency tools and integrated telemedicine platforms for members - Connecting and fostering relationships with corporate partners and managing benefit programs - such as fitness reimbursement, weight loss management, and nutritional counseling - to promote a holistic health care experience for customers - Developing KPI metrics and long-term strategies to measure programs aimed at enhancing member experience - Developing an end-to-end, automated business workflow process to reduce inter-departmental silos during project implementations

Canton, Massachusetts, Us

Performed market & competitive analysis and data management to support and develop corporate-wide initiatives. Responsible for: - Gathering competitive intelligence, data on health trends, and market prospecting for business growth opportunities - Reporting membership trends, corporate program utilization, and market penetration changes to drive product strategy - Creating code-driven platforms to improve business processes and maintain data integrity between cross-departmental projects

Canton, Massachusetts, Us

As part of the Product Development Team, I was responsible for helping develop health products aimed at providing new and effective forms of healthcare coverage. Responsibilities included: - Analyzing feasibility of new products and market trends for targeted populations - Collaborating on the long-term Product Strategy for the Massachusetts and New Hampshire markets - Determining cost-saving measures for highly-utilized services and health plan designs that address gaps in care for targeted populations - Establishing an automated, centralized data repository to improve the products & benefits development process

Morristown, New Jersey, Us

Part of Atlantic Health's Accountable Care Organization (ACO). Evaluated End Stage Renal Disease (ESRD) patient trends to determine high-cost drivers in treatments and recommend workflow adjustments aimed at reducing expenses, improving the coordination of care, and maintain an adequate level of disease management. Examined all areas of care including dialysis treatment, inpatient admissions, ambulance costs, and comorbidity impact.

Us

Part of the Hospital Quality and Safety Division, as well as the Joint Commission and CMS Readiness Program. Responsible for aggregating and analyzing data from environment of care and infection control rounds and developing systems and strategies to improve efficiency and the quality of care. Also performed department profitability analysis, strike preparatory work, and gap analysis on services associated with observational care unit.Position attained through Greater New York Hospital Association (GNYHA)

New York, Ny, Us

One of 18 students selected to the Summer Enrichment Program. Assigned to a health care facility and partnered with senior health care executives to improve quality of care and hospital operations by designing and leading new health initiatives.

Ithaca, Ny, Us

Part of a longitudinal research team dedicated on determining the impact an environment of poverty has on the overall health and well-being among children. Responsibilities included conducting field research interviews to ascertain cognitive function, physical health and behavioral patterns, as well as analyzing life events, demographics, and socio-economic status over regular intervals.

Master'S Degree, Health Administration (Sloan Program)

Bachelor'S Degree, Human Biology, Health, & Society