Bryan Hebert

Background

About Bryan Hebert

Strategy, operations and information technology executive with 25 years of experience building winning teams for the healthcare payer and provider industry. Focused on introducing new strategies to improve low performing operating units by revitalizing struggling teams and rethinking operations across the Medicare, Medicaid, Commercial, Supplemental and Exchange markets. Deep experience in health plan operational turnaround, traditional and value based MAPD and PDP benefit design and innovation, risk and incentive budgeting/modeling to support member gaps closure in the CMS bid model, delegated - risk based/value- based provider contracting and provider network operations, STARS & HEDIS program design, prospective and retrospective risk adjustment strategy and operations. business process transformation and organizational change management, technology and digital innovation, virtual care technology and program design, supplemental benefits, right shore business process outsourcing, annual CMS NOIA and Bid Process management and submission, CMS network adequacy, CMS and State attestations and licensing, CMS program audits. CMS sanctions and corrective action plan development/management, IVA audits and enterprise HIPAA and corporate risk and technology management strategies. Managed all aspects of payer call center & plan/provider operations from NOIA start-up and CMS/NAIC, state and federal licensing & compliance-filings/regulatory reporting to scaling provider networks to forecasting manpower needs to staff any type of start-up or existing health plan or TPA operation.