Susan Smith Email and Phone Number
Susan Smith is the Chief Operating Officer at Centene, a leading healthcare enterprise committed to helping people live healthier lives. In her role, Smith oversees key aspects of business operations, population health, the enterprise transformation office, provider experience and quality.With nearly two decades of experience in the payer space, Smith's professional journey includes a 19-year tenure at Humana. She most recently served as Senior Vice President (SVP) of Clinical, Quality and Enterprise Solutions President, where she had oversight of quality; clinical strategy, analytics and product development; clinical operations; risk adjustment; and experience transformation. Smith also served as SVP of Clinical Solutions and SVP of Medicare and played a pivotal role in designing and developing Medicaid operations and building sustainable organizations and processes during transformative periods. She started her career at Colgate-Palmolive.Smith holds a Bachelor of Science in Chemical Engineering and a Master of Engineering in Chemical Engineering from University of Louisville Speed Scientific School.
Centene Corporation
View- Website:
- centene.com
- Employees:
- 10
-
Chief Operating OfficerCentene Corporation Jan 2024 - PresentSaint Louis, Mo, Us
-
Senior Vice PresidentCentene Corporation Jun 2023 - Dec 2023Saint Louis, Mo, UsIn partnership with the People Team, Executive, Business Unit, Market and Product Leaders, and Corporate Communications, we are crafting best-in-class enablement of Centene's enterprise values and cultural attributes, as well as ensuring that our culture is aligned with the company's vision, mission, values, and strategic priorities. This includes enablement of an inclusive, customer-centric, team-based culture that accelerates performance of our strategic initiatives and drives the recruitment, retention and development of top talent, while remaining anchored in our mission.
-
Svp, Clinical, Quality, And Enterprise Solutions PresidentHumana Aug 2022 - Dec 2022Louisville, Kentucky, Us- Newly created enterprise leadership role responsible for clinical and quality analytics, strategy and operations, Stars, risk adjustment, clinical trend management, and enterprise experience transformation- Consolidated teams (approx. 4500 associates) from 4 different Management Team members streamlining the operating model and identifying approximately 8% in administrative cost efficiencies.- Priorities included creating a culture of collaboration and transparency, establishing ways of working, defining success measures, identification of integration opportunities, and prioritizing clinical portfolio to create appropriate balance between optimization of existing programs and development of new interventions. -
Svp, Clinical SolutionsHumana Jul 2021 - Jul 2022Louisville, Kentucky, Us- Responsible for the Enterprise Clinical Operating Model including clinical analytics, strategy, product, and operations.- Leveraged analytics, automation, strategic prioritization, and organizational design to identify and realize administrative cost efficiency gains of 10% within first 6 months.- Team transformed utilization management processes, partnerships and technology to create value through administrative efficiencies, outcome optimization and improved experiences for providers and members. - Implemented agile ways of working within cross-functional product team focused on the post-discharge experience
-
Svp, MedicareHumana Aug 2019 - Jul 2021Louisville, Kentucky, Us- Responsible for national level individual Medicare Advantage growth strategy including competitive positioning of product, consumer focused experience design, distribution strategy, operationalizing member benefits and clinical trend management.- P&L responsibility leader for 3 national level Prescription Drug Plans focused on maximizing enterprise value through leveraging owned pharmacy assets and as a growth driver for Medicare Advantage.- Led all executive level Medicare business and strategy updates to Management Team and Board of Directors.- Leveraged as key enterprise leader for executive level initiatives based on cross-functional experience and ability to build trust-based relationships across all levels of the organization.- Led COVID-19 response team for 2020 member benefit enhancements and 2021 benefit design resulting in improved customer satisfaction and retention.
-
Svp, Healthcare Quality Reporting And ImprovementHumana Oct 2016 - Jul 2019Louisville, Kentucky, Us- Integrated Stars and Provider Engagement teams with Risk Adjustment to create a unified organization focused on quality outcomes for Medicare, Medicaid and Commercial membership.- Created enterprise level focus, operating model and strategy for Stars resulting in industry leading results within 2 years and have sustained leading position for 5 years.- Cultivated relationship with industry’s largest electronic medical record vendor and co-created the first payer platform.- Promoted from Vice President to Senior Vice President January 2018.
-
Vice President, Risk AdjustmentHumana Oct 2014 - Sep 2016Louisville, Kentucky, Us- Expanded scope of responsibility to include end to end risk adjustment functions – analytics, finance, quality, education, retrospective and prospective programs, strategy and audit – for Medicare, Medicaid and Commercial lines of business.- Analytics team created industry leading predictive models creating the foundation for recognition as the industry leader in Medicare Risk Adjustment.
-
Director, Medicare Risk AdjustmentHumana Jan 2013 - Oct 2014Louisville, Kentucky, Us
-
Director, Medicaid ImplementationsHumana May 2012 - Dec 2012Louisville, Kentucky, Us
-
Director, Medicare Enrollment OperationsHumana Jan 2009 - Apr 2012Louisville, Kentucky, Us
-
Manager, Cms Processing Unit And PdeHumana Jun 2006 - Dec 2008Louisville, Kentucky, Us
-
Consultant/Manager, Human ResourcesHumana Mar 2003 - May 2006Louisville, Kentucky, Us
-
Human Resources GeneralistColgate-Palmolive Sep 2002 - Feb 2003New York, New York, Us -
Team Leader/Process EngineerColgate-Palmolive Jun 1998 - Sep 2002New York, New York, Us
Susan Smith Education Details
-
University Of LouisvilleChemical Engineering -
University Of LouisvilleChemical Engineering
Frequently Asked Questions about Susan Smith
What company does Susan Smith work for?
Susan Smith works for Centene Corporation
What is Susan Smith's role at the current company?
Susan Smith's current role is Chief Operating Officer at Centene.
What schools did Susan Smith attend?
Susan Smith attended University Of Louisville, University Of Louisville.
Who are Susan Smith's colleagues?
Susan Smith's colleagues are Chelsie Flinn, Rd, Ld, Cdces, Parmvir Dhillon, Karen Blythe, Amber Vollmer, Merri Roussell, Taylor Bowen, Mha, Carrie Holt.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
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.
Start your free trial