Philip Britt

Associate Vice President, Product Management - Clinical Operations @Humana

Louisville, KY, US

Accountable for advancing clinical operations technology with over $50M in annual investment impacting regulatory compliance, productivity goals, medical expense trends, STARS revenue, and Risk Adjustment- Responsible for evaluating a complete platform overhaul bringing multiple business units onto a unified modern system, sunsetting outdated technologies, and decreasing the total cost of ownership; Completed through formal RFI and RFP processes- Built and expanded portfolio of AI related programs leveraging natural language processing and optical character recognition which will contribute millions to administrative efficiencies- Established healthcare’s first of its kind direct payer-to-EHR prior authorization integration based on modernized standards; realizing 10% reduction in calls and decreased friction with provider health systems - Managed vendor relationships and negotiated multi-year contracts to support growth in demand of our services while receiving significant discounts and investment resources- Balanced Medicaid and DSNP growth objectives from state contract RFP wins in OH, OK, IN, and VA while bringing new technology to production for existing state and long-term support service operations- Routinely leveraged industry scans through vendor meetings, conferences, and targeted research to inform strategic plans and future investment- Steered organization through a restructure which created product focus areas leading to higher engagement, building subject matter expertise, and eliminating inefficiencies - Improved Quality Assurance by decreasing production defect leakage from over 30% to under 10% creating increased uptime for operations- Oversight of $20M+ annual operational budget with of over 150 associates and contractors- Received 2023 Humana Excellence Award

University of Kentucky

Bachelor of Business Administration (B.B.A.), Finance

Indiana University Southeast

Master of Business Administration (M.B.A.), Business Administration and Management, General