Ryan Wilkie

Ryan Wilkie Email and Phone Number

Vice President of Operations at Carelon @ Carelon
Ryan Wilkie's Location
Concord, Massachusetts, United States, United States
Ryan Wilkie's Contact Details

Ryan Wilkie work email

Ryan Wilkie personal email

About Ryan Wilkie

• Oversight of operations for region comprised of 30+ clients (health plan and state direct accounts) and over 10M Medicaid, Commercial, and Medicare lives. As well as oversight of top tiered provider operations and trade organizations throughout the region. • Lead of driving organizational business decisions to accomplish prioritization of IT projects company-wide. • Focused on short term and long-term initiatives that would improve operational efficiency, increase client satisfaction and facilitate growth in the region.• Lead Value Based Purchasing for Northeast Region. Built a pipeline of providers for VBP expansion and improved clinical key performance indicator (KPIs) within Northeast region.• Responsible for maintaining accuracy for plan performance guarantees as well as all informational, and financial reporting• Oversees the operations team that is responsible for the implementation from end-to-end for all new products and upsells • Develops talent plans for direct reports and reviews all talent plans for entire region(s) staffing and prepares direct reports for continued growth within the team and organization. • Responsible for the development of regional operational blue chip goal development and implementation across all market/region(s) of oversight. Accountable for all operational strategy, including but not limited to network recruitment/access, client operational design, system design, claims workflows, data exchange workflows, and covered services. Develops the regional operational goals across multiple markets and trains staff on annual goals.• Meets with Market Presidents and Senior leaders on the Account Management team to review annual strategic growth and operational goals. • Meets weekly with Directors and SVP’s of all shared service lanes (claims, EDI, Network, IT) to review regional initiatives/projects/problems and drives teams to overall solutions across multiple functional lanes.• Responsible and accountable for the teams that oversee all client reporting and analytics activities and ad hoc request. Decision maker on escalated priorities and ensuring that all reporting is appropriately prioritized across shared services and clients. • Audit management, which required the review of UM, HR, credentialing, and appeal policies, and NCQA accreditation standards. • Expertise in legacy UI configuration between Network, Claims, and Clinical• Knowledge of all operations including, Credentialing, Provider Relations, Clinical, Member Services, Claims, and Account management

Ryan Wilkie's Current Company Details
Carelon

Carelon

View
Vice President of Operations at Carelon
Ryan Wilkie Work Experience Details
  • Carelon
    Vice President Operations
    Carelon Mar 2023 - Present
    Boston, Massachusetts, United States
  • Beacon Health Options
    Vice President
    Beacon Health Options Dec 2018 - Mar 2023
    Greater Boston Area
  • Beacon Health Options
    Assistant Vice President Of Operations - Northeast Region
    Beacon Health Options Jul 2017 - Dec 2018
    Boston, Ma
  • Beacon Health Options
    Program Director - Client Partnerships
    Beacon Health Options Aug 2015 - Jul 2017
  • Beacon Health Options
    Operations Manager - Client Partnerships
    Beacon Health Options Aug 2013 - Jul 2015
    Woburn, Massachusetts
  • Beacon Health Strategies
    Senior Manager Of Member Services
    Beacon Health Strategies May 2013 - Aug 2013
  • Beacon Health Strategies
    Manager Of Member Services
    Beacon Health Strategies Aug 2011 - May 2013
    Woburn, Ma
  • Putnam Investments
    Technical Coordinator
    Putnam Investments Oct 2006 - Aug 2011
  • Putnam Investments
    Client Service Specialist
    Putnam Investments Dec 2003 - Oct 2006

Ryan Wilkie Skills

Mutual Funds Call Center Process Improvement Team Management Call Centers Training Leadership Management Recruiting Employee Benefits Business Process Improvement Insurance Microsoft Excel Customer Retention Policy Business Analysis Finance Analysis Data Analysis Customer Service Operations Management Project Management Forecasting Relationship Management Hipaa Access Microsoft Office Software Documentation Team Building

Ryan Wilkie Education Details

Frequently Asked Questions about Ryan Wilkie

What company does Ryan Wilkie work for?

Ryan Wilkie works for Carelon

What is Ryan Wilkie's role at the current company?

Ryan Wilkie's current role is Vice President of Operations at Carelon.

What is Ryan Wilkie's email address?

Ryan Wilkie's email address is ry****@****ons.com

What schools did Ryan Wilkie attend?

Ryan Wilkie attended University Of Massachusetts Lowell.

What skills is Ryan Wilkie known for?

Ryan Wilkie has skills like Mutual Funds, Call Center, Process Improvement, Team Management, Call Centers, Training, Leadership, Management, Recruiting, Employee Benefits, Business Process Improvement, Insurance.

Not the Ryan Wilkie you were looking for?

  • Ryan Wilkie

    Worcester, Ma
    2
    umassmemorial.org, mountsinai.org

    3 +197830XXXXX

  • Ryan Wilkie

    Alpharetta, Ga
    2
    winmo.com, gmail.com
  • Ryan Wilkie

    Denver Metropolitan Area
  • Ryan Wilkie

    Director Of Business Development And Strategic Purchasing At Palmetto State Armory
    Columbia, South Carolina Metropolitan Area
    4
    imd-soluciones.com.ar, yahoo.com, ellettbrothers.com, palmettostatearmory.com

Free Chrome Extension

Find emails, phones & company data instantly

Find verified emails from LinkedIn profiles
Get direct phone numbers & mobile contacts
Access company data & employee information
Works directly on LinkedIn - no copy/paste needed
Get Chrome Extension - Free

Aero Online

Your AI prospecting assistant

Download 750 million emails and 100 million phone numbers

Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.