Proven Impact in Behavioral Health Payer Relations

Results matter. Here is a selection of outcomes from prior leadership and consulting roles in national and multi-state behavioral health organizations.

National Behavioral Health Provider – Payer Mix Transformation Shifted overall payer mix from 65% to 95%+ in-network/commercial focus through systematic contracting and relationship strategy.

Multi-State Treatment Organization – Revenue Impact Led contracting initiatives that delivered approximately $11.2 million in revenue impact, including new agreements with major national payers (Aetna, Cigna/Evernorth, Highmark, Optum) and improved governance processes.

Admission & Authorization Cycle Time Reduction Redesigned processes and advocacy approaches that reduced average admission/authorization cycle times by 83%.

Multi-System Consulting Engagements Supported national multi-system contracting and analytics efforts with cumulative financial impact exceeding $220 million.

Additional Capabilities Demonstrated

• Levels-of-care alignment across residential, PHP, IOP, and outpatient

• Payer scorecards and governance frameworks

• Policy advocacy for complex coverage situations

• Analytics-driven performance improvement

Note: Specific client names and additional details can be shared under NDA during conversations