Experience

Chamber Cardio

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Co-Founder & CEO

  • Dec 2022 - Present



The George Washington University Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Board Member on Board of Directors

  • Sep 2022 - Present



Somatus

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Group President

  • Apr 2022 - Nov 2022



CareFirst BlueCross BlueShield Community Health Plan DC

• Washington, District of Columbia, United States

• President & CEO

  • Jan 2020 - Apr 2022

  As the President and CEO of CareFirst BlueCross BlueShield CHP, Mr. Aloth leads the strategic vision to successfully achieve business growth and maximize business outcomes. Responsibilities: - Develop and manage the senior leadership team - Optimize efficiencies and drive streamlined operations - Deliver financial and performance reporting to the Board of Directors - Ensure compliance with all regulatory requirements - Lead execution of tactical programs to boost performance Show less



Trusted Health Plans, Inc.

• Chief Operating Officer

  • Aug 2017 - Jan 2020

  As the COO for Trusted Health Plans, Mr. Aloth guided the strategy and execution of key business initiatives including merger & acquisitions, market expansion, and organizational transformations. Responsibilities:- Led the acquisition by CareFirst BlueCross BlueShield- Translated market insights into strategic action plans- Mitigated financial risk through due diligence and informed decision making- Worked with local and federal regulators- Integrated and measured KPIs to assess progress toward goals- Forecasted business needs and hired talent to deliver on future goals- Introduced wellness centers to reduce ER visits- Transformed the corporate structure and operational model Show less

• Chief Compliance & Privacy Officer

  • Jun 2014 - Aug 2017

  In this role, Mr. Aloth established the compliance department to improve regulatory adherence across the organization. Responsibilities:- Developed and integrated SOPs- Analyzed law and regulations to update internal processes- Launched a vendor oversight program- Conducted and assessed privacy risk and compliance audits- Developed a Compliance & Performance Monitoring program- Delivered measurable bottom line improvements



Cigna Healthcare

• Hospitals and Health Care
• 700 & Above Employee

• Regulatory Medicare/Medicaid Compliance

  • May 2013 - Jun 2014

  Managed implementation of Illinois Medicaid and Medicare-Medicaid dual plans to improve compliance efforts and deliver organization-wide training in response to challenges. Responsibilities: - Led internal compliance audits - Defined corrective action plans for deficient areas - Launched and scaled the new product line within the IL market Managed implementation of Illinois Medicaid and Medicare-Medicaid dual plans to improve compliance efforts and deliver organization-wide training in response to challenges. Responsibilities: - Led internal compliance audits - Defined corrective action plans for deficient areas - Launched and scaled the new product line within the IL market



Centers for Medicare & Medicaid Services

• United States
• Government Administration
• 700 & Above Employee

• Senior Associate at Clifton Larson Allen

  • Dec 2010 - May 2013

  Served as a contractor to perform Compliance & Performance Reviews of Medicare health plans for the Centers for Medicare & Medicaid Services. Responsibilities: - Managed teams of auditors to carry out all compliance and performance evaluations - Reviewed plans to ensure compliance with federal Medicare laws - Performed reviews for Compliance, Agent/Broker, Coverage Determinations, Organizational Determinations, Appeals and Grievances, Part C Access, and Enrollment - Prepared and presented findings to CMS management and health plan executive leadership Show less