Sean Flaherty Email and Phone Number
Chanhassen, MN, US
Sean Flaherty's Location
Chanhassen, Minnesota, United States, United States
Sean Flaherty's Contact Details
Sean Flaherty work email
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Sean Flaherty personal email
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About Sean Flaherty
Passionate about people and developing talent. I enjoy working with highly collaborative and diverse teams. I embrace variety and change with a focus on increasing my understanding of how systems work together as a whole to enable insights within. I have over a decade of experience in healthcare; possessing skills in health plan operations, product development, relationship management, strategic growth initiatives, and client delivery. I'm currently with Sunny Rewards where I provide strategic guidance with core cross-functional partners throughout partnerships, data science, product and engineering. Focused on the intersection of social determinants of health, predictive analytics, and value-based care. How Sunny Rewards is differentiated:-A leading digital first experience that consolidates various benefit types into a single, intuitive platform to drive an elevated user experience with improved health outcomes-Strategic MA growth via a partnerships with retailers to drive cost savings to consumers-Analytical tools that will help commercial clients determine and track effectiveness of benefit programs__________________________________________________________________________________Clifton Strengths-Finder Top 5 Results:1. Achiever2. Restorative3. Harmony4. Competition5. Relator
Sean Flaherty's Current Company Details
Rxfunction, Inc.
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Reimbursement Consultant
Chanhassen, MN, US
- Website:
- rxfunction.com
- Employees:
- 68
Sean Flaherty Work Experience Details
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Reimbursement ConsultantRxfunction, Inc.Chanhassen, Mn, Us
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Vice President Of Partnership DevelopmentSunny Rewards Feb 2024 - May 2024-Leading strategic development and national expansion in government markets, specifically Medicare/Medicaid, by cultivating key relationships and pioneering channel partnerships with Payers, consultants, and CPG entities-Directing product strategy and innovation for Consumer Packaged Goods (CPG) and payments, focusing on delivering consumer-centric, digital, and mobile-first solutions that enhance benefits and streamline payments in the healthcare sector-Spearheading the strategic product roadmap alongside Sunny Rewards' senior leadership, driving revenue growth, and ensuring the integration of cutting-edge payment processing features to meet the evolving needs of Medicare Advantage health plans
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(84.51) Director Of Partnership DevelopmentKroger May 2021 - Feb 2024Cincinnati, Ohio, Us• Successfully introduced 9 co-branded Kroger + Anthem Medicare Advantage plans, achieving remarkable year-one growth of 25,000+ members• Orchestrated the deployment of in-store kiosks for Medicare Advantage enrollment across 2,000+ stores• Pioneered lookalike modeling in collaboration with data scientists to identify high-potential Kroger customers for Medicare Advantage plans, surpassing Anthem's engagement benchmarks• Assisted in developing Medicare Advantage bid financial models to inform negotiations with Fortune 500 National Payers for contracts driving several million in revenue -
Director Of Medicare Advantage Growth StrategyUnitedhealthcare Jan 2020 - May 2021Minnetonka, Mn, Us• Strategic leadership of Medicare Advantage Growth through product design, incentives, retention, and competitor insight with over 2M members in UHC Medicare & Retirement’s West Region• Collaborate with cross functional business partners to develop full product portfolio offerings and strategic investment in benefits to consistently drive 10%+ growth in Medicare Advantage enrollment• Drive enrollment retention through strategic marketing campaigns and provider partnerships to educate members on the full value proposition of UnitedHealthcare• Lead competitive intelligence product comparisons at the local market level and advise health plan CEOs of product positioning and expansion opportunities • Partner with sales and marketing to collect and analyze broker feedback to enhance product experience and evaluate new product features -
Associate Director Of Strategic ProgramsUnitedhealthcare Jun 2018 - Dec 2019Minnetonka, Mn, Us• Collaborated with cross functional business partners to improve HouseCall acceptance rates and drive over $1B in revenue through strategic risk adjustment programs • Generated $645 million in internal operating income by driving successful implementation of risk adjustment programs and quality initiatives through strategic prioritization of provider workflows• Demonstrated success by expanding a virtual based practice support model that generated an additional $1.8M in revenue• Responsible for the strategic leadership of supplemental HEDIS data exchanges, risk adjustment, and provider incentives, covering 10k+ providers with over 1M members in UHC Medicare & Retirement’s Central region
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Provider Engagement ExecutiveHumana Apr 2017 - Jun 2018Louisville, Kentucky, Us• Relationship owner for 12 integrated delivery systems on value-based contracts with Humana Medicare Advantage in a shared savings arrangement• Created strategic partnerships within integrated delivery systems to improve health efficacy, efficiency, and profitability • Managed the P&L for provider groups based contractual targets through the successful implementation of various clinical & non-clinical intervention opportunities • Facilitated the collaboration of internal departments, such as medical management and risk adjustment, and their efforts to make the provider groups successful in accomplishing their P&L goals• Leveraged discipline and expertise to influence, lead and educate people and groups in order to optimize market operations results -
Strategic ConsultantHumana May 2016 - May 2017Louisville, Kentucky, Us• Drove the execution of various strategic and operational initiatives across functional lines on both a regional and organization wide basis• Effectively communicated strategy, plans, and results as it related to the successful operation of the 7 state Central North region with 75,000 Medicare Advantage members• Prepared and presented competitive benefit analysis to leadership in preparation for filing 27 Medicare Advantage plans with CMS• Managed accountability within a matrixed organization to ensure successful completion of milestones and deliverables in a timely manner• Developed strategies that effectively capitalized on opportunities across financial, provider engagement, product design, STARS, medical management, and risk adjustment functional areas
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Healthcare ConsultantOptum Jun 2015 - May 2016Eden Prairie , Mn, Us-Awarded UnitedHealthcare’s prestigious Innovation Award, recognized among 140,000 employees for developing the Patient Care Opportunity Report, which significantly improved patient adherence, boosted Medicare STAR ratings, and remains in use today-Improved reporting and analytics for STAR ratings, resulting in a 43% increase in members in 4-star or greater plans from 2014 to 2015-Managed a team of twelve in migrating data to a new reporting environment, supporting a $7.2 million budget-Leveraged consultative selling skills and industry expertise to identify business process reengineering opportunities, define client requirements, and deliver solutions that increased revenue for Optum's healthcare consulting services-Led and managed five direct reports from the Leadership Acceleration Program, developing consulting talent in healthcare while overseeing multiple work streams, driving process improvements, and resolving critical issues -
Senior Business AnalystOptum Jan 2013 - Jun 2015Eden Prairie , Mn, Us
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Senior Research AnalystOptum Jan 2012 - Jan 2013Eden Prairie , Mn, UsMember of the Leadership Acceleration Program, as part of OptumInsight, a tailored program for recent college graduates who are interested in developing a consulting career in the Health Care industry. The program typically lasts four years and includes the following:- Focused professional development including live and computer based training- Professional networking, executive exposure, and community outreach activities- A dedicated professional mentor to help guide and shape my career path- Opportunities to work with seasoned industry professionals- Exposure to the most complex problems in health care via “real” client workPosition responsibilities include:Working directly with our clients to help determine needs and solve complex business problems.
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Associate Product Specialist With Unitedhealthcare Medicare & RetirementUnitedhealthcare Jan 2011 - Jan 2012Minnetonka, Mn, Us•Supported product management to ensure the successful implementation of strategic and tactical business solutions•Assisted in evaluating and implementing product changes by providing data analysis and reporting (new, routine, ad hoc reports, and analysis)•Planned, organized, and managed responsibilities to continuously improve the benefit design and filing process
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SergeantArmy National Guard Dec 2003 - Jun 2011Arlington, Virginia, Us-Graduated in top of class for three military advanced individual training schools including, Air Defense Artillery, Chaplain’s Assistant, and Infantry-Awarded three Army Achievement medals for exceptional performance-Awarded a Meritorious Service Medal, which was recommended by a superior officer, for the ability to effectively manage the logistics and schedule of the administrative center while serving in Operation Iraqi Freedom-Served as Battalion Safety Non-Commissioned Officer and gained valuable leadership experience while dealing with a wide variety of problems, conflicts, and deadlines-Job Description of 11B (Infantry) Team Leader:He is a fighting leader who leads by example. He has authority over his subordinates and overall responsibility for their actions. Under the fluid conditions of close combat, the team leader must accomplish assigned missions using initiative without needing constant guidance from above. His position on the battlefield requires immediacy and accuracy in all his actions. Responsible for all his team does or fails to do, the care of his men, weapons, and equipment. He is the subject matter expert on all the team's weapons and battle drills. Leads his team in fire and maneuver and assists the squad leader as required. He is prepared to assume the duties of the squad leader at any time. -
Implementation AnalystSps Commerce Jun 2010 - Jan 2011Minneapolis, Mn, Us•Communicated directly with customers regarding project status or resolving technical or business issues to ensure a high customer satisfaction•Managed numerous daily projects while providing a quality experience for customers•Enriched clients with the knowledge to complete data flow -
Operations AssistantWsi Sports Dec 2009 - Jan 2010•Worked alongside full-time staff to increase efficiency in sale fulfillment process•Decreased daily sales outstanding by organizing, categorizing, and targeting customers with outstanding balances
Sean Flaherty Skills
Business Intelligence
Leadership
Business Analysis
Management
Business Requirements
Project Management
Quality Assurance
Microsoft Excel
Sharepoint
Data Analysis
Business Process Improvement
Visio
Access
Powerpoint
Systems Analysis
Edi
Market Research
Usability Testing
Kpi Dashboards
Business Solution Delivery
3pl
Process Consulting
Analysis
Marketing
Data Center Virtualization
Human Centered Design
General Systems Theory
Consulting
Microsoft Access
Sean Flaherty Education Details
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Bethel UniversityBusiness; Finance & Marketing
Frequently Asked Questions about Sean Flaherty
What company does Sean Flaherty work for?
Sean Flaherty works for Rxfunction, Inc.
What is Sean Flaherty's role at the current company?
Sean Flaherty's current role is Reimbursement Consultant.
What is Sean Flaherty's email address?
Sean Flaherty's email address is fl****@****hel.edu
What schools did Sean Flaherty attend?
Sean Flaherty attended Bethel University.
What are some of Sean Flaherty's interests?
Sean Flaherty has interest in Children.
What skills is Sean Flaherty known for?
Sean Flaherty has skills like Business Intelligence, Leadership, Business Analysis, Management, Business Requirements, Project Management, Quality Assurance, Microsoft Excel, Sharepoint, Data Analysis, Business Process Improvement, Visio.
Who are Sean Flaherty's colleagues?
Sean Flaherty's colleagues are Laura Jacobs, Pt, Dpt, Ncs, Megan Manning, Shannon Gibbons, Sean Thompson, Amanda Seys, Dursitu Abdurahman, Cassie Smith.
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