Shawn Sullivan Email & Phone Number

Durham, Nc, Us

• Deliver program management and digital transformation advisory services for healthcare organizations, focusing on optimizing operations and enhancing IT infrastructure.• Presently leading a Salesforce implementation to modernize a local homeless shelter’s IT systems • Provided Customer Experience advisory services to one of the largest health insurance firms in the U.S., driving improved member engagement strategies.

Atlanta, Ga, Us

• Onboarded into the executive leadership team to design and launch clinical in-home solutions, expanding existing non-medical patient support services and enhancing market offerings.• Served as interim Head of CareLinx Home Health, overseeing a $55M revenue target (2023) and managing 300+ onshore and offshore resources, customer success, and account management during leadership transition.• Led the development and launch of a new offering for health plans, blending non-medical home visits with telehealth to close care gaps, improve quality metrics, and capture diagnoses for risk adjustment.

Durham, Nc, Us

• Led the consulting arm of the data and analytics division to deliver solutions and products across the enterprise, growing the team from 120 to 230 members over two years, including 90 to 180 U.S.-based staff and 30 to 50 offshore resources in India.• Designed and implemented an agile operating model, aligning 25-30 multi-capability analytics teams / pods with enterprise functions to drive integration and impact across the organization and to drive adoption of a customer-centric, product mindset for ongoing strategic planning and operational execution.• Oversaw delivery of solutions supporting strategic priorities, including value-based care models, Medicare Advantage Stars, cost/quality metrics, customer experience analytics, customer 360 profiling, and market segmentation.• Managed a $30M divisional budget and $92M discretionary investment portfolio, advancing capabilities in cloud infrastructure, data governance, and AI/ML tooling to ensure data-driven growth.• Chaired the data-driven insights committee, collaborating with eight senior executives to prioritize and fund the data and analytics project portfolio, a $92M annual budget, to ensure alignment with broader business strategy and performance priorities.• Developed and implemented medical expense trend management and cost-saving solutions, delivering over $450M in savings over three years by optimizing care delivery, reducing unnecessary expenses and influencing site of care selection.• Led the creation of a Medicare Advantage (MA) Stars product suite that drove a 1-star improvement in the company’s MA rating by leveraging predictive impact analysis and prioritizing high-impact focus areas.• Cultivated a talent-driven, empathetic culture focused on building high-performing teams aligned with the broader organizational goals and a shared vision, while providing employees with clear advancement and growth opportunities.

Durham, Nc, Us

• Provided leadership and governance to a team of 75 employees to develop the enterprise analytics capability maturity roadmap, which served as a core component of the greater data science and analytics organization.• Defined and approved the data and analytics requirements for all large enterprise initiatives, including initiatives in support of a (1) 4-star rating for Medicare Advantage, (2) implementation of Optum Performance Analytics (OPA) platform to support employer/provider reporting, and (3) all data and reporting requirements for the value-based care program.• Oversaw allocation and execution of $18M annual operating budget.

Durham, Nc, Us

• Directed a $45M multi-year program to establish an omni-channel customer engagement platform and execute a digital strategy roadmap, enhancing consumer interactions, driving usage and contributing to $220M in both administrative and medical expense savings.• Delivered marketing automation, digital channel activation, “next best action” capabilities, consumer analytics, new digital channels, and customer 360 profiling over five years.• Led the digital and mobile product strategy, shaping the front-end experience for enterprise web and mobile platforms, driving engagement and usability.• Managed a diverse technology vendor ecosystem, including SAS, Salesforce, PWC, and Optum, fostering partnerships to support evolving business needs.• Led campaign operations, providing internal customers with automation tools, campaign measurement frameworks, and insights into channel effectiveness and business value.• Managed a team of 30–40 employees and contractors, as well as strategic programs with 150+ team members.

Durham, Nc, Us

• Selected as one of two people to form a new division within the company, tasked with leading change management initiatives and prioritizing investments in response to healthcare reform legislation. Expanded the team to 18-20 employees and contractors over two years.• Developed and led the enterprise project portfolio planning function, driving project prioritization, financial analysis, reporting, resource capacity planning, value measurement and portfolio optimization.• Managed an annual enterprise project budget of $260M and a $14M divisional budget for business transformation, ensuring effective financial oversight and alignment with strategic objectives.

Durham, Nc, Us

• Led the design and implementation of a new internal and external sales compensation schedule, driving revenue and market growth by optimizing the sales incentive structure for 150 internal employees and 5,200 external insurance brokers.• Managed a $78–$80M operational budget for sales and marketing, overseeing 25–30 employees and contractors to optimize operational efficiency.• Directed commission and incentive operations, ensuring accurate $290M annual payouts to 5,300+ employees and insurance brokers.• Served on the corporate investment committee, overseeing fiduciary management of $400M+ in assets during 2008–2009.

Durham, Nc, Us

Managed the J.D. Edwards Collaborative Planning consulting practice within the organization – including the creation of the company’s implementation methodology and the management of the Demand Planning component of world-wide implementations.

Austin, Texas, Us

Served as consulting engagement manager and Demand Chain subject matter expert responsible for multiple global implementations of the company’s Demand Planning software (Demantra)

Ahip - Certified Health Insurance Executive (Chie), Health/Health Care Administration/Management

Mba, Information Management

Bs, Mathematics