Director Medicare Advantage
Passport Health Plan And Evolent Health
Louisville, Kentucky Area
Drove overall strategy and execution of CMS, Medicare and other government health programs for Medicare beneficiaries. ► Provided guidance in areas within the business regarding upcoming changes and operational impacts of proposed or approved regulatory changes.► Developed and rolled out plans including network contracting, benefits development, regulatory compliance, recruitment and plan approvals.► Successfully launched Dual Special Needs Plan for Passport Health Plan—grew and retained membership. Received CMS federal approval for two consecutive years.► Supervised a staff of 12 direct reports and 50 support members with staffing, training, development and performance evaluation responsibilities.► Developed and managed four counties territory targeting hospitals, doctor’s practices, and behavioral health facilities, etc.► Provided technical direction to senior management in areas of Medicare rules, policies and regulations.► Managed performance, quality, efficiency, and effectiveness of external operational vendors.