Andrew is a Senior Consultant at ProspHire. A solution-oriented leader, Andrew has extensive experience within Government Programs Operations, including the delivery of large-scale program assessments and accompanied growth strategy recommendations. His work also has included support of merger and acquisition activities, development of membership growth strategies, and identifying synergies across the enterprise to reduce cost and increase effectiveness.
Andrew’s work within managed care has a particular focus on Medicare Quality Improvement and Medicaid Performance Improvement Programs. Andrew leads our Medicare Stars Performance Improvement Service offering, where he oversees the delivery and execution all of Stars project work, including contract assessments, program transformations, amongst other services.
Andrew has served in interim leadership roles for Medicare Stars programs, overseeing teams of individuals, managing budgets, and evaluating/implementing vendor partnerships. His latest Medicare Stars transformation work involved two recently merged managed care organizations both with declining Medicare Stars performance. Andrew and team were able to quickly and effectively assess the key opportunity areas, establish strong partnerships within the organization, determine the ‘math path’ to success, streamline processes in order to optimize their Stars score potential, and ultimately achieve 4 Stars and Quality Bonus Payment revenue.
Fun Fact: An avid reader and lover of history, Andrew named his dog, Fala, after President Franklin Roosevelt’s beloved Scottish Terrier.