Mike Lee
Managing Director at PwC Strategy&
- Role
- Sr Managing Director - Healthcare Strategy at Strategy&
- Location
- Washington, DC, US
- LinkedIn followers
- 500 followers
About Mike Lee
I am a senior business advisor, operator, and builder of capabilities for health plans and healthcare startups with depth in VBC, Risk Adjustment, Stars/Quality, and Middle Office overall. A #Transformation leader with applied #strategy experience at PwC Strategy & , enriched with deep dives across financial technology, AI-based clinical analytics, and payor ops broadly. A believer in creativity, digital, diligence and urgency coupled with the absolute right to a free weekend.
Experience
Sr Managing Director - Healthcare Strategy
Sep 2019 — Present · Washington, DC, US
Delivering insights and outcomes for health insurance, providers, and supporting tech and analytics/AI vendors. Primary specializations in capabilities strategy + growth, operations transformation, value based care, risk adjustment, Quality, and technology due diligence and evaluation- Stood up multi-state operation engaging members and providers to realize $1B in incremental revenue- Identified root causes and transformation plan to mitigate hundreds of millions in transfer payments- Helped build analytical and AI-informed products to drive Stars/CAHPS performance- Defined PBM cost management strategy for fast growth drugs (GLP-1, Gene Therapies, Biosimilars)
Skills
- Business Planning
- Operations Management
- Organizational Effectiveness
- Acquisition Integration
- Analytics
- Lean Transformation
- Business Strategy
- Strategic Planning
- Web Applications
- Program Management
- Healthcare Management
- Business Process Re-Engineering
- Project Delivery
- Managerial Finance
- Business Transformation
- Management Consulting
- Product Development
- Analysis
- Enterprise Software
- Cross-Functional Team Leadership
- Strategy
- Product Management
- Economic Modeling
- IT Strategy
- Data Modeling
- Business Process Improvement
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