Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Provide leadership and management support to reinforce the foundation and drive the success of Aledade’s core physician outreach function.
Inform and drive towards network development targets that support Aledade’s long-term mission and business goals.
Utilize systems, structures and processes to drive consistent and predictable sales outcomes.
Aledade empowers independent primary care practices, health centers, and clinics to deliver better care in value-based care arrangements. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Develop the provider network through contract negotiations, relationship development, industry analysis and servicing.
Analyze, review, and project financial impacts of network contract arrangements.
Implement reimbursement strategies designed to control healthcare costs.
Blue Cross of Idaho is an Idaho-based health insurance company that has been around since 1945. As a not-for-profit, they are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services with the help of customer-centric professionals.
Own critical components of the provider lifecycle, driving readiness to see members on the platform and scalable growth.
Identify bottlenecks and implement improvements that accelerate time-to-platform and strengthen provider engagement.
Improve systems and workflows through automation and process design, reducing manual work and operational risk.
Maven is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. With over 2,000 employers and health plans as clients, Maven provides comprehensive support spanning fertility, maternity, parenting, and menopause. He fosters an award-winning culture.
Primary owner of imaging center relationships after contract signing.
Lead onboarding, drive engagement, and manage Single Case Agreements (SCAs).
Resolve complex issues across scheduling, billing, and referral workflows.
Scan.com is a digital health scale-up that makes diagnostics accessible, fast, and transparent. Their technology speeds up diagnoses for timely treatments, improving healthcare outcomes for hundreds of patients each day. The company has raised over $70m in VC funding, reached profitability, and has a growth trajectory of over 100% YoY.
Develop and implement comprehensive plans to drive patient throughput, efficient discharge planning, and readmission prevention.
Provide clinical direction for patient flow and ensure consistent application of systemwide standards and best practices for care coordination.
Leverage deep understanding of local regulations and resources, building relationships with state agencies and community partners.
CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees and contributes more than $4.2 billion annually in charity care.
Lead the development, optimization, and performance of Clover’s dental provider network.
Build Clover’s dental network strategy from the ground up across markets.
Build, scale, and lead a high-impact dental network team spanning contracting, analytics, and provider relationship management.
Clover Health is committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. The company prioritizes preventive care while leveraging data and technology; they are passionate and mission-driven individuals with diverse areas of expertise.
Oversee day‑to‑day clinical operations for UM, CM, and DM teams.
Ensure operational workflows meet productivity, quality, and turnaround time expectations.
Partner with the VP of Care Management on operational priorities and process improvements.
Personify Health created the first and only personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. It serves employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Lead operational systems, administrative infrastructure, and internal workflows.
Lead initiatives that support employee engagement and organizational health.
Serve as a strategic advisor to the CEO on operational matters.
Sepsis Alliance is the nation’s leading sepsis patient advocacy organization, saving lives and reducing suffering through awareness, education, and advocacy. The organization is a national nonprofit with a collaborative remote team committed to improving sepsis awareness, prevention, and care.
Negotiate pharmacy agreements across retail, mail, and quality-based channels.
Create and manage network contracting campaigns, analyzing performance metrics.
Work with analytics teams to assess network adequacy and compliance.
Jobgether is a company that uses AI to power the job application process. They ensure applications are reviewed quickly, objectively, and fairly against a role's core requirements.
Drive operational excellence, consistency, and enterprise value across a multi-state behavioral health organization.
Lead the design and execution of strategies that optimize the operating model.
Oversee clinical operations, service delivery, staffing performance, and infrastructure across multiple levels of care.
Accanto Health provides exceptional, individualized care that leads to lasting recovery for eating disorders. They are a multi-state behavioral health organization composed of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care.
Own and maintain a centralized payer rulebook across all health plans.
Interpret payer requirements and translate them into clear operational workflows.
Own performance outcomes at the health plan level (KPIs, compliance, documentation).
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care and are scaling rapidly across states and populations.