Sandra Marinace

WORK HISTORY

EDUCATION

ABOUT SANDRA MARINACE

As a Healthcare quality improvement executive, I provide quality management and quality improvement for government sponsored and commercial health plans. I have the ability to define, design and deliver solutions that maximize performance and financial results, while navigating a highly matrixed environment. I demonstrate expertise to lead strategy development and tactical planning and establish and manage high performing teams responsible for large, complex initiative implementations spanning across multiple functional areas. I am adept to foster communications, robust collaboration and strong partnerships amongst multiple stakeholders. Highlights of achievements include: • Directly managed a team of 11 health plan quality directors and national HEDIS staff members within an organization of over 50 professionals. Accountable for over $20M in performance penalties tied to Medicaid and Medicare HEDIS and Stars. • Achieved 5-7 percentage point improvements year over year utilizing HEDIS measures, focused on Medicaid enrollees with Serious Mental Illness (SMI) in Florida. • Quality Leader on 4 winning bids and contract renewals, including Virginia’s Medicaid MLTSS and Medicaid TANF contracts, Arizona’s Medicaid contract, and Florida’s Medicaid plan contract, serving enrollees with Serious Mental Illness. • Delivered successful integration of the Quality team with Senior Whole Health, a Tier 2 MLTC plan in New York and a 4-Star Medicare DSNP plan in Massachusetts. • Created the core quality strategy for 8 Medicaid markets, including providing the strategic direction for the build of a live outbound call center, and the design of 9 Medicaid member incentive programs targeting over 300K members. • Secured funding and implemented a Commercial outbound call center, leveraging expertise from Medicaid build in 2012, and continued to implement innovative programs for Medicaid, Medicare, and Commercial members.