About Me

Recruited by the President and CEO to head up a new division named State Programs, report directly to her. Responsible for profit/loss, strategic planning, growth, and public policy for Medicaid and Long-Term Care divisions of the company generating $9 billion in revenue annually and representing over 1.2 million members.

Serve as the face of the company, representing Healthfirst externally for all public relations, advocacy, and outreach initiatives. Actively promote the public image of the company advancing brand value.

Serve as a key member of the Healthfirst Executive Leadership Team and a key advisor to the President and CEO. Lead as a board member of Healthfirst PHSP, a subsidiary company of Healthfirst, facilitating all board meetings and corporate governance activities.

Within a year, re-organized the team and grew membership by more than 3% resulting in revenue growth of 6% and Healthfirst becoming the fastest growing plan in New York City, Long Island, and Hudson Valley.

Executive Sponsor of a year long medical cost management initiative on target to achieve more than $120M in savings by December 2020.

Selected by the CEO in September 2019 to co-lead the Healthfirst Diversity, Equity, and Inclusion efforts across the company, which includes the development and launch of the Healthfirst Foundation, created in 2020 to promote Health Equity and dismantle systemic racism in the communities we serve.

Drove the execution of the annual growth strategy through various programs and practices that were developed and implemented timely

Sales and operational results included:

Launching a new small employer physician network that led to a 12% increase in sales.

Streamlining small employer operations improving inquiry turnaround time to under 48 hours with 95% reliability.

Overhauled all operational metrics and dashboards leading to market leading customer satisfaction scores (93%) and improved implementation timeliness by 3 days.

Executed upon a strategic plan to enhance our hospital network pricing and competitiveness by more than 25%.

As the P/L leader of the Individual market, successfully launched new EPO health plans with telemedicine and enhanced physician access rules resulting in a 30% improvement in profit margin and over $20 million in cost savings. Additionally, led a cross-functional team responsible for expanding our service area to 20 additional counties in New York State.

Oversaw a one-year system migration project that moved 80% of our large employer business from our legacy claims systems to the Anthem branded system with 100% employer retention in 2018.

Implemented a new, home grown pharmacy benefit manager for several large employers on July 1, 2018 with little to no administrative issues or negative customer impacts.

Teach multiple three (3) credit, 5,070-minute classes to roughly 15-20 graduate students each semester in the Healthcare MBA program. Courses include: Health Economics, Managerial Accounting, and Finance for Health Professionals.

Deliver comprehensive lesson plans, lectures, and seminars. Examine and grade assignments, essays, and class presentations. Hold office hours for students in need of extra assistance with demanding work schedules or coursework.

Led a team of +275 product and sales associates focused on launching and managing the financial performance of various health insurance products while strategically selling and retaining a 1.4M member book of business that generates over $6.2B in premium revenue annually.

Exceeded profit margin targets by roughly 3% generating over $132M in profit across all Medicaid and Commercial products in 2016. Currently exceeding 2017 membership and profit margin forecasts.

Launched Healthfirst Insurance Company (HFIC) in 2017, a new subsidiary of Healthfirst, Inc. built to offer Commercial health insurance products to individuals and small employers. Led the development and execution of the product, network, sales and operational strategy while serving as a Director of the new company. Enrolled close to 100 small businesses with nearly 300 appointed brokers through Q1-2017 focused on measured, profitable growth.

Built an “Inside Sales Retention Call Unit” in response to market forces and retention challenges. The unit increased productivity by 50% and was expanded from 8 sales representatives to 60 in 12 months resulting in a 13% improvement in Health Exchange retention.

Successfully transitioned 18+ sales and/or product associates to promotional roles within the company increasing the department's “high performer” employee retention rates and exceeding the corporate-wide average.

Represented the company publicly as the media relations lead handling all healthcare reform inquiries and messaging through various media outlets including television, newspaper, seminars, panels, and online.

Created an optional, market leading benefit enhancements for members to receive adult dental/vision benefits yielding a 3% increase in revenue and a 70% uptake in the new benefit offerings. Healthfirst's Qualified Health Plan (QHP) products.

Worked cross-functionally to improve operational efficiencies that reduced the administrative expenses for the QHP by roughly $32 per member per month from 2014 to 2015. Championed dramatic improvements in enrollment/billing and phone call reductions, which represented most of the savings year over year.

Developed and implemented a 5 year retail strategic plan that measured the productivity of Healthfirst's community offices, retired inefficient offices, expanded cost effective offices, and built 6 new offices that ranged from mall kiosks to shared spaces improving “cost per sale” metrics by 22% in 18 months.

Served as the business lead for 13 high level strategic initiatives positively impacting the profitability of 5M insured lives.

Led the strategic and operational readiness planning for the NY State Health Exchange. This included operational assessments, competitive intelligence, network analyses, and health policy considerations for 2014 implementation.

Led and facilitated all CEO staff meetings organizing and maintaining membership forecasts, the annual operating plan, and quarterly reports to the Anthem Executive Leadership team.

Selected as one of the youngest employees into the Business Excellence Program, a leadership development program designed for health care executives recognized for their growth potential.

Led a sales executive team responsible for managing over 1,500 brokers/agents and growing a book of business with 90% retention and over 38k member sales.

Executed and managed the sales of +2,000 new dental members increasing product penetration by 10%.

Exceeded medical/vision sales targets by 22% in a NY market facing economic downturn.

Designed business development initiatives that assist in managing the profit/loss of the 2-2,500 Market.

Assisted in launching three medical insurance products in 2007 increasing retention from 88.3% to 88.7%.

Designed a homegrown forecasting predictability model shortening the sales planning process by 2 months.