Healthcare Product
Resume:
David Kewer
Long Beach, CA ****2
adkc4h@r.postjobfree.com
Professional Experience
Pioneering healthcare leader with exceptional ability at driving complex innovation, negotiating, developing winning strategies and building alliances. Accomplished in building data-driven analysis, and prioritization strategy for product development and market segmentation. I help companies create a competitive advantage by focusing their strategy and operational efficiencies, so they can effectively define, deliver and market products that solve real customer needs. I have a passion for discovering unmet business problems and creating innovative solutions to address them.
Molina Healthcare – Long Beach, CA April 2019 to Present
National Director Product Development and Strategy – Lead the consumer product strategy and development for the Molina 14 Marketplace states.
Lead the development and execution of product development across national consumer markets
Manage collaborative engagements with Sales and Actuarial teams to ensure appropriate market positioning for all product initiatives
Lead discussions with executive team to build consensus on product vision and strategy for multi-year product roadmap
Health Alliance Medical Plans – Champaign, Illinois May 2018 to April 2019
Director Product Development and Market Intelligence - Directed product and strategy within an innovative vertical healthcare system. Drive strategic initiatives across all government and commercial segments. Lead all vendor partnership strategies and driving best in market program solutions and services.
Developed strategy for product development across all commercial and government market segments
Drove telehealth strategy and development for Health Alliance and Carle Health System
Ensured readiness and capabilities of Operations to service all new products and solutions
Directed the strategic vendor partnerships and vendor development initiatives for program and product integration
Independent Consultant – Reston, Virginia January 2017 to April 2018
Healthcare Strategy Consulting – Provided expert guidance focus on designing, developing and executing solutions for clients, whether they are facing immediate demands, increasing value, or protecting against risks. Guided creative innovative strategies for the ever-changing business environment, giving client’s unparalleled insight into economic, governance, and healthcare innovation. Assembling the right expertise for each client and situation with collaboration to drives results.
CareFirst BlueCross BlueShield – Reston, Virginia May 2016 to December 2016
Director NextGen Product Management – Executive team member responsible for a $150M, multi-year modernization program delivering innovative healthcare technology solutions in the areas of product and benefit administration, claims adjudication, enrollment, and customer service applications.
Directed product strategy roadmap and business solutions for the NextGen program
Engaged Blue Cross Plans nationwide in piloting solutions in real world environments
Initiated “Discovery Boot Camp,” a methodology to develop expertise on pilot partners and build alignment with partner organizations
Directed the assessment and selection of Private Exchange platform solution, and lead the implementation of Define Contribution product administered via the new platform
Led cross functional teams in strategy, development, and operations to meet and exceed partner expectations for operational efficiencies
Partnered with the PMO and testing organizations to deliver via Agile development
hCentive Inc. – Reston, Virginia March 2015 to April 2016
Product and Strategic Alliances Leader – Drove product development and strategic alliance strategies for the Private Healthcare Exchange solution in the carrier and broker markets. hCentive provides industry leading digital and cloud based solutions in the public and private health insurance markets.
Managed carrier and broker commercial market engagement teams in all product development and launch activities
Directed strategic alliance activities for carrier onboarding and integrations
Led internal strategy discussions and product roadmap activities for both single-carrier and multi-carrier platforms
Directed vendor partnership strategies for all ancillary product solutions
Blue Cross of Idaho – Meridian, Idaho April 2013 to March 2015
Director Product Development – Directed all strategic planning and implementation for product innovation, health policy management and corresponding operational efficiencies.
Led product strategy and implementation for Health Care Reform (ACA) initiatives
Managed all strategic vendor partnerships including full integration of a new fiduciary partner for all financial account based products
Led collaboration efforts with Sales and Actuarial teams to ensure appropriate market positioning for all new product initiatives
Directed the development and implementation of a new wellness platform and health engagement solutions
HealthPlus of Michigan – Flint, Michigan June 2012 to March 2013
Managing Consultant, Product Innovation – Directed strategic product and program develop initiatives across all commercial segments. Led the organization in setting the product prioritization roadmap, and managing all innovation strategies resourced with external partners.
Developed and maintained strategic product prioritization roadmap
Led collaboration efforts with Sales and Actuarial teams to ensure appropriate market positioning for all new product initiatives
ConnectiCare, Inc. – Farmington, Connecticut March 2010 to June 2012
Director Product Development – Direct strategic product and program develop initiatives across all market segments. Lead an innovative product team in the development of creative pipeline solutions for health product services and solutions for external clients and stakeholders.
*Owned and managed the strategic vendor partnerships for the integration of financial transaction programs with Consumer Directed portfolio
*Directed Health & Wellness program solution initiatives for the Consumer and Employer Group markets
*Managed the fiduciary partnership and marketing arrangement for the Heath Savings Account program
*Led collaboration efforts with Sales and Actuarial teams to ensure appropriate market positioning for all new product initiatives
*Provided leadership and direction on product development roadmap across all market segments
Blue Shield of California - San Francisco, California November 2007 to February 2010
Product & Market Manager - Led product and pricing strategy initiatives for the small group business segment including the management of pricing P&L analysis for competitive positioning within CalChoice, California’s small group exchange.
*Directed product design and implementation strategies for the California market
*Managed profit & loss analysis to set product configuration and strategic market alignment
*Directed strategic development initiatives for CDHP programs aligned within the small group portfolio
*Managed formulary and integrated pharmacy benefit designs for the full product portfolio
*Created the reporting of performance metrics for product lifecycle management
Health Net Inc. - Shelton, Connecticut August 2006 November 2007
Director Product Development - Led the Consumer Directed Health Care product initiatives and strategic alignment with fiduciary and vendor partnerships. In this role I also led strategy for the web-based consumer facing tools.
*Managed vendor partnership with fully integrated program development for CDHC administration
*Directed implementation of Safe Harbor pharmacy program for Health Savings Account product portfolio
*Provided program regulatory oversight in supporting the Health Net corporate and regional business development for CDH
*Delivered regional consultant/broker and employer seminars and engagements
Great-West Healthcare - Denver, Colorado August 2005 to July 2006
Director Product Management - Directed the strategic planning and development for Great-West’s Consumer & Defined Contribution Health Care Programs to ensure profitable market share growth. In this role I lead the Consumer Directed Health Care strategy for the HRA, HSA & FSA programs as web-based consumer facing tools.
*Directed enterprise vendor contracting and development initiatives for integrated CDHC web-based support tools (treatment cost estimator, hospital quality comparison, health plan evaluator, pharmacy advisor)
*Managed vendor integration and contractual arrangements for the CDHC fiduciary banking administration
*Managed products and directed strategic development initiatives for HSA, HRA, FSA programs
*Directed strategic assessment objectives for Debit Card/Smart Card technologies
Anthem Blue Cross and Blue Shield - North Haven, Connecticut March 2003 to August 2005
Director of Program Development - As Program Director of Product Strategy and Management I lead the strategic development for Anthem East’s Consumer Health Care Programs. Directed the implementation for HRA, HSA and the consumer decision support tools developed to accompanying these programs.
*Directed the alignment of Anthem East program development in conjunction with the corporation’s Consumer Directed strategies
*Managed the processes for cross-functional teams and workgroups in the delivery of the CDHC programs (Sales & Marketing, Actuary & Underwriting, Legal, Operations, Training, Corporate Communications, eBusiness Strategy)
*Managed vendor relationships to ensure operational and budget targets for program initiatives
Net4Earth, LLC - Dulles, Virginia 2001 to 2003
Director of Operations and Carrier Relations - As Business Director of a $4 million VOIP (voice over internet protocol) international telecommunications company, I implemented and maintain the profit and revenue model in determining market direction. Manage contract development for national and international telephony carriers that included directing all legal requirements of the relationships.
*Directed carrier contractual negotiations in setting reimbursement schedules
*Developed feasibility schedules to determine profitability potential for all projects
*Negotiated contractual performance requirements for international VOIP partners
*Collaborated with partners on investment strategies for securing Venture Capital
Education
University of Baltimore - Baltimore, Maryland
Bachelor of Arts Program – Business Administration
University of Maryland Baltimore County - Catonsville, Maryland
Economics
Civic Engagements
Member Board of Directors – Boise Valley Economic Partnership
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