Reshma Patel Email and Phone Number
Reshma currently serves as the Senior Operations Director of the West and Central region states in the U.S. across all 3 Lines of Business (Commercial, Medicare, and Medicaid) at Elevance Health (NYSE: ELV), a Fortune 25 company serving more than 117 million Americans. She leads a team of strategy directors who play a crucial role in shaping and executing on the company's growth and technology strategies.Reshma Patel is a healthcare executive with over ~10 years of experience driving business model transformation in the U.S. healthcare payor system. Through intentional focus, rigorous standardization, strong instincts re: bringing together the right people -- regardless of their defined role -- and deploying operations & technology at scale to 1) improve consumer experience, 2) improve operational outcomes, and 3) lower costs, she has consistently led long-term efforts to rewire how organizations continuously improve, through muscle-memory, dogged persistence, and a passion for results. She will obtain her Executive MBA degree from the MIT Sloan School of Management in May 2025.She has led the system migration of over 6 million members from multiple legacy product systems to the central system resulting in operational efficiencies. She served in the PMO responsible for a $60M Program to transform Anthem’s Commercial Product Portfolio, placing Anthem at the forefront of virtual care during the COVID19 pandemic. She also successfully negotiated effective reseller agreements with multiple digital health & wellness companies defining engagement metrics, pipeline growth, innovative pricing structures and revenue share models. She has also defined and executed modernized network solutions that achieved a 6-10% price differential resulting in membership that exceeded sales forecasting by 233%, and enabled Anthem to effectively compete in geographies to gain market share. Her extensive management consulting experience enables her to quickly perform discovery, evaluate growth opportunities, and build relationships across the enterprise.
Elevance Health
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Senior Director, West Region Operations StrategyElevance Health Nov 2024 - PresentIndianapolis, Indiana, UsLead a team of Operations Strategy Directors for 16 states located in the central & western regions of the United States across all 3 Lines of Business: Commercial, Medicare, and Medicaid. -
Product Director | Virtual Care EcosystemElevance Health Mar 2021 - Nov 2024Indianapolis, Indiana, UsDevelop and refine virtual care product strategies near-term and long-term for each commercial employer segments (Individual, Small Group, Large Group, and National). Products include virtual primary care, Social Drivers of Health, women’s health, behavioral health, EAP, diabetes, and condition management. Negotiated reseller agreements with digital health companies, defining engagement metrics, pipeline growth, innovative pricing structures & rev share models. -
Member Board Of DirectorsBirth In Color Dec 2023 - PresentRichmond, Virginia, UsBirth In Color is a women-led reproductive justice nonprofit organization dedicated to maternal and reproductive health, policy, and removing biases and barriers for people of color through building the nation’s largest Doula network. -
Independent Wine ConsultantJun 2022 - Aug 2024Manage wine portfolio on behalf of restaurants, markets, and other businesses within the hospitality industry: • Conduct tastings with distributors and purchase wine • Curate restaurant wine lists and food & wine pairings • Host wine educational and dinner events• Educate staff on established, as well as, up and coming wine regions I am skilled in meeting the market where they are in their wine discovery journey, encouraging them to dig deeper, all while working within the constraints of the provided budget.
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Engagement Lead | Healthcare Payer OperationsVeracity Consulting Group, Llc Feb 2017 - Mar 2021Glen Allen, Virginia, Us• Led a team of 6 Advisory Consultants to execute complex process improvement measures for large healthcare payer• Implemented new SalesForce CRM tool for 8 operational functional teams across 14 states • Streamlined UX in Salesforce CRM directly resulting in both a quality and turnaround time improvement of product configuration (50% and 70% improvement, respectively)• Restructured 5000+ operational organization, shifting from silo operations to a cross-functional model, resulting in a culture of clear E2E accountability of commercial account set up and forging direct path to automation initiatives• Migrated over 6 million members from multiple legacy Product systems to central platform -
Manager | Health It Interoperability StandardsEsac, Inc. Oct 2015 - Feb 2017Rockville, Md, Us• Represented the Centers for Medicare and Medicaid Services (CMS) on the development of HL7 interoperability standards to support Value-Based Care programs• Spearheaded the CMS value-based care programs for implementing the first electronic clinical quality measures (eCQMs) • Drafted Implementation Guides on behalf of CMS to advise industry participants (e.g., EHR vendors, health systems, and clinicians) to participate in Value-Based Care programs • Identified and executed policy alignment between various healthcare quality reporting programs -
Associate | Health Policy & Payment ReformApplied Policy May 2012 - Oct 2015Alexandria, Virginia, Us• Procured $23.7M from the Centers for Medicare and Medicaid Innovation for 5 hospices to participate in Medicare Care Choices Model• Successfully obtained facility expansion approval through CMS for physician-owned health system. The health system was 1 of only 5 approved applicants in the country• Conducted impact analyses and simplified complex CMS Prospective Payment System rules and regulations for healthcare industry clients (health systems, pharmaceutical and device companies, etc.)• Authored comment letters on behalf of clients in response to CMS proposed rules and regulations
Reshma Patel Education Details
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Mit Sloan School Of ManagementMaster Of Business Administration - Mba -
Wine & Spirit Education TrustWine Steward/Sommelier -
George Mason UniversityHealth Policy -
James Madison UniversityPublic Health
Frequently Asked Questions about Reshma Patel
What company does Reshma Patel work for?
Reshma Patel works for Elevance Health
What is Reshma Patel's role at the current company?
Reshma Patel's current role is Operations & Product Strategy | MIT Sloan MBA Candidate | Non-Profit Board Director.
What schools did Reshma Patel attend?
Reshma Patel attended Mit Sloan School Of Management, Wine & Spirit Education Trust, George Mason University, James Madison University.
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