Marilyn van Horn

About Marilyn van Horn

Assertive, results-focused professional equipped with 30+ years of leadership experience directing health plan Contact Center and Claim operations, including significant experience establishing Commercial, National, Medicare, Medicaid and Behavioral Health solution operating systems, procedures, and controls. Proven adaptability and success in any environment where building long term relationships is important, and integrity is valued. Dynamic change agent offering demonstrated abilities in identifying and capitalizing on opportunities for increasing revenues and enhancing operations to deliver dramatic improvements to the bottom line, such as through the deployment of cutting-edge applications/systems. Visionary strategist with a track record of success in developing operations strategies, new operations sites, designing and implementing call center and claim technology infrastructures, implementing best practices, and providing cultural leadership support. A people-oriented leader committed to creating an open, trustful environment to achieve positive change through effective employee empowerment. Persuasive customer advocate adept in balancing customer needs with overall corporate goals.

Experience

1. Vice President Operations

   Gainwell Technologies

   Aug 2024 — Present · NV, US

   West Region Medicaid Directs and drives performance excellence and efficiency for the West region, the accounts within area of responsibility, and the activities of senior managers, to execute staffing, budget, and service level agreement adherence. Responsible for initiating and driving operational and strategic initiatives and deployment of automation to achieve financial goals and objectives. Leads transformation efforts across multiple accounts or projects, and expertly identifies, defines, and solves complex business challenges. Accountable for coaching and developing account leaders, and establishing and driving a performance driven, results-focused, client and employee experience first culture. Partnering to propel continuous improvement across the operational organization, works directly with support teams and internal stakeholders including the Account General Manager (AGM), Systems Infrastructure, and external Clients, to deliver exceptional client, member, provider, and employee experiences. Responsible for the CA Medi-Cal, CA Medicaid Dental, Nevada, and Alaska Medicaid contracts that administer member and provider support services, claims administration, provider enrollment, training, quality, finance, and medical management.

Education

• University of Baltimore

  Bachelor of Science - BS, Business Administration and Management, General