Open to opportunities

Charlie Elliott

@charlieelliott

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Strategic healthcare operations executive driving measurable performance improvements.

United States

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What I'm looking for

I am seeking senior operational leadership roles where I can stabilize complex environments, scale governance, partner with executives, and deliver measurable improvements in performance and quality.

I am a healthcare operations leader with over 25 years of experience across Medicaid, Medicare, and Commercial lines, currently overseeing a $547M enterprise payor portfolio. I stabilize high-abrasion markets, design governance frameworks (including an enterprise JOC), and lead cross-functional teams across clinical, claims, pharmacy, provider relations, IT, and analytics to deliver improved SLA compliance, turnaround times, and operational accuracy.

I partner with senior payor executives to align strategy, risk, and execution, translating complex operational challenges into disciplined execution and measurable results. My track record includes restoring operational predictability in high-visibility markets, scaling governance practices enterprise-wide, and improving STAR/HEDIS and provider performance through data-driven solutions.

Experience

Work history, roles, and key accomplishments

Current

Senior Director, Strategic Accounts

Current

Evolent Health

Mar 2022 - Present (4 years 3 months)

Own end-to-end operational leadership for a $547M national payor partnership, resetting governance and driving measurable improvements in SLA compliance, turnaround times, and operational accuracy across clinical, claims, pharmacy, and provider relations.

Operational Leadership Program Management Stakeholder Management Claims Operations Provider Relations SLA Management Tableau

Director, Provider Relations

Cedergate Technologies

Nov 2018 - Mar 2020 (1 year 4 months)

Led provider engagement strategy through major operational transformation, reducing provider abrasion, establishing escalation paths, and building analytics dashboards to improve provider performance visibility.

Provider Relations Stakeholder Engagement Process Improvement Escalation Management Dashboards Performance Management Collaboration Change Management

Director, Provider Relations

WellCare

Sep 2015 - Nov 2018 (3 years 2 months)

Directed provider network operations across Texas and Louisiana, partnering with providers to improve STAR and HEDIS performance and serving as liaison between providers and health plan leadership.

Provider Network Management Provider Engagement Performance Improvement Reporting

Senior Manager, Claims & Operations

Anthem

Jul 2011 - Sep 2015 (4 years 2 months)

Led multi-state claims operations across domestic and offshore teams, maintaining operational stability during leadership transitions and improving audit readiness and processing accuracy.

Claims Operations Team Leadership Offshore Management Process Optimization & Compliance Performance Management

Manager, Claims Operations

UnitedHealth Group

Mar 2004 - Jun 2011 (7 years 3 months)

Managed claims operations with accountability for compliance and service levels, reducing backlogs through data-driven workflow optimization and developing leaders under performance pressure.

Claims Management Workflow Optimization & Compliance team development Performance Metrics