P&L Leader of a three state $2.5+ billion Medicare division with over 220,000 individual members plus 125,000 group. HMO, PPO, HVNs and DSNP. Designed and implemented innovative products and programs to increase market share and margin.
Developed 8 unique high value network HMOs. Responsible for development and of innovation projects including VBID and CPC+. Developed and launched new tiered network programs, provider collab and risk relationships. Implemented new market-level embedded program to improve clinical data.
Launched and relaunched DSNP.
Coached regional markets in an eight state region for improved quality, increased efficiency and profitable growth