Raeann Grossman

About Raeann Grossman

RaeAnn Grossman is one of the nation’s leading experts in health care transformation and innovation. Operational excellence and growth are in her DNA. Every day she strives to make health care better and the health care journey simpler. RaeAnn is an expert on Medicare Advantage, Medicaid, Commercial health plan and care delivery operations, partnerships, value based care contracting, risk adjustment, productization, channel development, plus payment accuracy and integrity.For over 20 years, RaeAnn works diligently with health plans, provider groups (ACO, MSO, IDN, and IPAs) and the healthcare community to drive value, impact, operational excellence and growth. She has a strong acumen in government-sponsored healthcare growth, high performance network management, and creating impactful solutions to healthcare challenges, such as new reimbursement models and enhanced incentives to drive better outcomes, member engagement, healthcare clinical & financial alignment. She is an expert at CMS, Commercial HHS/Exchange and Medicaid Risk Adjustment models and strategies, along with organizational transformation. She has over twenty-eight years of professional experience in a wide variety of healthcare organizations including start-ups, health plans, Physician Hospital Organizations (PHOs)/MSO, integrated health systems plus has built billion dollar companies. RaeAnn was an integral operational and growth leader focused on the building, innovation, and sale of Signify, Gorman Health Group, Datavant, Bright Health Plan now Molina, and Cotiviti. RaeAnn has held C-suite positions encompassing her areas of expertise, which include; sales, marketing, strategy, growth, operations, productization/commercialization, compliance, organizational transformation, plus onshore and offshore organizational design and team execution.Strengths:*Expediting Growth through innovation, thought leadership and partnerships*Marketing, Sales, Product & Client Success*Operational Excellence*Risk Adjustment, Quality and Value Based Care*Health Plan and Health System Relations*Organizational Transformation*Value Based Care and Risk Bearing Contracting

Experience

1. Chief Executive Officer

   Hlthworks

   Jul 2023 — Present · Scottsdale, MN

   As the Chief Executive Officer at HLTHWorks, I led a team of over 250 consultants in the US and global workforce back office teams - to drive better health plan operations, healthcare services and clinical performance. Through organizational transformation, we accelerated growth, scalability, and profitability. We conduct performance assessments leading to redesigning consumer and provider engagement, medical practices, health plans, healthcare adjacent solutions and embed global workforce as needed. We are having fun and doing good work for Medicaid, Commercial and Medicare populations, clinicians, and health plans.

Education

• University of Minnesota

  BS, Environmental Policy and Planning

• Florida State University

  MSP, Health Care Policy and Planning

Skills

• Medicaid Managed Care
• Product Development
• Healthcare Industry
• Medicaid
• Health Information Exchange
• Competitive Analysis
• Hmo
• Contract Negotiation
• Start-Ups
• Provider Relations
• Healthcare Management
• Product Management
• Business Strategy
• Process Improvement
• Contract Management
• Disease Management
• Hospitals
• Vendor Management
• Medicare
• Insurance
• Hipaa
• Management Consulting
• Executive Management
• Network Development
• Business Planning
• Cross-Functional Team Leadership
• Healthcare Consulting
• @Risk
• Business Analysis
• Data Analysis
• Marketing
• Strategy
• Project Management
• Strategic Planning
• Management
• Team Building
• Health Insurance
• Managed Care
• New Business Development
• Health Policy