Principal consultant assisting Kaiser Permanente and the Permanente Medical Group with health plan & government program strategy development, program design and portfolio optimization across various national and regional initiatives. | Key Engagements: Georgia Medicaid Expansion, Pharmacy Optimization, National Medicaid Care Model Strategy & Roadmap Development

Part of the ZS Health Plan and Provider venture space leadership team focused on practice growth strategy in helping health plan clients achieve enterprise transformation and innovation.
• Drove prospective and business development efforts to impact client and practice growth, managing $2.5 million in annual net project fees within venture space.
• Identified & scaled retail growth areas through GTM & distribution strategy optimization, enhanced broker analytics, and sales channel coordination, generating over 10% annual incremental business/membership growth at a national health insurer.
• Led incentive compensation rationalization efforts for an ancillary benefit provider, streamlining and harmonizing roles, pay structure, and goal-setting methodologies across partner plans.

Part of the healthcare industry transformation unit within IBM Consulting, applying deep domain expertise, coupled with technology and hybrid cloud solutions, to industry specific use cases.
• Led client delivery teams, helping transform payer and provider organizations in the areas of digital transformation, AI for healthcare, and interoperability.
• Owned delivery of complex digital transformation projects using solutions such as blockchain, cloud, data analytics, AI, and Watson Health products.
• Integral part of leadership team tasked with establishing qualified opportunities, lead development of new service offerings (e.g., interoperability 2.0, conversational AI, transformation enablement), and shape IBM Healthcare Consulting growth.

Engagement lead for payer, provider, and PBM clients with a focus on strategy, operations, and business transformation. Delegate Service Line Lead for the Integrated Health Management (Value-Based Care) service line offering.
• Led the discovery and evaluation of value-based care (VBC) payer capabilities and development of an opportunity roadmap to drive the future state VBC strategy and technology needs of a national payer.
• Spearheaded the creation of a product future state roadmap, strategy, and business requirements to drive end-to-end pharmacy fulfillment operations and reduce Medicare chargebacks for a national retail pharmacy.
• Managed the assessment of national payer’s overpayment recovery operations and evaluation of operational improvement opportunities to drive future overpayment avoidance and claims processing error reduction.

Provide strategic advisory, data-driven analytic insights and business transformation recommendations to healthcare providers shifting towards value-base care and population health management models.
• Optimized an academic medical center’s front-end (patient access) inpatient revenue cycle workflows to deliver more seamless patient experience, drive cash acceleration and net revenue improvement.
• Developed the 5-year enterprise strategic business plan and ‘Transformation Playbook’ for a regional hospital system, addressing population segmentation strategy and commercialization, care delivery, network alignment, and population health capability requirements.
• Led business case and care model development to address needs of high-risk patients across the care continuum; evaluated upside/downside revenue opportunity, value-based payment arrangements, and risk associated with standing-up a chronic care delivery model.
• Evaluated market dynamics, population health management, and growth

Provide consulting services and advisory related to business strategy and operations through enhancements to business models, process simplification, operating cost reduction, and service improvement. Assist major health care organizations through the M&A lifecycle beginning from operational due diligence and synergy analyses through Day 1 and integration planning activities to ensure seamless transaction execution.
• Led and developed the analytic approach and business case in support of a regional insurer’s customer retention strategy used to mitigate future risk of group and member attrition.
• Led pre-close synergy assessments and operational due diligence for multiple M&A engagements; managed client teams and work-streams through Day 1 planning, integration strategy, and future state blueprinting activities.
• Led and developed a revenue opportunity assessment/model to support the proposed affiliation of two health plans, forecasting 5-year revenue benefits in the context of mark