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
Remote
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
Sacramento, CA
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
York, PA
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
Camp Hill, PA
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.