Shelley Webb Email & Phone Number

Seattle, Wa

• Director of Provider Reimbursement Analytics & Finance Data Strategy• Support Network Management Executives across four states in provider negotiation analytics, regional contracting initiatives, accountable health shared risk arrangements, and pay for performance contracts• Support the Chief Actuary and EVP of Healthcare Services in development of unit cost trend targets• Accountability for delivering provider business intelligence; product owner for Optum Impact Intelligence, Milliman HCGs & GRVUs, and Cotiviti DxCGs• Collaborate with Data & Technology Solutions in development of the next-generation data warehouse to support all of Actuarial, Healthcare Informatics, and Finance teams• Experience with a wide span of provider contracting methodologies (DRGs, APC, Total Cost of Care, ACO arrangements, P4P, Value-based Reimbursement, Episodes of Care, Bundled payments), Provider Efficiency Measurement, Limited Network development and Treatment Cost Estimator/Transparency analytics

Provider Contracting Analysis

Provider performance measurement; member cost transparency tool development

Lead actuarial resource for development of a high performance provider network for a large employer group.

Risk assessment and adjustment services; Hospital contract modeling (commercial and MediCal); CMS bid support

Coordinated technical and field resources to expand and maintain upgrades to a national DSL network.

Med, Mathematics

Bs, Psychology

Education record