Paul Olson Email & Phone Number

Eden Prairie , Mn, Us

To improve member and client experience with their pharmacy benefit and improve healthcare affordability, I lead daily operations and optimization of Medicare, Medicaid, and Individual (HIX) business through four functions: - Operational Delivery- Reporting and Analytics- Continuous Improvement- Regulatory AdherenceKey accomplishments:• Drove Sig Sigma project to identify process duplication and inefficiencies among intra- and inter-departmental functions, resulting in 20% reduction in manual effort and 100% increase in data quality oversight and issue prevention• Built Tableau operations performance management dashboard and reporting suite in a SQL/databricks hybrid infrastructure and established recurring operational review to address internal operations, compliance, client performance guarantee, and Stars stakeholders• Reduced manual effort by 10-25% across team of 85 operations staff supporting Medicare, Medicaid, and Individual business• Implemented platform migration of Medicare Plan Finder infrastructure resulting in 75% decrease in potential failure points and 400% increase in outliers analysis and coverage

Bloomington, Minnesota, Us

In order to enable efficient, compliant, and rapid growth (50% YoY in 2022) across multiple platforms while driving down costs to achieve margin targets, I created five Operations functions: - Forecasting / Enterprise Capacity Planning / Workforce Management- Operational Planning and Readiness aligned with business and product strategy- Reporting and Analytics- Compliance Monitoring - Operations- Training, Learning and DevelopmentKey areas of emphasis:• Reporting and analytics delivery and strategy to support internal Operations functions (claims, enrollment, billing, service), corporate functions (Risk Adjustment), and business/external-facing functions (markets, provider relations, product)• Automation (RPA, monitoring/alerts) to optimize staff and ensure compliant, scalable operations

Bloomington, Minnesota, Us

Direct responsibility for operations of the individual and group business of Bright Health Plan, one of the fastest-growing venture-backed companies in the U.S. Direct and indirect responsibilities include:- Health plan administration for the commercial lines of business (Claim, Enrollment, Eligibility, Billing, second tier Member Enrollment Services) including staff management spanning multiple locations (Minneapolis, Denver, Kansas City) and vendor oversight for enrollment and administration functions- Coordination with shared services (contact center, compliance) to ensure high service levels and compliance with CMS regulations- Delivery of operations reporting and analytics (Individual, Small Group, Medicare Advantage)- Active interaction with marketing, sales, finance, and analytics organizations to ensure accurate member and cost management and identify opportunities for differentiated growth- Focus on ongoing scalability and cost management improvements to support consecutive years of 3x membership growth with modest staff growth and substantiate ongoing venture-backed investment- Expansion of operations to support new lines of business with existing infrastructure and staff- Representation of health plan on CMS issuer engagement - Lead on compliance-related initiatives requiring operations support (HEDIS, DOI, market exams, etc.)

Bloomington, Minnesota, Us

Formalized operational data environment to standardize data collection, established standardized reports and dashboards, and re-organized enrollment, billing, claim, and reporting teams to clarify accountability. This work enabled the commercial operations organization to support 3x membership growth with no additional staff.

Minneapolis, Mn, Us

Management and technology consulting, interim technology and analytics leadership. Deep industry experience in healthcare (payer, provider, PBM, device).

Minneapolis, Mn, Us

Drive automation, reporting, and analytics to enable fast-growing health plan to scale operations and support 3x membership growth with existing staff. Functional areas include claims, enrollment, eligibility and billing, and second-level member services (underwriting, compliance, billing, enrollment). Interim director for staff management and liaison with the technology teams to develop strategy and roadmap for Operations reporting and analytics, consulting to the broader organization on overall analytics strategy.Primary responsibility for the IFP / individual line of business and support for the MA / Medicare Advantage line of business.

Minneapolis, Mn, Us

Lead development of health plan analytics delivery and strategy and build team to support ongoing analytic needs. Functional areas included service, finance, medical, pharmacy, operations, and compliance. Incorporated machine learning (ML) into service model to improve oversight and CSAT.Lead development of attribution models, reporting and analytics to support ACO attribution and financial operations.

Minneapolis, Mn, Us

Assess analytic capabilities and support development of strategy, road map, tool selection, and staffing model for enterprise analytic architecture in a highly complex and evolving hybrid (on-premises, cloud-based) business model to support multiple lines of business (Group, Individual, and Medicare).

Minneapolis, Mn, Us

Managing consultant and architecture design and development lead for Caregiver Assurance, Fairview's direct-to-consumer platform for engaging with non-healthcare consumers. The cloud-based (Azure) platform extends Fairview services into new non-traditional provider settings and enables a new market for a component of new business channels.

Minneapolis, Mn, Us

Collaborate with technology, finance, operations, compliance, healthcare economics, and clinical teams to establish foundation for health plan analytics in provider-sponsored health plan. Lines of business included large group, small group, and Medicare Advantage, functions included reporting and analytic infrastructure development and road map.

Minneapolis, Mn, Us

Drive the evaluation of pharmacy consultancy data, technology, and process assets and capabilities for opportunity to commercialize.

Minneapolis, Mn, Us

At Luminat, we enable and improve clinical performance with patient-generated health information technologies.Our cloud-based platform enables the collection, analysis, and reporting of patient-generated health information to enhance clinical performance and support care delivery system objectives.As CTO, primary responsibility for the technology infrastructure, technical development and technology strategy for the product-based health technology startup.As CEO and board member, responsible for investor relations, marketing, product development, sales, and positioning the company for the next round of investment.

Minneapolis, Mn, Us

Primary responsibility for the technology infrastructure and technical development, contributor to the product, market, and business strategy for Lumināt.At Luminat, we enable and improve clinical performance with patient-generated health information technologies.Our cloud-based platform enables the collection, analysis, and reporting of patient-generated health information to enhance clinical performance and support care delivery system objectives.

Minneapolis, Mn, Us

Participate in the assessment of internal information technology, tools, services and expertise and the viability of a commercialization effort as well as assist in the plan to launch a new organization or partnership for the purpose of disseminating commercial versions of the assets.

Minneapolis, Mn, Us

Program and project management responsibilities between plan (Medica) and multiple accountable care systems (ACS/ACO) to take the integrated service model through design and implementation phases and into roadmap/strategy development.

Minneapolis, Mn, Us

Working for Children's Hospitals and Clinics as technical lead and project manager for assessment and strategy phases of the ICD-10 initiative.

Minneapolis, Mn, Us

Guide clinical and administrative staff through the use of clinical and financial analytics to support cardiology care redesign initiatives in the pursuit of a transformation to an Accountable Care Organization (ACO).

Cincinnati, Ohio, Us

Gb

Us

Programmer for the MIS Operations group.

Ms, Management Of Technology

Bachelor Of Science - Bs, Mechanical Engineering