Experience

IMPOWR by Continual Care Solutions

• United States
• Software Development
• 1 - 100 Employee

• Special Projects Executive

  • Nov 2022 - Present

  Delivering a uniquely tailored operating system and tools for Community Based Organizations allowing them to seamlessly connect with the healthcare delivery ecosystem #SDoH #CBO #API #HL7 #SDoHspecialists #Communitysupports #HealthEquity #HighPerformanceSocialNetworks Delivering a uniquely tailored operating system and tools for Community Based Organizations allowing them to seamlessly connect with the healthcare delivery ecosystem #SDoH #CBO #API #HL7 #SDoHspecialists #Communitysupports #HealthEquity #HighPerformanceSocialNetworks



Tight Ship Advisors Inc.

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Founding Member & Board Of Directors

  • Oct 2017 - Present

  ‒ Lead for Strategic Planning and Partnerships ‒ Developed and launched Corporate service line: Managed care consulting vertical in support of health plan and financial professional market engagement Tight Ship provides two unique solutions for Consumer and Corporate clients: Consumer: Concierge support for home, health and lifestyle to high net worth families and individuals. Specializations include collaboration with family and financial management specialists in support of seniors evolving needs. Corporate: Executive Managed Care consulting – Strategic operational development, market entry, product development and launch, Operational optimization and change management (Medicaid, Medicare, MLTSS, Health Equity and Social Determinants of Health (SDoH) initiatives) http://tight-ship.com Show less



GoHealth

• United States
• Insurance Agencies and Brokerages
• 700 & Above Employee

• Vice President - Operations

  • Jan 2021 - Apr 2022

  VP of Operations – Medicare Advantage – Process Optimization & Strategy, Workforce Management, Telephony ‒ Developed and deployed cross functional Operations strategy and process optimization team – drove rationalization of tools / vendors, product enhancement road mapping, introduction of automation (RPA) ‒ Designed and led enhancements to Workforce Management operations driving a 20% increase in real time management engagement, ability to consume a 94% YOY increase in WFM ticket throughput with 0% increase in staffing ‒ Led reboot of Telephony service capabilities including incident response teams, revamp of SLAs to quantify delivery value. Reduced time to resolution 80%, cost per encounter 35% against 85% YOY increased volumes with 0% increase in staffing ‒ Initiated enhancements in onboarding of new brokers across HR, Training, Sales, WFM delivering enhanced workflow transparency and reporting capabilities ‒ Executive sponsor of Corporate Communications / PR strategic planning and execution initiatives (Strategy and partner development) Show less



Deloitte

• Business Consulting and Services
• 700 & Above Employee

• Healthcare Strategy, Operations and Technology

  • Mar 2017 - Jan 2021

  Example Engagements Multistate Blue Health plan – Medicaid Operations – Healthcare Management System Selection, 2 state post RFP Implementations ‒ Led Government Programs (Medicare / Medicaid) Healthcare Management platform current state assessment, replanning and eventual reprocurement efforts ‒ Lead client partner on Medicaid RFP implementations overseeing client and consultant operational/program management teams. Partnered with client lead guiding $24M in combined implementation budgets, 150+ resources on- & offshore ‒ Drove business process redesign and management, operational readiness support initiatives Provider owned Health Plan – Health Plan Acquisition Post Merger Integration Operational Transformation Support, Medicaid Product Implementation ‒ Medicaid and Health Plan operations supporting health plan acquisition Day One and Year One strategy ‒ Drove core Medicaid Operations capability assessment and alignment planning ‒ Led Medicaid Operations and IT future state alignment, implementation future state definition Areas of Expertise / Specialties: Accountable Care Organization Strategy and Operations (ACO) - Managed Care in Medicaid, Medicare and Duals Markets Consumer / Channel Reach and Engagement Business Support of Core Administration System Optimization Exchange / Defined Contribution Show less



WKG Advisory

• Chicago

• Managing Partner - Operating Partner

  • Nov 2014 - Oct 2016

  Operating Partner – New Venture Incubation and Operationalization Led concurrent business building efforts supporting incubation and operationalization of Private Equity funded startup entities in 2 markets (Medicaid Managed Care Community Network – Chicago, Illinois; Accountable Care Organization – Houston, Texas) Lead partner: WKG Advisory internal business operations including Program and Client P&L, administrative and resource management Key Accomplishments: NextLevel Health – Medicaid Managed Care Plan ‒ Led multiple enterprise level engagements including operationalization of strategic plans, operational improvement, implementation planning and execution in Medicaid Care Coordination Entity start up ‒ Drove development of core operational functionality and systems remediation efforts in rapid conversion to Full Risk (MCCN) capabilities from “Care Coordination only” entity ‒ Led business process redesign and management, operational readiness support initiatives ‒ Top line Revenue tracked to ~$270 Million (2019) Exit: Sale to Centene (54,000 members) Altus ACE Accountable Care Entity – Medicaid Managed Care ACO ‒ Developed “ground up” operational foundation and structure for a new Government Programs focused Accountable Care Organization (Managed Medicaid / Dual Eligible / Medicare Advantage), accelerating organization transformation from historical Fee for Service position to Value Based model ‒ Served as Interim COO role for +10 months, leading blended consulting and client staff in establishing core operational functionality (Clinical, Care Management, Financial and Administrative) ‒ Drove MCO engagement and sales efforts resulting in the negotiation of 2 progressive contracts – positioning the ACO to convert from Shared Savings arrangements to Full Risk delegation - Current portfolio 7 contracts ‒ Current membership under management +85,000 Skills: Private Equity Show less



Deloitte

• Business Consulting and Services
• 700 & Above Employee

• Senior Manager Strategy and Operations

  • Jul 2010 - Nov 2014

  Sample Engagements: Regional Health Insurance Carrier (Multi State) – Health Insurance Exchange (HIX) stand up • Led operational/program management team (12) guiding $50M annual budget, 500+ resources on-shore & off • Managed core operational and systems remediation for Health Insurance Exchange marketplace capabilities • Drove business process redesign and management, operational readiness support initiatives Regional Health Insurance Carrier (Multi State) – ICD-10 Remediation • Management of $33.4M Budget, direct management of +13 project management and operations staff, oversight of program staff 400+, remediation ahead of schedule • Directed mixed resource team (Client, Consultant, Technology, Strategy and Operations) revitalized initiative oversight processes, increased resource efficiency, accuracy of forecasting and planning activities National Pharmacy Benefits Manager – Future State Operating Model PBM joint venture • Established future state operating model & processes supporting national PBM joint venture • Led Eligibility process and IT gap analysis Show less



Stonegate Strategic Advisors

• Chicago, Ilinois

• Principal

  • Aug 2005 - May 2008

  Founding Member – Health and Wellness Industry Strategic Consulting Firm • Key contributor to architecture, development and growth of Stonegate Strategic Advisors LLC • Led development of product strategy for Stonegate Intel – health and wellness business intelligence and market research service offering • Drove expansion of client base from 2 at organization launch, to more than 26 active and recurring clients Sample Engagements: United Healthcare • Led strategic planning initiative for product and portfolio development - Individual & Senior Markets group Magellan Health Services • Designed strategic market evaluation & benchmarking activities for member reach and engagement activities Show less



Parkview Associates Inc

• United States
• Real Estate

• Partner

  • 2002 - 2005

  Client Partner - Health and Wellness Industry Strategic Consulting Firm Sample Engagements: University of Chicago Hospitals • Developed marketing and strategic initiatives to address the needs of growing Hispanic consumer base • Developed short term tactics for communications as well as community relations program University of Illinois College of Medicine – Neurosurgery • Designed recommendations to align offline/online branding and marketing initiatives • Developed and implemented online marketing program showcasing capabilities and research initiatives Evanston Northwestern Healthcare • Led strategic planning / competitive landscape analysis, marketing scorecard / product line strategy reports Show less



ARC

• Account Director

  • 2002 - 2003

  Led account strategy and delivery initiatives for targeted clients in CPG, Healthcare (Health Insurance) and Financial industries - Focus on promotional marketing, channel management, consumer engagement and consumer activation Led account strategy and delivery initiatives for targeted clients in CPG, Healthcare (Health Insurance) and Financial industries - Focus on promotional marketing, channel management, consumer engagement and consumer activation



Giant Step

• United States
• Advertising Services
• 1 - 100 Employee

• Account Director

  • 1999 - 2000

  Interactive agency (Web Mobile) focused on Consumer Engagement and Activation - CPG, Financial and Automotive segments Interactive agency (Web Mobile) focused on Consumer Engagement and Activation - CPG, Financial and Automotive segments



Simon Marketing

• Account Director

  • 1999 - 2000

  Account Director managing Consumer Activation, Loyalty, Engagement and Promotional Marketing Initiatives (McDonalds, Chevron) Account Director managing Consumer Activation, Loyalty, Engagement and Promotional Marketing Initiatives (McDonalds, Chevron)



Edgar, Dunn & Company

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Consultant (Internship)

  • 1998 - 1998

  MBA Internship - Management Consulting - Market Entry Research and Strategy MBA Internship - Management Consulting - Market Entry Research and Strategy



Schwarz Worldwide

• Account Director

  • 1994 - 1998

  Loyalty and Promotional Marketing Agency - Project and Account Management (Coke, McDonalds) Loyalty and Promotional Marketing Agency - Project and Account Management (Coke, McDonalds)