Sean Flaherty Email & Phone Number

Chanhassen, MN, US

-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.

Cincinnati, 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

Minnetonka, 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

Minnetonka, 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

Louisville, 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

Louisville, 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

Eden 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.

Eden Prairie, MN, US

Eden Prairie, MN, US

Member 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.

Minnetonka, 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

Arlington, 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.

Minneapolis, 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

• 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