Clayborne Harris

Healthplan Chief Financial Officer @Healthy Blue Louisiana

Metairie, LA, US

Manage $2B+ in revenue for a major Managed Care Organization with over members•Currently the serving finance chairman for the Louisiana Managed Medicaid Association •Evaluation, modeling, and presentation of financial KPIS for new trends and projects to corporate leadership and key investors like Blue Cross Blue Shield LA•Owns budgeting, forecasting, and control of all financial operations for the health plan•Experienced in handling all cost reports such as MLR exam audits, NAIC filings, and CMS filings for a major managed Medicaid health plan•Use advanced analytic concepts including but not limited to Oracle Hyperion/Essebase, PeopleSoft financials, SQL, Snowflake platforms, ServiceNow platforms, ThoughtSpot, Tableau, among many others•Unique skillset of finance, management, accounting, statistics, and analytics with a long tenured background in Medical Economics and leading teams of analysts •Work with and within government contracts with the Louisiana Department of Health and maintaining compliance therein•Regularly reviewing and approving multimillion-dollar checks, wires, EFTs, and voucher loads for the maintenance of our dental, transportation, and vision vendors as well our pharmacy benefit manager•Rolled out 5 new state directed payment programs that delivered over $145M to hospitals, physician groups, and transportation providers across the state each quarter

Louisiana State University

Bachelor of Applied Science (B.A.Sc.), Marketing

University of Houston-Clear Lake

MHA/MBA