Healthcare Medicaid Expert

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Healthcare Medicaid Expert #01012


This Healthcare Medicaid expert has over 30 years industry experience including managed care for both publicly-traded and nonprofit entities. Achievements include success in business development and startup, strategic planning and government relations. Strengths include building high-performance teams, marketing, community affairs and outreach, contracting, business development and sales, coupled with effective problem-solving skills, staff development and profit growth.


  • 30 plus years’ experience in healthcare
  • Business to business strategy and sales success
  • Medicaid operations and policy
  • Transformation leader
  • Skilled trainer and facilitator
  • Succession planning
  • 25 years experience in the Missouri insurance market

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.

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