Healthcare Medicaid Expert Consultant

Relevant Accomplishments

Championed and developed the adoption of the Medicaid business development cycle and new business strategy resulting in $2.6B in new revenues with nearly 700,000 new members.

• Built the first RFP Team and supervised comprehensive Medicaid market research.
• Established primary contacts with key stakeholders, state regulators and legislators, and community influencers.
• Coordinated all outreach strategies for organic growth in existing plans and supervised national Medicaid contracting staff.
• Recruited a new management team and expanded call center operations from one location in Jefferson City to an addition Center in St. Louis.
• Increased membership from 85K to 300K and company revenue from $18M to $38M in 18 months.
• Increased provider participation from 250 to more than 1,500.
• Developed and initiated the health plan’s first government relations initiatives and strategies as well as creating a network of nonprofit organizations to support health plan initiatives and member wellness programs.
• Redesigned RFP process and received the first 100 percent score in a Missouri statewide bid.
• Supervised the development and implementation of a new marketing and branding campaign that enrolled 40K additional members, leading to a 53% statewide market share amongst the eight Medicaid MCOs in the state.
• Lobbied Legislators and Medicaid agency to receive the two largest rate increases in six years.