Independent consulting company currently providing services to individuals at McKinsey, PwC, MBO, AlphaSights, Coleman Research Group, GLG, Guidepoint, Stream by Alphasense and others including investors.
-Delivered recent projects focused on management platforms in healthcare space, CAPS, Payment Integrity, Risk Adjustment, UM, Care Management, Medicare, STARS, Quality Improvement, claims, adjustments, call center management, non-emergent medical transportation systems and provider network.

Founder/CEO & Chief Executive Consultant
Lead innovative new company that enables cross-industry solutions through independent consulting services.
• Provide strategic guidance and planning to executive leadership at growing number and variety of Fortune 500 businesses for Business Process Optimization, M&A, IT, Finance and more.
• Revise organization-wide processes and workflow to increase efficiency, exceed compliance expectations, and improve member and provider experience.

Advisory Board Panel Member of the University of Southern Florida, Muma College of Business. For 2023 Assignment, participate in and guide the Design Thinking curriculum for the USF Muma's Corporate Training & Professional Educations programs.
- Preserves & enhances the reputation and quality of the program through strategic review of executive education courses & build value within the business community
- Offers expert guidance to the faculty and students of USF through classroom visits, forums, conferences and through direct input on the curriculum
- Delivers program goal of linking industry academia with curriculum to ensure the program is relevant and beneficial to the business community

Reporting to Chief Clinical Officer. Responsible for strategic initiatives relating to Clinical Operations, Medical Expense, M&A, Information Technology, RFP, Member/Provider Experience, Telecom, Outsourcing, and Medicare STARS in a consultative fashion. In charge of all vendor contracting and management for Fortune 25 organization.
• Played lead role in WellCare integration; responsible for Claims Integration – the largest, most complex of all cases delivering YoY synergies.
• Managed full spectrum of combined companies’ vendor relationships with $1B+ budget, representing over 15K vendor staff, including synergy and value capture driving savings annually through recontacting, RFP, and rate negotiation.
• Designed business cases and processes for improvement and ROI ranging from vendor implementations to automated solution deployment. Displayed expertise in capital planning process (IT, Operations, Finance). Drove proven results: 3:1 or more ROI within three to five years

Known for coordinating healthcare that goes beyond doctors/medicine, helping members achieve not just physical health, but whole person care. Now Highmark Wholecare, company continues to provide physical, mental, and financial care. Senior Director, Member & Provider Experience – Medicare and Medicaid Reporting to Chief Clinical Officer. Responsible for creating holistic solutions for superior member care, combining operational excellence with full integration into clinical care management and quality improvement by leading 500+ clinicians and non clinicians.
•Led Member/Provider Services, Appeals, Grievances, Clinical Provider Disputes, LTSS Oversight, Retrospective Utilization Management, Quality Auditing, Medical Payment Policy Division, and Organization Process Improvement.
•Reduced vendor dependence while outsourcing in key areas for cost savings: $4M YoY SG&A savings.
•In charge of medical expense reduction/revenue enhancement initiatives, which included developing Medical and

American managed healthcare company (based in Hartford, CT) that has been a subsidiary of CVS Health since 2018. Company's network includes 22.1 million medical members, more than 690,000 primary care doctors and specialists, and over 5,700 hospitals. Aetna acquired Coventry Health for $8.7B.

Global professional services firm headquartered in New York City with business in insurance brokerage, risk management, reinsurance services, talent management, investment advisory, and management consulting. Its four main operating companies are Marsh, Guy Carpenter, Mercer, and Oliver Wyman. Mercer is the world's largest outsourced asset manager, with more than $300B assets under management. International Medical Claims Manager, Medicare, TRICARE, Commercial Reported to Vice President, Claims. Managed operation of Health, Medicare, TRICARE, and Military business, encompassing appeals, grievances, and regulatory complaints for commercial supplemental plans/medical and prescription drug. Supervised as many as 100 offshore colleagues and managers in India, including a claim processing and call center.
•Monitored staff and managed vendor relationships; enforced SOW contract.
•Oversaw WFM, forecasting, and staffing. Facilitated $2M annual SG&A savings through transition to new delegated