Lauren Conway

VP Commercial Network Strategy (2022 - Present)

• Overall network relationship owner for commercial senior leadership team, attend leadership meetings, respond to needs or issues from leadership team, and report on network progress in meeting commercial key objectives/MBOs
• Develop and drive Best in Class (BIC) network strategy and tactics, work with healthcare economics to report progress with national consultant benchmarking
• Lead termination impact analysis process for large provider negotiations with termination risk working with finance and market leaders across the country to ensure reasonableness and integrity of analysis, streamlined the process to create efficiencies
• Support commercial business planning and commercial related components of network business plan

VP Total Cost of Care (2019 - 2022)

• Worked closely with market leaders to manage total medical spend and drive TCOC in the markets
• In 2021, NY was given the highest affordability target in the country which we exceeded by 143%
• Collaborated with other areas of the organization to influence strategy (i.e., national lab team, healthcare economics, out of network affordability team, risk management, payment integrity, network)

Market CFO (2005-2019)

• Managed financial reporting for New England & Pennsylvania health plans representing over $2.2 billion in revenues, and over 700,000 members
• Developed annual budgets and forecasts, recognized for accuracy in forecasting
• Participated and influenced strategy discussions and initiatives for product, distribution, pricing and network
• Oversaw the launch of the company’s participation in the Rhode Island and Massachusetts Individual Exchange
• Led region and market level ad hoc operations projects
• Selected and participated in the Executive Development Program in 2011
• Maintained strong relationships with regulators, member of various statewide regulatory task force

• Managed and developed the annual operating and capital budget
• Managed accounting staff
• Maintained all financial records
• Monitored and directed the investment portfolio, worked with the investment advisor
• Responsible for all banking relationships
• Served as the principal liaison to Investment & Audit Committee of Board of Directors

• Managed accounting staff, key contact for year end independent audit and Division of Insurance Audits
• Responsible for month end financial reporting for 1.7-billion-dollar company, including preparation of monthly financial analysis for senior management and presentation to the board
• Reviewed monthly reconciliations with a goal of being audit ready every month
• Functioned as the finance contact for budgeting and forecasting medical expenses
• Assisted in preparing budgets and forecasts for direct
• Oversaw financial reporting for an eighty million dollar claims and premium software implementation project

• Managed daily operations of a 60-million-dollar company
• Supervised a staff of seven accountants
• Adhered to a timely closing of the general ledger and its respective modules on a regular monthly basis while ensuring proper account classification through review of source documents and journal entries and month end reconciliations
• Formulated and implemented policies and procedures to ensure proper controls existed
• Selected as core team member for implementing new accounting software package
• Coordinated all required information and schedules for year end audit.

• Complete responsibility for supervising, coaching, and evaluating staff members of audit team (predominately insurance clients)
• Performed planning for year end audits reducing audit hours up to twenty percent while ensuring proper detail analysis was given to internal and administrative controls
• Identified significant accounting issues and disclosures to ensure clients’ financial statements adhered to generally accepted accounting principles
• Reviewed audit work papers prepared by staff accountants.