Sinnamon Spurlin
Baton Rouge,LA
Summary
Results-driven healthcare executive with over a decade of progressive leadership experience in provider performance, value-based care, and population health strategy. Proven track record of leading cross-functional teams to optimize care delivery and exceed key performance indicators such as HEDIS, Medical Loss Ratio (MLR), and cost of care. Skilled at aligning provider performance with organizational objectives through innovative Alternative Payment Models (APMs) and strategic partnerships. Seeking to leverage strategic planning and project management expertise to drive enterprise-level impact as a Director of Provider Performance at Aetna. Demonstrated ability to utilize leadership skills to enhance team performance and achieve operational excellence, with a history of delivering impactful results through innovative problem-solving and effective communication strategies.
Overview
11
11
years of professional experience
Work History
Aetna Better Health of Louisiana
11.2022 - Current
- Lead value-based and population health strategy execution across Louisiana market.
- Manage over $14M in APM contracts, delivering 31% YoY increase in HEDIS compliance and reducing MBR.
- Build strategic provider relationships, aligning care models and improving performance metrics.
- Develop performance dashboards and present KPI updates (HEDIS, cost of care, MLR) to senior leadership.
Centene Corporation
08.2022 - 10.2022
- Directed enterprise-level quality improvement strategies to elevate plan performance.
- Championed HEDIS compliance programs including member incentive strategies for screenings (e.g., breast cancer).
Anthem, Inc.
01.2020 - 07.2022
- Managed team of 13 in executing value-based initiatives focused on clinical quality and cost of care.
- Delivered actionable provider insights using financial, utilization, and gaps-in-care analytics.
- Developed transformation strategies aligned with Medicare Advantage and Duals care models.
Blue Cross Blue Shield of Louisiana
04.2016 - 12.2019
- Served as lead consultant for Medicare Advantage provider performance strategy.
- Monitored cost and quality data for risk-sharing ACO agreements, enabling statewide expansion.
- Drove $4.9M in shared savings through innovative cost-of-care reduction efforts.
Humana, Inc.
08.2014 - 04.2016
- Developed quality analytics to reveal care gaps and reduce unnecessary ED utilization.
- Supported wellness program engagement and chronic condition management via data insights.
Education
Master of Health Services Administration (MHSA) -
University of Kansas Medical Center
Master of Business Administration (MBA) - undefined
University of Saint Mary
Skills
- Provider Network Strategy
- HEDIS & Stars Performance
- Medical Loss Ratio (MLR) Management
- Alternative Payment Models (APMs)
- Contract Performance Optimization
- Population Health & Risk Adjustment
- Clinical Integration & Quality Improvement
- Provider Engagement & Care Coordination
- Strategic Planning & Execution
- Financial Performance Analytics
- Regulatory Compliance
- Healthcare Data Interpretation
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Flexible and adaptable
- Dependable and responsible
Timeline
Aetna Better Health of Louisiana
11.2022 - Current
Centene Corporation
08.2022 - 10.2022
Anthem, Inc.
01.2020 - 07.2022
Blue Cross Blue Shield of Louisiana
04.2016 - 12.2019
Humana, Inc.
08.2014 - 04.2016
Master of Business Administration (MBA) - undefined
University of Saint Mary
Master of Health Services Administration (MHSA) -
University of Kansas Medical Center
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