Corporate Vice President, Medicaid Expansion at Evolent Health
Tampa, Florida
Evolent Health
Vice President Implementation
2014 to Present
WellCare
Vice President, Solutions / Market Expansion Operations
2010 to 2013
Tampa/St. Petersburg, Florida Area
WellCare
Senior Director, Operations Business Planning
2009 to 2010
WellCare
Director, Market Operations
2007 to 2009
Vertafore Inc./AMS Benefits
Director of Operations
2003 to 2006
USAA
Insurance Specialist, Licensed Claims Adjuster, Senior Business Analyst
1993 to 2003
Evolent Health is an innovative organization that works with health systems to advance value-based care delivery and innovative payment models through integrated technology, tools, and teams. As Vice President, Implementations my responsibilities include senior executive oversight of strategic planning, financial analysis, enterprise program management and account management. Successful development of corporate direction and strategies required to manage... Evolent Health is an innovative organization that works with health systems to advance value-based care delivery and innovative payment models through integrated technology, tools, and teams. As Vice President, Implementations my responsibilities include senior executive oversight of strategic planning, financial analysis, enterprise program management and account management. Successful development of corporate direction and strategies required to manage effective corporate growth and initiatives, generate relationships, achieve performance targets, and influence policies. Executive level responsibility for client account management and cross-functional implementations of new provider owned health plans, ACO, MSSP, Next Gen, Innovative Payer Strategies, Population Health and strategic initiatives. Oversee launch of new client products including: Medicare, DSNP, CSNP, Exchange, Commercial plans and strategic planning for Medicaid platform and partnerships. Implementation of corporate strategies associated with Quality (NCQA, HEDIS, Pay for Performance). Budgeting of implementation and ongoing support models to determine fixed vs. variable cost models, right sizing of resourcing, and product offerings. Oversee the management of acquisitions and integrations to supplement offerings to strategic partners.
What company does Cathy Powell-Voigt work for?
Cathy Powell-Voigt works for Evolent Health
What is Cathy Powell-Voigt's role at Evolent Health?
Cathy Powell-Voigt is Vice President Implementation
What industry does Cathy Powell-Voigt work in?
Cathy Powell-Voigt works in the Insurance industry.
📖 Summary
Senior insurance executive with broad cross-functional healthcare, technology and insurance experience. Growth and expansion driven entrepreneurial-minded leader specializing in business strategy, large scale implementations and integrations and cross-functional operations. Extensive experience translating business vision into strategic and operational tactics that create immediate business value, expand corporate capability and facilitate sustainable growth for maximum market potential and increased revenue. Experience includes both start-up, midsize and large-scale organizational roles. Full operational responsibility including Customer Service and Support, Claims, Enrollment and Eligibility, Program Management of Corporate Growth and Strategic Initiatives, Corporate Procurement, Operations and IT Finance, Product Training and Documentation, Release Management, QA Testing and Data Conversions. Specific leadership of implementations related to Medicare Advantage, Part D (national plan), Medicaid and Health Insurance Exchange/Marketplace operations. Direct management of a corporate expansion team with responsibilities including accountability for growth related integrations and implementations, health reform (Affordable Care Act) implementations, enterprise program management (e.g., HIPAA 5010, ICD-10, medical expense initiatives), Medicare dual eligible state contracting and implementation, annual Medicare readiness, Medicaid expansion, and enterprise CapEx / OpEx project planning and strategy.Vice President Implementation @ Evolent Health is an innovative organization that works with health systems to advance value-based care delivery and innovative payment models through integrated technology, tools, and teams. As Vice President, Implementations my responsibilities include senior executive oversight of strategic planning, financial analysis, enterprise program management and account management. Successful development of corporate direction and strategies required to manage effective corporate growth and initiatives, generate relationships, achieve performance targets, and influence policies. Executive level responsibility for client account management and cross-functional implementations of new provider owned health plans, ACO, MSSP, Next Gen, Innovative Payer Strategies, Population Health and strategic initiatives. Oversee launch of new client products including: Medicare, DSNP, CSNP, Exchange, Commercial plans and strategic planning for Medicaid platform and partnerships. Implementation of corporate strategies associated with Quality (NCQA, HEDIS, Pay for Performance). Budgeting of implementation and ongoing support models to determine fixed vs. variable cost models, right sizing of resourcing, and product offerings. Oversee the management of acquisitions and integrations to supplement offerings to strategic partners. From 2014 to Present (1 year) Vice President, Solutions / Market Expansion Operations @ Provide senior executive level leadership and oversight to expansion opportunities within Medicare, Medicaid, Duals Demonstrations and Managed Long-Term Care products. Manage processes for determination of business strategies to position the organization for success. Program manage new business implementations, corporate strategic initiatives and Affordable Care Act requirements. Conduct financial feasibility studies, participate in service delivery decision-making and develop proposals for new business opportunities. Direct integration activities for acquisitions. Manage all sourcing, negotiations and contracting of vendors. Lead implementation across departments seeking cost-savings and quality improvement opportunities. From 2010 to 2013 (3 years) Tampa/St. Petersburg, Florida AreaSenior Director, Operations Business Planning @ Provide senior executive oversight of procurement, budgeting, Medicare and Medicaid business expansions and project management of corporate strategic initiatives. Conduct financial feasibility studies and develop proposals for new business opportunities. Manage all sourcing, negotiations and contracting of vendors. Lead implementation across departments seeking cost-savings and quality improvement opportunities. From 2009 to 2010 (1 year) Director, Market Operations @ Oversight and implementation of all Medicare expansion and regulatory changes throughout the organization encompassing program management and leadership responsibilities for the areas of operations, marketing, and health services. Strategic planning, return on investment analysis and budget creation for business initiatives for Coordinated Care Plans. Streamline product and process modifications and diligently strove to ensure all updates follow federal compliance guidelines. From 2007 to 2009 (2 years) Director of Operations @ Management of all areas of operations including multiple tiered teams located throughout the United States reporting directly to General Manager who reports directly to the CEO. Responsibilities included management of operational budget, strategic planning and forecasting for future development and growth within the organization. Direction of all QA Testing, Release Management, Documentation, Implementation, Data Conversion, Training, Service and Support of 2000+ user community. From 2003 to 2006 (3 years) Insurance Specialist, Licensed Claims Adjuster, Senior Business Analyst @ Primary duties focused on providing administrative, business, and technical expertise for support of regional 2,500+ client community. Analyzed, resolved or curtailed issues and discrepancies, consequently minimizing or eliminating customer impact. Lead Claims Troubleshooter for the Eastern Region of the United States, involving training, mentoring and quality management. Facilitated software testing and implementations for technology customers. Special Projects included document storage initiative and hardware replacements and updates. Licensed Claims Adjuster handling large scale property claims. Insurance specialist handling underwriting and issuing of auto, property, boat and umbrella policies. From 1993 to 2003 (10 years) MBA, Business Administration/Management @ Saint Leo University From 2002 to 2004 BA @ University of South Florida From 1990 to 1994 Cathy Powell-Voigt is skilled in: Process Improvement, Medicare, Health Insurance, Strategic Planning, Business Process Improvement, Managed Care, Insurance, Vendor Management, Team Building, Medicaid, Project Management, Program Management, Software Documentation, Strategy, Management
Extraversion (E), Sensing (S), Thinking (T), Perceiving (P)
3 year(s), 4 month(s)
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