Open To Work
RACHEL MILES
Newport Beach,CA
Work Preference
Summary
Dynamic healthcare strategy leader focused on enterprise growth through innovative employer partnerships and community engagement. Successfully engineered a growth strategy that doubled revenue from ~$846K to ~$1.6M annually while creating a framework that linked over 8,500 employers to service-line demand. Expertise in translating market dynamics into actionable insights for system-wide expansion.
Overview
11
11
years of professional experience
Work History
Manager, Business & Community Partnerships
MemorialCare Health System
Long Beach & Orange County, CA
01.2022 - Current
- Define and drive commercial growth strategy across employer organizations, brokers, community partnerships, and health plan relationships, shaping how benefit design and market dynamics influence patient access, provider utilization, and service-line expansion across hospitals, physician enterprise, ambulatory care, imaging, specialty services, and primary care.
- Translate external market demand into enterprise-level growth frameworks across Orange Coast, Saddleback, Long Beach Medical Center, and Miller Children’s & Women’s Hospital, connecting employer populations and benefit structures to system-wide access, utilization, financial performance, and business planning.
- Defined enterprise Direct-to-Employer growth strategy, designing financial and utilization models projecting revenue expansion from ~$846K to ~$1.6M annually and establishing the economic case for employer-aligned care models.
- Architected a system-wide growth attribution framework linking 8,500+ employers to service-line demand, enabling leadership to prioritize provider expansion, access strategy, and capital investment.
- Established multi-service-line growth models across cardiology, oncology, orthopedics/spine, maternity, and neurosciences, informing provider development and site expansion decisions.
- Advised on provider and clinic expansion strategy, aligning workforce demand, service-line growth projections, and market opportunity to inform site development, provider recruitment, and capacity planning.
- Developed and validated business cases supporting growth initiatives, including service-line expansion, access strategy, and employer-aligned models, ensuring alignment with financial, operational, and strategic priorities.
- Delivered CFO-level financial scenarios comparing traditional reimbursement models to employer-aligned strategies, quantifying contribution margin and ROI for informed executive decision-making.
- Drove enterprise commercial growth across diverse benefit designs, including HMO, PPO, HDHP, EPO, and employer-aligned models, translating employer strategy into patient access pathways across primary care, imaging, ambulatory surgery, specialty, and hospital services.
- Established employer segmentation and prioritization framework based on workforce demographics, benefit design, funding structure, renewal timing, and market opportunity, shifting growth strategy from reactive engagement to predictive execution.
- Ensured execution alignment across strategic initiatives, translating growth strategies into operational plans, timelines, stakeholder coordination, and measurable outcomes.
- Led and developed commercial outreach and marketing teams, aligning execution with enterprise growth priorities, market strategy, and performance outcomes.
- Identified and evaluated emerging ambulatory care models, value-based reimbursement strategies, managed care programs, ACO partnerships, and ancillary service opportunities to support healthcare innovation, market expansion, and population health initiatives.
- Served as primary relationship lead for strategic partnerships, physician organizations, employer groups, and external stakeholders.
- Developed strategic recommendations utilizing healthcare market intelligence, ambulatory trends, managed care dynamics, and value-based care models for direct to employer initiatives.
- Built executive-level financial models, ROI analyses, and business cases supporting strategic investments and growth initiatives.
- Managed multi-million-dollar strategic initiatives from planning through implementation, ensuring achievement of timelines, budgets, and organizational objectives.
- Collaborated with physician leaders, medical groups, and ambulatory service lines to advance strategic growth and operational integration initiatives.
Occupational Medicine Manager
MemorialCare Medical Foundation
Orange County, CA
01.2019 - 01.2022
- Secured and structured a multi-year ~$3M direct employer contract with the County of Orange, leading pricing strategy, financial modeling, and contract negotiation.
- Generated $2.8M+ in net new revenue, exceeding targets by 100% through strategic employer partnerships and market expansion.
- Managed a $7M+ employer portfolio across 1,000+ accounts, driving retention, expansion, and service utilization.
- Implemented CRM and CPQ-driven sales infrastructure, enhancing pipeline visibility and upsell performance by 20%.
- Developed financial forecasts and growth models to support joint ventures and service-line expansion.
Key Account Manager
U.S. HealthWorks / Concentra
Orange County, CA
01.2017 - 01.2019
- Managed and expanded $17M+ employer portfolio, enhancing retention and growth across regional and national accounts.
- Achieved 85% conversion rate by strategically engaging employers and expanding accounts.
- Led cross-functional teams across account management and client services.
- Implemented CRM-based reporting and performance tracking, optimizing account management across national footprint.
Account Manager
24Hr HomeCare, LLC
Orange County, CA
01.2015 - 01.2016
- Scaled revenue from $2.4M to $7.2M within one year, achieving top company performance.
- Streamlined P&L and staffing models, achieving 60% reduction in labor costs.
- Oversaw operations for 300+ healthcare professionals, ensuring efficient service delivery.
Education
Bachelor of Science - Health Sciences
California State University Fullerton
Fullerton, CA01-2012
Skills
- Strategic Business Development
- Healthcare Growth Strategy
- Employer & Commercial Market Development
- Partnership Management
- Direct-to-Employer (DTE) Strategy
- Healthcare Analytics & ROI Modeling
- Market Intelligence for Enterprise growth strategy
- Partnership Integration
- Cross-Functional Leadership
- Strategic planning
- Stakeholder management
- Executive alignment
- Network Development
- CRM management
- Business Transformation
- Client relationship management
- Business development
Technical And Analytical Skills
- Strong interpersonal, written, verbal and presentation skills.
- Evidence of leadership, creativity, integrity, initiative, and problem solving
- In depth understanding of key areas of the healthcare business, particularly in an ambulatory care setting.
- History of managing complex business relationships/partnership and leveraging data to support overall performance management
- Salesforce Sales Cloud
- Salesforce Marketing Cloud
- Tableau & Data Visualization
- Healthcare Financial Modeling/ ROI analysis and projections
- Population Demand Analysis
- Adobe and Microsoft
- Healthcare Market Intelligence
- Demonstrates responsibility, accountability, discretion and sound judgment. Organizes workload to provide reliable follow-through and accountability to deadlines / timelines.
- SG2 and HCAI Dataset Familiarity
- Strategic Planning & Executive Decision Support
Core Capabilities
- Enterprise Growth Strategy
- Market Intelligence & Demand Modeling
- Provider & Clinic Expansion Strategy
- Healthcare Financial Modeling & ROI
- Business Planning & Investment Strategy
- Service-Line Growth Strategy
- Benefit Design & Access Pathway Strategy
- Population Demand & Utilization Analytics
- Growth Intelligence Infrastructure: Salesforce, Marketing Cloud, Tableau
- Cross-Functional Executive Alignment
Timeline
Manager, Business & Community Partnerships
MemorialCare Health System
01.2022 - Current
Occupational Medicine Manager
MemorialCare Medical Foundation
01.2019 - 01.2022
Key Account Manager
U.S. HealthWorks / Concentra
01.2017 - 01.2019
Account Manager
24Hr HomeCare, LLC
01.2015 - 01.2016
Bachelor of Science - Health Sciences
California State University Fullerton