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Our Founder
Scott Ellsworth is a problem solver, consensus builder and team player with a 30-year proven track record of leading and building health care organizations. He has first-hand experience on the other side of the table and knows exactly how providers win and lose negotiating payer contracts.
Scott leads all of the payer strategy and contract negotiations work. He’ll help you anticipate payer strategies-tactics and how to handle each in a way to level the playing field. He is committed to getting real results for his clients AND does it in a way that ultimately leads better payer relationships.
President & CEO, West Region Centene
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SVP, Optum Payer Consulting
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Market President, Excellus BCBS
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President & CEO, West Region Centene - SVP, Optum Payer Consulting - Market President, Excellus BCBS -
Our Team
With over 120 years of combined managed care, consulting, & healthcare experience, our core consulting team provides extensive area expertise that drives immense value for clients through a multitude of avenues
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       Data Analytics20 Years Experience with Hospital Analytics Contract Negotiation Support Parity Analysis 
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       Network Contracting25 Years Payer & Provider Experience Contract Negotiations Drafting, Redlining, & Review 
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       Consulting Actuary20 Years Experience as MA Actuary MA Bid Analysis Risk Adjustment, RAF Score Probabilities Forecaster 
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       Medicare Broker & Distribution25 Years Experience Building & Running Payer Broker Programs Product Innovation Performance & Pricing 
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       Medicare Compliance30 Years Experience with Payers Compliance Contracts & Contract Admin HIPAA, Privacy & IT Security 
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       Senior ConsultantDeliverable Execution PowerPoint & Deck Design Excel Analytics Chart & Visual Creation 
 
                         
            
              
            
            
          
              