Executive Qualifications/Industry Qualifications/Experience: Developed strategic initiatives as member of a 4 person executive management team as senior VP in health insurance, executing multiple strategies and activities to grow business year over year (50+ percent). Chiefly responsible for operations and budget activities of $80 million in P&L. Distinguished performance in successful negotiations and day to day management of multiple national key vendor and local partnerships. Staffing responsibility for 50. Created internal audit program with optimal outcomes for multiple government audits. Strong development of clinical and operational processes/tools/systems/policies to create and sustain quality-driven, audit defensible, healthcare operations for Commercial, Self-Funded and Medicare Advantage Part D business. Core strengths in population health management, and cross functional team leadership, with less than 10% voluntary staff turnover spanning 10 year managed care career, with 97% member retention.

Highlights:

• Population Health Management
• Commercial Insurance
• Medicare Part D Manager
• Risk Adjusted Reimbursement
• Health care operations
• Quality, Stars, HEDIS
• Telecommute
• Montana