Roderick Mosley

Consults with clients with tailored strategies to manage risk, offering expertise in Group, Medicare, and related areas, delivering market insights, strategic advice, and developing solutions to enhance client results.

Led charge in developing and deploying Medicare Advantage Growth Strategy for Consumer sector. Pioneered initiatives to bolster Commercial Medicare membership growth in Group accounts, while identifying and optimizing age-in membership conversion for Medicare products from Active lines of business. Created analytical process flow to drive significant market growth.

Consulted with Executive Leadership team on development and deployment of business growth strategy. Advanced growth objectives through comprehensive competitor market analysis and demographic data assessments. Steered pivotal business discussions, both online and in-person, across all lines of business.

Oversaw $20B business segment, collaborating closely with West Region President for Commercial Business Drove corporate strategy for 9 state level health plans, and their senior leadership teams, reporting to West Region office, consistently meeting financial targets via regular P/L meetings. Played pivotal role in financial management during close processes and crafted contingency plans.

Recovered over $1B in Claims Overpayments revenue via strategic financial initiatives, enhancing profitability and efficiency through cost containment, system controls, and innovative tools, significantly boosting revenue and savings, and overseeing key audits to strengthen compliance and financial health. Led Hospital Bill Audits for Meridian Resource Company, comprised of 100 RN’s and coders.