As part of CVS Heath's goal of improving patient health, manage the preparation and presentation of data sharing with partnered healthcare entities operating in a Population Health environment. The data shared aims to provide both patient level and aggregate directional insights to identify multiple ways to improve outcomes and demonstrate trend and individual opportunities where CVS Heath and a health system/provider could collaboratively effectuate improved health for a patient population. Lead reporting of team budgeted revenues and expenses to track and ensure business unit meets corporation established goals. Oversee contract preparation and negotiation for new agreements and amendments to agreements where a shared business need is presented. Calculate commissions and set targets for specialty pharmacy prescriber sales team.

Managed 30 plus health insurance agreements for a two hospital system in Providence, RI to ensure maximum financial returns and contractual protections and maintain contractual compliance of all involved parties with corrective actions produced by either party where applicable.Chaired three multidisciplinary committees (Performance Incentives, Denials Management and Revenue Cycle) seeking solutions and improvements to issues causing financial and/or operational difficulties

Managed the relationship between market's largest commercial payer and the hospitals and physician groups within the provider network and steer any operational issues to resolution within the relationship. Hospital and physician group contract negotiations and the administration of those hospital participation agreements represents the majority of responsibility. Also, worked extensively on the development of BCBSRI's Patient Center Medical Home network, the structure of the physician network and worker's compensation projects.

Facilitated United Healthcare's introduction to the Pennsylvania health insurance market by transitioning from a rental network to a direct relationship with providers. Was responsible for the contractual relationship of entire Northeastern PA market and some hospitals in central Pennsylvania before relocating to Rhode Island. Agreements were negotiated consistent with pricing and methodology goals.