Building a peer based, community driven model of care to connect individuals with Serious Mental Illness to higher quality, timely services.

-Manage strategic growth of Medi-Cal and commercial accounts in Beacon’s California market -Ensure that Beacon is meeting and exceeding contractually obligated SLAs -Target 2-3 initiatives annually that will help bolster and grow accounts based on clients’ evolving needs (i.e. clinical initiatives, telehealth, digital therapeutics, etc.) -Develop strategy for financial relationship between Beacon and plan partners (case rate, ASO PMPM, risk, etc.) - Manage Beacon’s strategic vendor partnership to implement home-based telepsychiatry services in California - Structuring Beacon’s operational relationship with Insight Telepsychiatry to manage telepsychiatry cases (claims, credentialing, clinical and member services workflows, reporting, etc.) -Evaluating potential eCBT vendors and products to enhance access to therapy services for members

- Established strategy for Employee Assistance Program (EAP) line of business after merger with Value Options. This included analyzing legacy portfolio of business, market competitors, market trends, and fit within organization-wide growth strategy- Began early stage exploration of a housing benefit as part of a pilot program, with intentions of proposing as a Medicaid benefit down the line. This included studying current funding streams for housing programs, understand the structure of a successful program, and figuring out how Beacon could add value to the system and participate.

- Developed relationships with health plans to integrate Beacon’s behavioral health model with the health plans’ medical and disease management programs- Built presentations for states and plans to influence and shape the direction in which behavioral health benefits are managed- Prepared Beacon’s managed Medicaid plans to understand the implications of impending Autism mandates and created presentations demonstrating Beacon’s capabilities in the space

Senior Products, Dual Eligible and Medicaid Strategy - Develop strategy for dual eligible demonstrations, long term care procurements, and Medicaid procurements for Humana’s Northern and Southern Senior Products Divisions, Assess opportunities by analyzing state proposals(i.e. populations included, carved out benefits, requirements that could potentially preclude participation, etc.)- Merge proposal analyses with regional market strategy from market leadership. Report out to our Senior Products corporate leadership on recommendations to move forward with proposed state initiatives- Work on identifying behavioral health and long-term care partnerships on a state-by-state basis and develop the functional roles each partner will serve, given the structure of the state proposal - Lead the Request for Proposal (RFP) process for my assigned divisions. This involves managing the written responses by our Corporate Proposal Center and writing the executive summaries- Work as the lead consultant for Florida’s Managed Medical Assistance initiative (the state’s Medicaid expansion proposal), Humana’s application to become a licensed long term care plan in New York, and New York’s Fully Integrated Dual Advantage Program (the state’s dual eligible demonstration)- Work as the lead consultant for coordinating a separate CMS application process for duals demonstrations across all Senior Products Divisions- Formulate Medicaid Managed Care and Duals Strategy for Humana's Senior Products Central Division

Enterprise Consulting Group - Transformational Cost Reduction: Constructed a business case for the restructuring of identified shared services departments (project management, finance, policy and procedure, and customer care and process quality). This consisted of creating “Centers of Excellence” to consolidate these services and reduce redundant process throughout the organization. This resulted in a projected committed savings of $46 million.- Risk Provider Staffing Assessment: Developed an assessment of the costs Humana incurs by bringing risk and delegated risk providers into its provider network. The assessment involved identifying and evaluating administrative costs to departments within the organization that help support risk and delegated providers, and finding incremental costs incurred from supporting risk versus non-risk providers. My final deliverable was a predictive tool to forecast future administrative costs based on growths in risk membership, risk contracts, and delegated contracts.

Senior Products, Intermountain Region - Analyzed Utah LPPO product reimbursement trends for contracted facilities and worked with medical director and case managers to structure clinical initiatives to address irregular payments- Studied patients’ 14-day readmit rates in the state of Washington to determine why the region’s rates were higher than the regional and national averages- Researched HMO competitors and provider groups to identify where product implementation would be possible for the state of Washington in 2012