VP, Medical Economics
CareCentrix
Jan 2010 - Jul 2013 (3 years 7 months)
Responsible for underwriting, pricing, and negotiating fee for service and risk arrangements with payors across the company’s entire product suite including: (i) readmission reduction program, (ii) sleep benefit management program, and (iii) core services known as DMEPOS, Home Infusion, and Home Health. Reviewed national health plan data and regional Blue Cross Blue Shield claims data for more than 60 million members covering commercial and government lines of business. Developed reimbursement structures to deliver savings to fully insured and ASO groups. Presented at sales meetings to cross-functional audiences. Established and maintained key relationships with customers in various departments including Medical Economics, Actuarial, N