Kristi Neidel
North Chili,NY
Summary
Accomplished healthcare executive offering 20+ years’ experience driving innovation, operational excellence, and business growth within the healthcare industry. Proven track record of leading cross-functional teams, developing market-driven product strategies, and optimizing healthcare operations to improve business efficiency and profitability. Adept at navigating complex regulatory environments, implementing large-scale system transformations, and cultivating strategic partnerships to drive sustainable growth. Recognized for building top-performing teams, streamlining product development processes, and delivering competitive solutions that meet evolving market demands.
Overview
26
26
years of professional experience
Work History
Vice President, Product Development
Medical Mutual of Ohio
03.2023 - 02.2025
- Spearheaded the development and execution of product strategies across Group, Ancillary, Medicare, and Individual lines of business to drive market growth and profitability
- Developed the Product Development team of 10 from the ground up by hiring and training professionals to streamline processes and improve cross-functional collaboration
- Designed and implemented a structured product development process and governance framework that secured organizational buy-in, ensured alignment with business objectives and improved efficiency across multiple business lines
- Led strategic initiatives that contributed to 17% growth in the individual market and effectively achieved 3x the goal
- Spearheaded the redesign and launch of the small and mid-size group level-funded product which drove a 300% increase on enrollment while lowering loss ratios by 7%
- Led the development and execution of the commercial line of business strategy, successfully meeting board-defined goals
Vice President, Operations
ElderONE, Rochester Regional Health
03.2021 - 03.2023
- Led the daily operations of a Program of All-Inclusive Care for the Elderly (PACE) program, overseeing interdisciplinary teams to provide comprehensive care for seniors
- Directed all aspects of ElderONE’s health plan and clinical operations including financial performance, network management, quality compliance, and human resources to improve care for the frail elderly
- Built and executed strategic initiatives that exceeded financial margin targets by $8M better than budget and strengthened the program’s long-term sustainability
- Implemented growth strategies that increased membership by 10% and expanded access to comprehensive medical care for elderly patients
- Implemented targeted strategies that reduced 30-day readmission rates by 50%, enhancing care quality and cost efficiency
- Oversaw post-pandemic recovery efforts by optimizing operational workflows and restoring full program functionality
- Optimized risk adjustment processes, resulting in a $1 million financial improvement
Vice President, Product and Contract Management
Excellus Blue Cross and Blue Shield
01.2018 - 03.2021
- Steered the Product and Contract Management team to develop and implement product strategies that drove profitable growth and aligned with business objectives
- Designed and implemented a governance framework that streamlined the process for proposing and launching product changes to the market
- Created and led an innovative-driven product development process that fostered new solutions and enhanced market competitiveness
- Worked with cross-functional leaders to develop multiyear product roadmaps that aligned with business goals and supported margin targets
- Strengthened the Excellus product portfolio by optimizing product strategies and ensuring alignment with evolving market needs
- Managed the end-to-end implementation of a product repository, Pega PCS, enhancing data organization and accessibility
Vice President, National Programs and eServices
Excellus Blue Cross and Blue Shield
01.2014 - 01.2018
- Restructured the National Programs team to enhance cross-functional collaboration and ensure compliance with State Federal and Blue Cross and Blue Shield Association mandates
- Aligned Excellus Blue Cross and Blue Shield CEO with any strategic decisions, upcoming initiatives, or major developments in preparation for the Blue Cross and Blue Shield Association Board meeting
- Led the implementation of a new Electronic Data Interchange (EDI) platform, reducing risk and improving efficiency for EDI transactions
Director, eServices and Health Exchanges
Excellus Blue Cross and Blue Shield
01.2013 - 01.2014
- Led and managed day-to-day Electronic Data Interchange (EDI) business operations, optimizing processes and performance for providers, groups and members
- Oversaw the implementation of all aspects of the Affordable Care Act and private exchanges
Commercial Programs Director
Excellus Blue Cross and Blue Shield
01.2010 - 01.2013
- Led and mentored a team of project managers, overseeing project execution, resource allocation and risk management
- Managed the successful implementation of a new claims system, overseeing the transition of 800k commercial groups and members to the new claims system
Program Manager
Excellus Blue Cross and Blue Shield
01.2005 - 01.2010
- Managed key technical projects such as a new wellness platform, a new electronic funds transfer system and other web application implementations
Project Manager
Cornell University, Weill Cornell Medical College
01.2002 - 01.2005
- Directed project management efforts for key initiatives at Cornell and New York Presbyterian Hospital by overseeing projects from inception to implementation using PMI methodologies
Manager Production Programming, Programmer Analyst
Emdeon
01.1999 - 01.2002
Education
Bachelor of Arts - Computer Science
University at Buffalo
Buffalo, NYSkills
- Strategic Planning
- Healthcare Operations
- Major Systems Implementation
- Product Development
- Regulatory Compliance
- Cross-functional Leadership
- Risk Management
- Vendor/Contract Management
- Market Growth Strategies
- Process Improvement
- Project/Program Management
- Business Development
- Financial & Margin Optimization
- Relationship building
- Complex Problem-solving
- Market research
- Portfolio optimization
Timeline
Vice President, Product Development
Medical Mutual of Ohio
03.2023 - 02.2025
Vice President, Operations
ElderONE, Rochester Regional Health
03.2021 - 03.2023
Vice President, Product and Contract Management
Excellus Blue Cross and Blue Shield
01.2018 - 03.2021
Vice President, National Programs and eServices
Excellus Blue Cross and Blue Shield
01.2014 - 01.2018
Director, eServices and Health Exchanges
Excellus Blue Cross and Blue Shield
01.2013 - 01.2014
Commercial Programs Director
Excellus Blue Cross and Blue Shield
01.2010 - 01.2013
Program Manager
Excellus Blue Cross and Blue Shield
01.2005 - 01.2010
Project Manager
Cornell University, Weill Cornell Medical College
01.2002 - 01.2005
Manager Production Programming, Programmer Analyst
Emdeon
01.1999 - 01.2002
Bachelor of Arts - Computer Science
University at Buffalo
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