Open to opportunities

Harvir User

@harviruser

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Strategic healthcare transformation leader driving operational excellence and measurable financial impact.

United States

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What I'm looking for

I seek senior leadership roles driving healthcare transformation, data-driven operational improvements, and measurable cost and quality outcomes within mission-driven organizations.

I am a strategic healthcare leader with 10+ years transforming complex operational challenges into high-value financial outcomes. I specialize in translating executive vision into scalable programs that improve quality, compliance, and cost performance.

I have led the build-out and direction of multiple brand-new teams, including data and clinical nursing teams, and architected enterprise data strategies that enabled performance monitoring across large, multi-state organizations.

My initiatives have driven measurable results: $109M in savings at CareMore, $50M ROI improving sales adherence at GoHealth, $8M cost avoidance from a 24/7 Nurse Help Line, and HEDIS impact across 15M+ members. I have also led a first NCQA health plan survey to a perfect score.

I bring expertise in process improvement, program and project leadership, stakeholder management, change management, and regulatory compliance (NCQA, HEDIS, CMS, HIPAA), and I seek roles where I can lead cross-functional teams to deliver measurable clinical and financial results.

Experience

Work history, roles, and key accomplishments

Current

Project Management Director

Current

CareMore

Mar 2023 - Present (2 years 10 months)

Directs enterprise-wide projects across a multistate primary care organization, spearheading Utilization, Case, and Population Management initiatives that delivered $109M in cumulative savings and exceeded financial targets by 181%.

Program Management Utilization Management Population Health Change Management Stakeholder Management Data Strategy Performance Monitoring

Senior Manager of Operations

GoHealth

Oct 2021 - Mar 2023 (1 year 5 months)

Built and led a new data and analytics team driving quality and process improvement for 2,000+ agents, generating $50M in ROI by improving Medicare sales adherence 217% and increasing effectuation and retention.

Data Analytics QA Process Improvement Data Governance Change Management

Manager of Quality Improvement

Centene

Oct 2020 - Oct 2021 (1 year)

Oversaw a new team of 6 clinical nurses to drive HEDIS performance and implemented quality initiatives that produced $8M+ in revenue through care gap closures across Medicaid, Medicare, and Marketplace products.

Quality Improvement HEDIS Production Clinical Operations Performance Monitoring Data Reporting Stakeholder Engagement Program Design

Manager, Contract Administration

HCSC

Jan 2018 - Sep 2020 (2 years 8 months)

Developed and led a reporting team that built dashboards and 75+ trackable metrics, doubling productivity and supporting operational excellence for 10 teams and 130 employees.

Reporting Dashboarding Operational Excellence Change Management Process Standardization

Regional Project Manager

Aetna

Apr 2017 - Jan 2018 (9 months)

Led HEDIS data collection and quality improvement activities across 20+ markets, improving adherence and care gap management using Agile and Waterfall methodologies.

HEDIS Activities Project Management Quality Improvement Agile Waterfall Process Improvement

Patient Centered Care Consultant

Elevance Health

Sep 2014 - Mar 2017 (2 years 6 months)

Consulted on Patient-Centered Medical Home programs and led NCQA, EQRO, and CMS compliance efforts, successfully leading a first NCQA survey accreditation with a perfect score and driving operational savings.

Patient Centered Medical Home Regulatory Compliance NCQA CMS Quality Management Policy Development Program Management

Assistant Site Director

YMCA

Dec 2013 - Aug 2014 (8 months)

Administered an afterschool program for a National Blue-Ribbon School, managing budgets, staff, and activities and organizing a fundraiser that achieved 125% of its goal and increased enrollment.