Renee Rees

Background

About Renee Rees

Throughout my 20+ years of experience, I consistently drove operational efficiency, streamlined processes, and enhanced team performance within fast-paced payer and provider environments through my leadership and management skills. My expertise in developing and implementing plans, policies, and processes aligned with organizational goals, regulatory requirements, and industry best practices allowed me to be instrumental in delivering high-quality services. My proven track record in amplifying success has been powered by my skills in operational implementation, staff development, relationship management, team leadership, continuous improvement, and resource management. I established a high-performing workforce and fostered robust, collaborative relationships with stakeholders and providers, facilitating business expansion. I also excel in promoting a culture of excellence and compliance to safeguard the organization's reputation and maintain a competitive edge in the dynamic market. Furthermore, I am passionate about catalyzing a shift in healthcare from reactive to proactive by advocating for quality and value-based care advancement. Here are some of my most notable accomplishments: → Obtained commendable Medical Expense Ratio of 86% while maintaining 4-star rating for 8 Medicare contracts within Pennsylvania and Southern New Jersey through proactive cost management and performance excellence. → Garnered 27% Medicare membership growth YoY by aligning co-marketing campaigns with budget, exceeding regional goals. → Spearheaded Health Plan's program implementation across all lines of business, with current enrollment of 1M members and objective of enrolling 75% of total membership. → Optimized revenue by maintaining 87% medical expense ratio for provider groups and Medicare Risk Adjusted rate of over 1. → Developed well-integrated, strategic business roadmap through collaborative participation in annual strategy planning while facilitating follow-up by ensuring market goals' alignment with corporate and regional strategy. If you need a seasoned and results-oriented leader, let's connect! You can reach me at rmrees5@gmail.com. I am excited to leverage my expertise to catalyze sustainable success for your organization and secure the best outcomes for your members! Expertise: Cost of Care, Care Model Knowledge, Performance and Process Flow Improvement, Patient Advocacy, Payer Contract Negotiations, Case Management, Project Management, People Management