NICOLE BORRELI
STRATEGIC GROWTH EXECUTIVE Managed Care | Market Expansion | Operational Excellence
Mount Joy,PA
Work Preference
Work Type
Full TimeLocation Preference
RemoteHybridOn-SiteImportant To Me
Work-life balanceCareer advancementCompany CultureFlexible work hoursPersonal development programsHealthcare benefitsWork from home optionPaid time off401k matchStock Options / Equity / Profit SharingTeam Building / Company RetreatsSummary
Strategic Healthcare Leader with a distinguished career driving multi-billion dollar growth across Medicaid, Medicare, Managed Care, and Commercial sectors. Expert in capture management and proposal strategy, directly contributing to $3B+ in revenue through the design of outcome-based solutions and successful contract acquisitions. Recognized for bridging the gap between state policy and local health needs by utilizing a collaborative leadership style and Lean Six Sigma methodologies to optimize business development workflows. A bilingual (English/Spanish) strategist committed to securing high-value partnerships that advance health equity and organizational market share.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Director, Community Impact & Engagement
MOLINA HEALTHCARE
12.2018 - 02.2026
- Strategic Career Progression: Rapidly elevated from Program Manager to Business Development Community Manager to Director due to significant accomplishments in market expansion and revenue growth.
- Secured $3B+ in Medicaid Revenue: Orchestrated high-stakes business development initiatives and proposal strategies that integrated Fortune 500 partnerships with localized market needs, resulting in successful state contract acquisitions.
- Architected Community Impact Frameworks: Spearheaded the development of comprehensive engagement toolkits that leveraged Social Determinants of Health (SDoH) data to differentiate Molina’s brand and drive measurable membership growth.
- Optimized Multi-Sector Partnerships: Cultivated and formalised strategic collaborations with community-based organizations (CBOs) and local leaders to bridge the gap between state policy requirements and grassroots health advocacy.
- Enhanced Operational Scalability: Directed cross-departmental initiatives to streamline community-facing workflows, utilizing Lean Six Sigma principles to improve data integrity and resource allocation efficiency.
- Cultivated High-Performance Teams: Developed and facilitated specialized training programs for market leaders, focusing on upskilling teams in Salesforce CRM, relationship management, and productivity enhancement.
Marketing and Community Relations Manager
UNITED HEALTHCARE
05.2016 - 08.2018
- Strategic Career Progression: Promoted at the invitation of leadership following successful DSNP expansion in PA; relocated to California to spearhead the Medi-Cal market launch, rapidly advancing from Specialist to Market Manager.
- Drove 20% Membership Growth: Engineered and executed a data-driven market entry strategy for the Medi-Cal launch in California, utilizing competitive analysis to capture significant market share within the first 12 months.
- Led Strategic Market Positioning: Spearheaded comprehensive marketing and public relations campaigns that established brand authority and trust among diverse provider networks and community stakeholders.
- Optimized Multi-Cultural Engagement: Developed a targeted sales and outreach plan specifically for the Latinx community, resulting in a measurable increase in Spanish-speaking membership and improved health resource accessibility.
- Forged High-Impact Partnerships: Cultivated a robust network of community-based organizations and local influencers to improve member satisfaction and brand loyalty through culturally relevant engagement initiatives.
- Delivered Outcome-Based Solutions: Designed outreach frameworks focused on Social Determinants of Health (SDoH), successfully bridging the gap between clinical service offerings and community health needs.
Outreach Coordinator
Senior Life York
12.2014 - 08.2015
- Exceeded Revenue Growth Targets by 300%: Recognized as a top-performing coordinator for tripling monthly revenue goals through the implementation of high-touch, personalized patient engagement and enrollment strategies.
- Expanded Community Footprint: Identified and secured partnerships with key community stakeholders and healthcare providers, significantly increasing the reach of outreach programs and service accessibility.
- Led Health Literacy Initiatives: Designed and delivered comprehensive educational sessions for the senior population, focusing on wellness, preventative care, and healthcare resource navigation.
- Ensured Rigorous Regulatory Compliance: Evaluated state and federal policies to integrate complex regulations into program development, ensuring all outreach activities met strict healthcare compliance standards.
Client Manager
Highmark Blue Shield
05.2003 - 11.2013
- Strategic Career Progression: Promoted from Customer Service to Small Group Client Manager and ultimately Regional Account Manager due to consistent excellence in client retention and book-of-business expansion.
- Executed Regional Market Expansion: Facilitated business growth across multiple counties, managing a high-value portfolio through personalized retention and acquisition strategies.
- Negotiated Long-Term Contracts: Leveraged market trend analysis to identify upselling opportunities, resulting in the successful negotiation of multi-year contracts with key accounts.
- Drove Client Satisfaction: Established a reputation for excellence in service delivery, ensuring 100% alignment between insurance offerings and client business objectives.
Education
B.A. - Performing Arts
01.2001
Skills
Growth & Market Strategy
- Business Development & Capture
- Market Positioning & Brand Differentiation
- Medicaid, Medicare & DSNP Expansion
- Competitive Gap Analysis
Healthcare & Policy Expertise
- Managed Care Policy & Compliance
- Health Equity & SDoH Strategy
- Stakeholder & Regulator Relations
- Bilingual: English & Spanish
Operational Leadership
- Lean Six Sigma Process Improvement
- Data-Driven Strategic Decision-Making
- Cross-Functional Team Leadership
- Executive Advocacy & Communication
Accomplishments
- Expanded Sales Capabilities: Scaled market leader performance by delivering targeted Salesforce training and implementing lean, budget-efficient growth strategies.
- Strengthened Stakeholder Partnerships: Cultivated deeper community collaboration through the development and deployment of comprehensive engagement and investment toolkits.
- Boosted Operational Efficiency: Streamlined internal workflows by authoring standardized process guides and spearheading cross-functional training to eliminate knowledge silos.
Affiliations
- Board Service: Board Member, Trusted Community Partners of SE | Volunteer, Church World Service
- Strategic Initiatives: Lead, Hurricane Helene Relief Campaign | Director, Cross-Functional Organizational Efficiency
Certification
- Lean Six Sigma: Yellow Belt Certified (Green Belt Candidate)
- Insurance: Licensed Life, Accident & Health Producer: CA & PA (Inactive; Eligible for Reinstatement)
- Leadership: WIN Executive Mentorship Graduate
Languages
English
Native or Bilingual
Spanish
Full Professional
Timeline
Director, Community Impact & Engagement - MOLINA HEALTHCARE
12.2018 - 02.2026
Marketing and Community Relations Manager - UNITED HEALTHCARE
05.2016 - 08.2018
Outreach Coordinator - Senior Life York
12.2014 - 08.2015
Client Manager - Highmark Blue Shield
05.2003 - 11.2013
Fordham University - B.A., Performing Arts
Awards
- Molina Valor Award: Honored for visionary leadership in founding the Latinx Affinity Group, fostering an inclusive corporate culture and aligning internal talent with market demographics.
- Latina Inspirational Leadership Award: Recognized for driving measurable community impact and serving as a high-impact mentor for Latinx youth, bridging the gap between healthcare leadership and the next generation of talent.