Experience

Clearwater Free Clinic

• United States
• Wellness and Fitness Services
• 1 - 100 Employee

• Chairman of the Board

  • May 2023 - Present

• Vice Chair Board Of Directors

  • May 2021 - May 2023



Centene Corporation

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

• Vice President, Medical Affairs Business Operations

  • Jan 2022 - Present

• Staff Vice President & Senior Advisor, Clinical Initiatives

  • Jan 2020 - Feb 2022

  • Assumed position upon merger of Centene and WellCare. I work for the Chief Medical Officer and support both his area and the Population Health & Clinical Operations department (4,500 FTEs, 700+ leaders)• Manage both the strategic and day-to-day communications for the two areas from executive, board of director level to all employee town halls. Work closely with C-Suite and SVP/VP level to effectively executive messaging and material development.• Lead the integration of the two companies for Medical Affairs; effectively working through merging two operating models and teams of medical directors both at the health plans and corporate. Built staffing model to show areas to increase effectiveness and efficiency of the teams. • Currently working on building out COVID-19 vaccine task force designed to respond to the rapidly developing public health initiative; bringing together a cross functional team, establishing work streams, driving health ecosystem solutions and collaboration. Show less



WellCare Health Plans

• United States
• Insurance
• 700 & Above Employee

• Sr. Director, Strategic Initiatives & Chief of Staff (PHS)

  • Jan 2018 - Jan 2020

  • Managed the business rhythm, meetings and governance for our Chief Medical Officer and Population Health Solutions executive leadership team ($450M budget, 5,000 FTEs, 500+ leaders across the enterprise)• M&A due diligence, Integration planning and execution on health plan purchases. Lead clinical integration working on organizational changes & alignment, gap analysis, process and systems migration project planning. Single point of contact and work stream lead for our merger with Centene Corporation.• Owned our department’s strategic planning cycle. Focused leadership to establish our strategic pillars with underlying initiatives with clear outcome metrics. • Managed up and out executive communications to the Board of Directors all the way down through the organization. Deliverables included executive presentations (internal & external), board materials, business performance memos, all-employee messaging, town halls, and summits. • Led material development for the quarterly board of director committee on healthcare quality and access. Worked closely with the CMO and Executive teams to ideate, build materials, and prepare speakers with talking points. • Kept the pulse of the team; owned the various employee engagement initiatives including WellCare’s Day of Service, healthcare professionals week and other celebrations. Show less

• Senior Director, Strategic Initiatives

  • Feb 2017 - Dec 2017

  M&A, Integration Planning and Execution, and Growth Strategies. Developed staffing models for clinical services as well as business strategy.

• Director of Business Strategy

  • Aug 2016 - Jan 2017

  Worked on Growth Initiatives (RFP, M&A, Integration Solutions) and other special projects for the Clinical Services Organization.

• Director, Encounters

  • Mar 2015 - Aug 2016

  Led a technical team that took requirements for our Encounters business team and helped to design and implement technical solutions. The team performed User Acceptance Testing (UAT) and stood up any new business Encounter Data Submissions.

• Sr. Mgr, Medicare/Medicaid Encounters

  • Jun 2013 - Mar 2015

  Submission of Medicare Encounter data to CMS. Focused on move from RAPS to Encounter Based Risk Adjustment.Submission of Medicaid Encounters to State of NY. Reconciliations to ensure timely, complete, and accurate data submissionsEncounter Data Submissions to State Medicaid AgenciesPDE Submission to CMSExpansion / Integration Initiatives include NY FIDA (Medicare-Medicaid Plans) and HIX (Health Insurance Exchanges)

• Senior Manager, Revenue Reconciliation

  • Jul 2008 - Jun 2013

  • Lead the finance reconciliations teams for both Medicare Advantage and Medicaid lines of business. • Manage overall operations responsible for comparing, tracking, and resolving all discrepancies related to the payment capitation received and the company’s enrollment system. Develop monthly expected payment for each 2.5 million lives and compare that to actual receipts. • Created process to enable Enrollment and Payment Attestation requiring all discrepancies be resolved within 45 days. Completed new management reporting for VP–level management; drove accountability with business partners; developed and led tactical checkpoints meetings designed to provide updates to senior management. Show less



GE

• United States
• Industrial Machinery Manufacturing
• 700 & Above Employee

• Billing Manager

  • Jun 2000 - Oct 2007

• Billing Manager

  • Jun 2000 - Oct 2007



GE Commercial Finance (Xerox Capital Services)

• Billing Manager

  • 2000 - 2007