Functional Skills
Business Development
Business Planning
Commercial Due Diligence
Innovation Management
Integration Management (IMO)
Leadership Development
Market Intelligence
Operations Management
Performance Management
Product Development
Project Management
Sales and Operations Planning (S&OP)
Strategic Planning
Financial Modeling
Go-to-market Strategy
Sector Experience
Business Services
Financial Services
Healthcare
Languages
English
Big 4 Accounting
Fortune 500
Top Consulting Firms
Experience
LM&A
Management Consulting
Principal
1/2014 - Present
Provide consulting services in value-based care, healthcare strategy, growth planning, and payer-provider collaboration.
Commonwealth Care Alliance
Corporate Strategy & Development
Senior Vice President, Markets, Operations and Corporate Planning
8/2016 - 12/2023
Oversaw corporate and market planning for a mission-driven healthcare organization. Directed multi-state growth initiatives, operations optimization, and value-based care strategy to achieve sustainable growth.
• Market Growth: Led expansion from a single-state $835M revenue business to a four-state operation with $2.5B revenue and 100,000 members.
• Innovative Care Solutions: Designed and implemented a direct primary care model for medically complex patients, achieving $23K per member annual cost avoidance.
• Integration Leadership: Directed integration of newly acquired HMOs and value-based care initiatives, realigning network strategies and governance frameworks.
• Procurement: Successfully led a cross functional team in responding to the Mass Health Duals 2.0 re-procurement for SCO/One Care. Awarded three-year contract ensuring coverage for members and viability for the company.
• Network Contracting: Established de novo networks, negotiated value-based agreements, and rebuilt failing provider networks in high-risk markets.
• Operational Efficiency: Transitioned operations to a shared services model, introducing governance structures and oversight mechanisms that aligned corporate and market goals. Led the RFP and vendor selection process for a new TPA vendor.
• Value-Based Care: Led CCA owned primary care clinic reorganization and “sandbox” how to manage under risk and value-based care. Led Joint-Operating Committees with providers to effectively manage under value-bas
• Market Growth: Led expansion from a single-state $835M revenue business to a four-state operation with $2.5B revenue and 100,000 members.
• Innovative Care Solutions: Designed and implemented a direct primary care model for medically complex patients, achieving $23K per member annual cost avoidance.
• Integration Leadership: Directed integration of newly acquired HMOs and value-based care initiatives, realigning network strategies and governance frameworks.
• Procurement: Successfully led a cross functional team in responding to the Mass Health Duals 2.0 re-procurement for SCO/One Care. Awarded three-year contract ensuring coverage for members and viability for the company.
• Network Contracting: Established de novo networks, negotiated value-based agreements, and rebuilt failing provider networks in high-risk markets.
• Operational Efficiency: Transitioned operations to a shared services model, introducing governance structures and oversight mechanisms that aligned corporate and market goals. Led the RFP and vendor selection process for a new TPA vendor.
• Value-Based Care: Led CCA owned primary care clinic reorganization and “sandbox” how to manage under risk and value-based care. Led Joint-Operating Committees with providers to effectively manage under value-bas
Universal American
Corporate Strategy & Development
Vice President, Strategy & Corporate Analytics
9/2007 - 6/2014
Drove strategic planning and operational performance for a publicly traded health insurer.
• Strategic Innovation: Created corporate analytics frameworks to guide decision-making and integrated data systems to improve transparency and outcomes.
• Business Development: Led multi-state ACO and SNP expansion, including network development and market intelligence strategies.
• Program Expansion: Grew Part D business from $643M to $2.1B in revenue by launching a joint sales initiative with a national PBM partner.
• Regulatory Excellence: Implemented compliance programs that lifted CMS sanctions, restoring the company’s ability to expand operations.
• Strategic Innovation: Created corporate analytics frameworks to guide decision-making and integrated data systems to improve transparency and outcomes.
• Business Development: Led multi-state ACO and SNP expansion, including network development and market intelligence strategies.
• Program Expansion: Grew Part D business from $643M to $2.1B in revenue by launching a joint sales initiative with a national PBM partner.
• Regulatory Excellence: Implemented compliance programs that lifted CMS sanctions, restoring the company’s ability to expand operations.
Deloitte
Management Consulting
Sr. Manager, Health Plan Strategy & Operations
6/2005 - 8/2007
Provided strategic consulting services to health plans, hospitals, and other healthcare organizations.
• Financial Optimization: Designed P&L structures and performance metrics for a leading Blues plan, enhancing financial decision-making.
• Partnership Strategy: Crafted partnership models for national health plans and academic medical centers, achieving growth and regulatory milestones.
• Financial Optimization: Designed P&L structures and performance metrics for a leading Blues plan, enhancing financial decision-making.
• Partnership Strategy: Crafted partnership models for national health plans and academic medical centers, achieving growth and regulatory milestones.
Williams Capital Group
Finance
Principal, Sr. Equity Analyst
7/2002 - 5/2005
Conducted and published equity research on stocks in the managed care sector. Developed relationships with 140 new institutional clients. Built and maintained financial models. Noted for publishing a series of industry primers (Managed Care, Reserves, Consumer Directed Healthcare) and detailed insight into earnings through primary research. Speaker at industry conferences.
UnitedHealth Group
Operations
Vice President
1/2001 - 12/2001
Developed and implemented e-business strategies across a $25B enterprise, achieving 40% adoption across stakeholders.