Successfully led transformation in the healthcare industry by utilizing cutting edge and state of the art services in the continuous quest for the value based care for all (to provide the highest quality of care at the lowest possible cost). Vigorously pursued and championed healthcare Triple Aim by: improving the individual experience of care; improving the health of populations; and reducing the per capita costs of care for populations. Identified and implemented resources to meet market needs. Successfully led implementation activities and achieved 100% of the regulatory requirements.Expertise in healthcare include Medicare, Medicaid, Group/ Individual, Provider Network, Contract Negotiations, Hospital Contracts, Claims/ Reimbursements, Reference Based Reimbursement/ Claims Repricing, Health Plan Implementation, Lobbying, New and Upcoming Healthcare Legislation, compliance with all the State and Federal regulations, Provider relations, Provider network adequacy, Provider network growth, Call center operations, Member retention/ growth, financial planning, budget control, profit & loss, budget forecasting, financial reporting, marketing strategies, advertising and promotions, Field operations, maintaining strong working relationship with the State and Federal, Strategic Planning, Project Management, Change Management, Customer Relationship Management (CRM), Strategy, Program Management, Customer Service, Healthcare Information Technology (HIT), Healthcare, Information Technology, Lean Six Sigma, Business Process Improvement, maintaining NCQA standards, CHIP, TANF, LTSS, DSNP, Foster Care, Behavioral Health.