LAUREN E. MCCARTHY, MBA
Miami,Florida
Summary
Highly accomplished healthcare professional with a proven track record of success in client management, business development, operational efficiency, and program management. Expertise in driving revenue growth, improving quality of care, and delivering quantifiable results within value-based care models. Strong leadership skills with a demonstrated ability to build and maintain strategic partnerships.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Director, Client Success, Market Operations (Remote)
Navvis Healthcare
05.2023 - 11.2024
- Achieved $56M in shared savings for the company's largest client (a $10B integrated delivery system) in 2023 through successful service delivery and contract performance management
- Guided client through all population health activities impacting VBC/APM contracts (MSSP ACO, 20+ shared savings/risk arrangements)
- Ensured alignment with broader client vision and company objectives
- Collaborated with C-suite, Health Plan Leadership, and Regional Leadership to develop and implement cost-containment and quality improvement initiatives
- Collaborated with cross-functional teams in designing strategic initiatives, optimizing service offerings, and providing actionable analytics
- Participated in payer JOCs and strategic workgroups to enhance contract performance
- Part of account team that secured a six-year contract extension and a $100M investment from the client by repairing a strained relationship
Principal Client Relationship Executive (Remote)
Enlace Health
03.2022 - 01.2023
- Built and sustained beneficial relationships with regional/national health plans and technology partners in episodic care programs
- Developed and executed tailored account plans to drive success, including the promotion of additional product offerings
- Advised cross-functional teams on industry shifts and client strategic goals in value-based care
- Served as subject matter expert (SME) for CMS oncology programs, contributing to product improvements and client-facing dashboards
- Achieved 94% Net Promoter Score (NPS) and 96% Customer Effort Score (CES)
Market Engagement Director (Remote)
CareCentrix
03.2019 - 02.2022
- Guided market implementation efforts for a major national insurance client under a value-based, risk-bearing program
- Analyzed and evaluated internal business processes against KPIs, developing comprehensive reports to inform strategic decisions
- Collaborated with plan leadership to align goals and processes, fulfilling SLAs and driving continuous performance improvement
- Drove performance outcomes in a five-state territory with over 1,000 acute and post-acute network providers
Practice Development Manager (Remote)
ShiftMD
03.2017 - 02.2019
- Established the South Florida territory by onboarding medical practices onto the company's technology platform
- Increased sales revenue by over 400% through gaining new accounts and optimizing technology utilization
- Led efforts in boosting revenue potential by educating physicians and staff on product features and benefits
- Worked with the product team to develop new technology features and user interface improvements
Market Operations Manager (Remote)
Remedy Partners (acquired by Signify Health 2019)
06.2015 - 01.2017
- Spearheaded the Bundled Payment for Care Improvement (BPCI) program implementation in Florida ($285M annual program)
- Managed market-level client relationships and oversaw the Clinical team
- Analyzed CMS claims against clinical data to identify opportunities for program improvement and cost reduction
- Built high-performing post-acute networks, improving service utilization and quality metrics
- Achieved significant cost savings for clients through operational improvements and process changes (detailed quantifiable results included)
Corporate Marketing Manager
ChenMed LLC
05.2013 - 05.2015
- Originated and implemented local and national sales and marketing initiatives
- Developed strategies for patient and physician acquisition and retention
- (Add quantifiable results if possible)
Director of Sales and Marketing (Hybrid)
Fertility & Genetics
09.2010 - 05.2013
- Built cohesive branding and enhanced online visibility, product positioning, and pricing strategies
- Managed online marketing campaigns, pay-per-click advertising, and Google Analytics
- Increased new patient traffic by 100%, referrals by 50%, and performed procedures by 50%
- Achieved highest numbers of IVF cycles performed in a single year (20-year company history)
- Increased appointment capture rate to 70% through patient education seminars
Education
MBA - Healthcare
Florida International University
Miami, FL04-2020
Master of Science - Recreation Management
Florida State University
Tallahassee, FL08-2004
Skills
* Population Health Management
* Advanced Payment Models
* Client Relationship Management
* Business Development & Strategic Planning
* Operational Design & Implementation
* Change Management
* Process Improvement & Optimization
* Analytics & Reporting (including Tableau)
* Contract Negotiation & Management
* Provider Engagement & Network Development
Certification
* PMP (In Progress)
* Agile Leader Certified (2023)
* Scrum Master Certified (2023)
* Lean Six Sigma Green Belt (2019)
* Visual Analytics with Tableau (2019)
Timeline
Senior Director, Client Success, Market Operations (Remote)
Navvis Healthcare
05.2023 - 11.2024
Principal Client Relationship Executive (Remote)
Enlace Health
03.2022 - 01.2023
Market Engagement Director (Remote)
CareCentrix
03.2019 - 02.2022
Practice Development Manager (Remote)
ShiftMD
03.2017 - 02.2019
Market Operations Manager (Remote)
Remedy Partners (acquired by Signify Health 2019)
06.2015 - 01.2017
Corporate Marketing Manager
ChenMed LLC
05.2013 - 05.2015
Director of Sales and Marketing (Hybrid)
Fertility & Genetics
09.2010 - 05.2013
MBA - Healthcare
Florida International University
Master of Science - Recreation Management
Florida State University
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