Open to opportunities

Tyller Kerrigan-nichols

@tyllerkerrigan-nicho

Message

Medicaid managed care leader driving program modernization and Medicaid–Medicare integration.

United States

Message

What I'm looking for

I seek a senior role driving Medicaid managed care program modernization, policy-to-operations alignment, and improved Medicaid–Medicare integration with collaborative, mission-driven teams.

I am a Medicaid managed care and healthcare policy leader with 6+ years of experience advising state agencies on MCO contracting, Dual Eligible program design, regulatory compliance, and value-based payment models. I have led statewide Medicaid contract strategy, modernized managed care programs, and aligned policy with operational execution across complex stakeholder environments.

At the Colorado Department of Healthcare Policy & Financing, I directed end-to-end contract lifecycle management for MCO and D‑SNP contracts, designed a new quality framework to support value‑based care, and developed the state’s strategic vision for D‑SNP modernization to improve Medicaid–Medicare integration and care coordination. I also lead and mentor a team while coordinating with legal, finance, actuarial, policy, and CMS stakeholders.

Earlier roles include contract development and PERM audit management, coalition strategic planning, grant support, and community health worker leadership focused on population health, compliance, and performance improvement. I bring deep expertise in program design, stakeholder management, and translating policy into measurable operational outcomes.

Experience

Work history, roles, and key accomplishments

Current

Managed Care Supervisor

Current

Colorado Department of Healthcare Policy & Financing

Oct 2020 - Present (5 years 4 months)

Led statewide strategy and oversight for Medicaid MCOs and 11 D‑SNP contracts serving hundreds of thousands of members; designed a new quality framework and drove D‑SNP modernization to improve Medicaid–Medicare integration and care coordination.

Contract Management Regulatory Compliance Stakeholder Management Population Health Team Leadership

Managed Care Contract Specialist

Colorado Department of Healthcare Policy & Financing

May 2019 - Oct 2020 (1 year 5 months)

Developed Medicaid MCO contracts including Denver Health, modernized CHP+ contracts, created a standardized D‑SNP template, and led PERM audit preparation and remediation to ensure regulatory compliance.

Medicaid PERM Audit Preparation Regulatory

VISTA Program Assistant

Mile High Health Alliance

Apr 2017 - May 2018 (1 year 1 month)

Co‑developed a 3‑year strategic plan, supported policy research on opioid prescribing and medication management, led program evaluations, and contributed to grant writing and budget planning.

Strategic Planning Policy Research Program Evaluation Grant writing Budgeting Performance Improvement Coalition Building

Community Health Worker Team Lead

North Colorado Health Alliance

Sep 2013 - Apr 2017 (3 years 7 months)

Managed a team of four community health workers and a caseload of ~50 Medicaid members; led reporting for state and grant programs and analyzed care management outcomes to drive program improvements.

Community Health Team Leadership Case Management Data Analysis Grant Management