PC

8/30/2022
Hartford, CT

Position Desired

Healthcare, Healthcare Administration, Healthcare Executive, Management, Nonprofit
Anywhere in the U.S.
Yes

Resume

EXECUTIVE SUMMARY

Dynamic executive with a proven record of business growth through strategic clarity founded on actionable data insights, focused execution, and management of P&L levers. Excels at building businesses to be stronger and sustainable for long-term growth by innovating, building change resilience and integrating a transparent data analytical framework that harvests opportunity, improves execution efficiency, and builds synergy throughout the organization. Successfully sustained a $10B line of business as a territory and segment leader. Leverages exceptional consulting and vision casting abilities to break down departmental boundaries and build “motivated one team” culture in highly matrixed orgs. Areas of expertise include:

Strategic Planning & Results Execution Earnings Expansion Branding and Market Positioning
Change Management M & A Integration of Operations Venture Capital Due-Diligence
Matrixed Influence and Leadership Complex Business Negotiations Deep Healthcare industry experience
Complex Program Management Business Process Optimization Superior Talent Development


PROFESSIONAL EXPERIENCE

CIGNA, BLOOMFIELD, CONNECTICUT 2009-Present

Chief Strategy Officer & COO, Southwest Region, Plano, Texas (2019 – Present)
Reporting to President of Southwest Region. New Role Created to Turn-around results. Lead profitable Growth and Affordability Strategy for Texas, Oklahoma, Louisiana and Arizona. Develop and execute growth strategy for regional segment and provider network expansion strategy across all segments. Led negotiations with Tenet, Memorial, Methodist and Seton hospital systems for multi-year unit cost discount improvements. Civic Affairs and Government Liaison.

Reduced a unit cost competitive gap moving Cigna rankings for best-in-class discounts from: number 5 ranked in Houston to number 2, number 7 in Austin, San Antonio to number 2, and number 5 in Arizona to number 3.
Population Health: Persuaded Medical directors to leverage analytics engine and saved $200Mil in avoidable costs.
Turned around regional results and improved client retention from 85% to 95% and net membership losses to growth in 18 months by implementing strategic initiatives centered on data insights
Identified growth segments and grew commercial plan membership by 10% in 3 years while facing significant unit cost headwinds.
Identified and generated growth in the Under 1500 segment which powered 20% annual earnings growth
Targeted expansion of Cigna profit levers: Pharmacy, Stop Loss, and Behavioral Health
Launched 2 new network products: CC-Flex and LocalPlus for Dallas that generated 10% decrement to OAP.
Led operational initiatives with 3 market COOs for the region that encompassed all aspects of market operations
Led branding strategy and initiatives to enhance community impact through non-profit partnerships for Texas-AZ.

AVP - Strategy & Operations, Bloomfield, CT (2011 – 2019)
Reporting to Select Segment COO, Key Member of Select Segment ELT. Owned Select Segment Management Process and Governance. Grew segment from $125M earnings in 2011 to $1B in 2018.  Direct Supervisory Accountability for 13 and Aligned accountability for 80
Select Segment Strategy & Governance: In SLT since late 2013. Broad Responsibility to achieve P & L
Collaborated with Bain Consultants and CIGNA leaders to develop segment value prop, strategic pillars and 5-year growth plan. Revised and led governance process for segment P & L achievement, multi-year operating plan, annual planning & forecasting, and investment prioritization. Drove prioritization decisions for segment by influencing key cross-functional leaders in Sales, Product, Underwriting, Enterprise Portfolio Governance, IT, Medical Economics, Clinical Management, Service Ops, Provider Operations, Analytics, Pharmacy & Marketing.

Piloted and established competitive intelligence (CI) unit and CI framework to respond to key competitor strategies in a real-time and dynamic manner-primarily targeting Blues, Aetna, and United Healthcare.
●Spearheaded the development of CIGNA private exchange strategy, defined contribution impacts, 3-year segment capability roadmaps for products and IT investments.
●Developed earnings expansion strategy, partnering with Finance, Pricing, Pharmacy, Product, and other stakeholders.

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●Increased Accident & Life insurance penetration from 15% to 32% by developing Share of Wallet Strategy.
●Led the revision of total medical cost improvement strategy for Select that resulted in 50% reduction of client and broker complaints on Cigna fees for Level Funded Product
●Overhauled approach to broker relations with new incentive strategy grounded on Data Analytics that catapulted Cigna into becoming the undisputed partner of choice for Producers that targeted small business clients.
●Improved efficiency of Sales Effectiveness organization by 20% through eliminating redundant processes, RFP automation (robotics).
Solution (Product) Enablement & Business Operations Integration & Business Sponsor for AGILE Transformation
●Led complex operational integration of CIGNA’s acquisition of Great west Healthcare
●Launched 16 new market facing capabilities for Select. Highest ever in the history of the segment that resulted in industry leading 10% membership and 20% earnings growth for an unprecedented consecutive 7years.
●Conceived and launched Go-to-Market Planning and Business Readiness Center across all portfolio initiatives in Q4 of 2017 that connected real-time on-the-ground feedback to project delivery
●Improved operations performance through proactive multi-dimensional scorecard as well as reorganization of quality and project units.
●Re-engineered PMO reporting unit, Six Sigma Group, Project Management guidelines and established Business Architecture Role for Select Segment.
●Oversaw the requirements development and delivery for all solutions on the game changing FACETS claim platform.

Business Manager & Chief of Staff to Corporate IT CIO, Bloomfield, CT 2009-2011
Key troubleshooter for CIO. Problem solved IT alignment and operational execution challenges for 400 FTE organization. Directly accountable for financial management of enterprise portfolio initiatives impacting corporate applications
Under my leadership for 2010 our IT organization surpassed other divisions in CIGNA on 5 key measures:
Portfolio governance and financial management,
Project release quality (>99%)
Annual financial management and forecast accuracy
Business Satisfaction scores.
Talent Management (Retention/Attrition a...

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