Amy Ayrault
Cockeysville ,MD
Summary
Results-oriented professional with extensive leadership experience in behavioral healthcare. A visionary and strategic thinker skilled at executing innovative solutions, delivering exceptional results, driving revenue growth, and building strong relationships. Passionate behavioral health clinician with deep business acumen, committed to making a positive impact in the field while driving meaningful revenue growth.
Overview
19
19
years of professional experience
1
1
Certification
Work History
President
Evernorth Behavioral Care Group
12.2022 - Current
- Negotiated a contractual joint venture; projected valuation of 1 billion over 10 years
- Full P&L ownership
- Business development; including payer and employer contract negotiation and relationship management
- Oversight of national footprint expansion, patient acquisition, provider experience, and quality management
- Drive adoption and implementation of measurement-based care initiatives
- Manage technology delivery roadmap and portfolio funding
- Partner with Evernorth growth office to support sales and account management functions
- Oversight of AI strategy, specifically the introduction of AI within therapy sessions
- Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
- Drove revenue growth by expanding product offerings and identifying new market opportunities.
- Navigated complex regulatory environments while maintaining compliance across all aspects of the organization''s operations.
- Built a high performing diverse workforce.
Director - Behavioral Network Strategy
Evernorth
01.2022 - 12.2022
- Owned the creation and advancement of the behavioral health network strategy
- Created and implemented network solutions that enabled the growth of Evernorth Behavioral Health
- Developed the provider aggregation strategy, which enabled Evernorth to enter the direct care business through the creation of Evernorth Behavioral Care Group
- Collaborated across all business units to ensure the network was meeting the needs of sales, clients, providers, and customers
- Provided strategic direction and oversight of the enterprise network flexibility project; which enabled sales to sell different network configurations
- Collaborated with Express Scripts contracting leadership to develop the new behavioral provider contracting strategy
Senior Manager - Innovative Contracting and Network Market Management
Evernorth
01.2020 - 12.2021
- Developed and implemented provider contracting strategy for and emerging behavioral health services
- Collaborated with medical directors and product leadership to create new coverage policies which enabled reimbursement for coaching services
- Relationship management with strategic network provider organizations
- Led a team of network market managers that supported sales and account management with growing the business
- Created and maintained Center of Excellence programs for substance use, mental health, and eating disorders
- Developed and oversaw the implementation of value based contracting solutions
- Partnered with clinical, compliance, sales, and product solutions matrix partners to ensure successful implementation of new initiatives
- Oversaw performance guarantees and RFP requests
- Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
Senior Manager - Provider Contracting
Cigna
11.2013 - 12.2019
- Led a team of Provider Relations Representatives, Contract Negotiators, and Market Managers
- Oversaw all outpatient and facility based contracting and provider relations activities
- Accountable for setting and ensuring strong overall unit cost results
- Created the Opioid Use Disorder and Medication Assisted Treatment contracting and network growth strategy
- Partnered with market presidents to enhance and developed network solutions that contributed to significant new business growth
- Developed contracting solution and financial model for Medicare Advantage plans
Provider Relations Manager
Cigna
07.2011 - 11.2013
- Led the national behavioral health provider relations team
- Owned the provider facing communication strategy, content development, and network education plan
- Collaborated with digital solutions team to drive provider adoption of electronic solutions
- Accountable for provider satisfaction and driving improvements tied to net promoter score
- Created differentiated service model for high volume strategic provider partners
Lead Clinician
Cigna
06.2008 - 07.2011
- Created and led the Cigna clinical Autism team
- Managed a large team comprised of outpatient, crisis, and inpatient care managers
- Developed the Autism Parent Education Training webinar series
- Provided clinical consultation to outpatient and inpatient care managers while managing a high-volume caseload
- Implemented new clinician onboarding and training program
- Liaison between clinical and network operations
Outpatient Mental Health Therapist
Keypoint Health Services
07.2005 - 06.2008
- Provided individual, family, and couples therapy to a caseload of over 100 children and adults
- Developed and implemented school based and in-home geriatric therapy programs
- Created clinician onboarding and training plans
- Led committees centered on improving clinical outcomes and the workplace environment
Education
Master of Social Work -
University of Maryland
Baltimore, MDBachelor of Science - Social Work
Roberts Wesleyan College
Rochester, NYSkills
- Business development
- Contract negotiation
- Revenue generation
- Vendor sourcing and negotiations
- Innovation and creativity
- Revenue growth
- Relationship and team building
- Organizational leadership
- Strategic planning
- Clinical quality improvement
Certification
Licensed Clinical Social Worker, Maryland
Timeline
President
Evernorth Behavioral Care Group
12.2022 - Current
Director - Behavioral Network Strategy
Evernorth
01.2022 - 12.2022
Senior Manager - Innovative Contracting and Network Market Management
Evernorth
01.2020 - 12.2021
Senior Manager - Provider Contracting
Cigna
11.2013 - 12.2019
Provider Relations Manager
Cigna
07.2011 - 11.2013
Lead Clinician
Cigna
06.2008 - 07.2011
Outpatient Mental Health Therapist
Keypoint Health Services
07.2005 - 06.2008
Bachelor of Science - Social Work
Roberts Wesleyan College
Licensed Clinical Social Worker, Maryland
Master of Social Work -
University of Maryland
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