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Summary
This Healthcare Payor Growth Expert supports clients in the health plan and health services space on topics centered around growth and deals strategy. His experience spans across all health insurance and ancillary lines of business as well as a variety of health services-related topics. This consultant’s work focuses on market growth and entry, distribution and product, and deal related growth and diligence. In addition to client work, he publishes extensive commentary on health insurance trends and digital health start-ups, as well as being frequently cited across the media on topics related to the current state of the health insurance space and implications for healthcare companies.
Highlights
- Majority of consulting in the Payor space – well networked across Payors
- Payor growth and entry strategies
- Health Insurance trends / Health Insurance Expert
- Consulted with all the major Payors and several large regionals during recent consulting.
- Ex- Oliver Wyman and Strategy & Healthcare consultant
Relevant Accomplishments
- Assisted a statewide multi-line health plan in developing a three year growth strategy, including the identification of priority markets, key enablers, financial impacts, a detailed review of the market and operating environment, and a deep-dive growth strategy for the highest-priority local areas
- Supported a statewide Blues plan in creating a provider strategy to respond to changing market conditions, including provider group acquisitions, consulting over 20 hospital/IPA and market leaders culminating in recommendations to support client's business and ensure long-term viability of provider suppliers
- Supported a payer-owned pharmacy benefit manager (PBM) in developing a long-term growth strategy across traditional and specialty, including a rationalization of partnered offering components and economic impact
- Assisted a leading health services business in identifying a 12-18 month growth strategy focused on increasing penetration of specialty network, risk carve out, and health & wellness products within the payer channel
- Supported a statewide vision and dental insurer with the development of an Exchange strategy, looking at the market opportunity and required capability investments related to an individual dental and vision product offering
- Coordinated comprehensive set of efforts for a large integrated health services organization across
market strategy/opportunity, deal and bid strategy, and financial modeling/synergy identification and analysis to support a bid for a leading regional health plan in the Pacific Northwest - Crafted a go-to-market strategy for a private equity-owned health services business focused on clinical coding, care management, and assessments including segment/target prioritization and value proposition development
- Developed a payer market growth strategy for one of the largest Behavioral Health vendors focused on market opportunity and trend identification, customer segmentation and target identification, and value prop development
Roles
- Principal / Independent Consultant, A2 Strategy Corp.
- Director, Health Services & Payer Strategy, Strategy
- Associate, Oliver Wyman
- Corporate Finance Analyst, JP Morgan
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To apply for this job email your details to haleymmagnani@gmail.com
