Experience

Cigna Health Spring

• United States
• 100 - 200 Employee

• Regional President

  • Aug 2019 - Present



Self-employed

• Real Estate
• 1 - 100 Employee

• Independent Consultant

  • Apr 2018 - Aug 2019



Highmark Inc.

• United States
• Insurance
• 700 & Above Employee

• Senior Vice President

  • Jul 2016 - Mar 2018

  P&L leadership of Senior market segment with $4B in Revenue, covering 450k Medicare enrollees in Medicare Advantage plans, Medicare Supplement plans and stand-alone PDP plan. Direct responsibilities included P&L management, product development and implementation, sales and day to day operations. Direct reports included four VPs and Senior Medical Director. Developed three year robust segment strategy, recruited Medicare experienced leadership team, established operating model with matrix business partners, led product development strategies within all offerings to appropriately position Product continuum for long term success and initiated many needed operational changes.



Self Employed Consultant (Management)

• Principal Consultant

  • Feb 2016 - Jun 2016

  Strategic Consulting and Coaching, including business plan & sales strategy development



Humana

• Brazil
• Professional Training and Coaching

• Corporate Vice President-Strategy & Product Development, Senior Segment

  • Nov 2010 - Jan 2015

  Led national Medicare product strategy development across all corporate cross functional teams and market based P&L leaders. Provided expert leadership to the Medicare Product Strategy and Development Team, encompassing more than 200 associates to manage all aspects of federal contracts with CMS for Medicare Advantage and Prescription Drug Plans. Rendered keen oversight to CMS relationships for Medicare Advantage, Prescription Drug Plans, and Medicare Medicaid Demonstration Plans, along with all CMS Medicare Advantage application filings, product bid development, approvals, and contract compliance. Supervised all aspects of the development and oversight of member product communications and programs. Directed team operations across other lines of business for Federal and State Health Exchange product filings and Medicaid product application filings. Formulated, implemented, and administered Medicare acquisitions product strategy and integration. Led the development and implementation of many new corporate initiatives. Shared Profit and Loss responsibility for Medicare business line with divisional market leadership.



Humana Inc.

• United States
• Insurance
• 700 & Above Employee

• Regional President

  • Sep 2005 - Nov 2010

  Grew Medicare Advantage membership from 40 to 130K in three year period. Led new market expansion across 10 states; Led financial turnaround of Phoenix market; Met or exceeded membership and margin targets, 4 out of 5 years.

• Regional President

  • Jul 2000 - Aug 2005

  Regional P&L leader for Commercial and Medicare business lines with 115K covered lives. Led significant financial turnaround of Kansas/Missouri Plan. Assumed additional responsibility for Colorado market, served as mentor to sales VP. Achieved high profile, respected leadership stature externally in Greater Kansas City community. Successful URAC, NCQA accreditation and CMS regulatory reviews. Successful relationships with KS/MO State regulators and CMS leadership. Served on Board of Directors for multiple civic and charitable non-profit organizations over 5 year period.

• Market President

  • Dec 1991 - Jul 2000

  5 years as Associate Executive Director of Humana Health Plans-Central Florida based in Orlando; promoted to Executive Director of new start up Medicare market in Sarasota/Manatee; then promoted to Market President of South Texas market based in Corpus Christi, TX in January 1999. Led multiple market financial turnarounds, new growth, product launches, physician clinic acquisitions, provider risk contract negotiations/management and complex provider hospital system contract negotiations.