Richard Born Mba, Cpa, Chie Email & Phone Number

Louisville, Kentucky, US

Hartford, Connecticut, US

• Spearheaded profit and loss initiatives as the executive in charge of a health plan, overseeing $1.2 billion in revenue and 700 employees. Achieved remarkable results including over 100% revenue growth and a membership.
• Secured a top-three ranking among six selected Managed Care Organizations through successful re-procurement of a statewide contract.
• Led negotiations and execution of value-based agreements utilizing Advanced Payment Models (APMs) and pioneering models.
• Cultivated robust provider relationships resulting in the establishment of value-based contracts with the highest medical expenditure tied to value-based metrics.
• Elevated plan's star rating from 1.5 to 3.5 and secured commendable NCQA accreditation along with Multicultural Health Care Distinction. Realized a remarkable over 50% enhancement in HEDIS quality measures.

Champaign, Illinois, US

• Led a patient-focused, provider-owned Medicare Advantage, Commercial, and Medicaid health plan spanning multiple states, serving over 400,000 members, generating $2.0 billion in revenue, while overseeing a workforce of.
• Orchestrated provider contract negotiations resulting in annualized savings exceeding $9 million. Successfully brokered risk-adjusted total cost of care value-based joint venture agreements, enhancing the Medical Loss.
• Enhanced performance within the commercial line of business by $8.8 million. Implemented cost-saving measures of $20 million by selecting a new Pharmacy Benefit Manager (PBM). Elevated employee engagement from 70% to.

Waupaca, WI, US

• Served as Chief Executive Officer at Women’s Care of Wisconsin, overseeing operations across eight obstetrics and gynecology clinics, perinatal and physical therapy centers, and supporting staff across four hospitals..
• Contributed to the development of an ACO Medicare Shared Savings Program (MSSP) involving multiple health systems.
• Spearheaded an expansion strategy resulting in a remarkable 300% revenue increase to $30 million. Oversaw the addition of new clinics, providers, and specialized services such as Perinatology, Physical Therapy, Lab.

London, GB

• Led a $400 million division at Coventry Health Care, overseeing operations across twenty-eight states. Successfully integrated the Provider Synergies Pharmacy Benefit Management (PBM) company acquisition, enhancing the.
• Managed a team of seven direct reports and over 1,200 employees.

• Orchestrated the launch of Critical Care Solutions, a pioneering joint venture among three health systems, focusing on remote monitoring and management of ICU patients through the innovative "eICU" software.
• Spearheaded the implementation of this startup initiative, overseeing all aspects of operations.
• Headed the Medical Management team responsible for the oversight of the eICU program.
• Leveraged the eICU program to revolutionize ICU care, addressing challenges related to physician and nurse shortages, and enhancing care quality by reducing mortality rates.

Neenah, WI, US

• Led a provider-owned health plan joint venture overseeing more than 325,000 members across Commercial, Medicare Advantage, and Medicaid plans, alongside a Pharmacy Benefit Management (PBM) arm, generating $1.2 billion.
• Achieved top-ranking status as the #1 Health Plan in both 2002 and 2003 by the National Committee for Quality Assurance (NCQA). Spearheaded organizational success, culminating in the most profitable year in history in.
• Directed strategic and business development processes, overseeing claims, customer service call center, enrollment, IT, provider relations, and training functions, fostering a 20% growth trajectory. Led the.

Master Of Business Administration (M.B.A.), Finance, General

Bachelor Of Science (Bs), Accounting