Krista Hayes

Led multi-market payer-provider modernization programs and product development, expanding advisory impact 35% and contributing to $17M in sales while securing >$200M in network contract wins. Implemented AI/ML-driven tools and compliance toolkits to improve provider engagement, transparency, and regulatory alignment.

Led network development and strategic network design for Commercial, Medicare, and Medicaid markets, securing $200M+ in contracts and winning competitive RFPs through tailored responses and operational roadmaps. Drove provider engagement and network accreditation efforts.

Oversaw Kansas health plan network operations, rebuilt network infrastructure and reporting, led system conversions and LTSS credentialing framework, and developed training and policy to enable new market launches. Drove cultural competency and rural health initiatives.

Managed a team of 8 provider advocates, led provider advisory board and compliance reporting, and implemented a Provider Advocate toolkit to improve provider satisfaction and audit readiness.

Contributed to the KanCare program launch by performing root cause analyses on claims and provider issues, conducting training, and managing credentialing, contracting, and reporting setups.

Attended 2 years at Missouri State University from 1995-1997, I started in the workforce in lieu of completing my degree.