Program Manager Management

Adrian S. Roberts

Jersey City, NJ ***** 646-***-****

www.linkedin.com/in/adrianroberts71 ***************@*****.***

Executive Program Management & Strategist

Drive Product Innovation and Strategic Growth

Experience in Finance / Healthcare industries, with core competencies including developing market strategies for new products, building internal processes to support products, and building high-performing teams.

Professional Skills

Strategy Development Project / Program Management Product Management P & L Management

Team Building Process Development / Improvement Lean / Six Sigma Agile Methodology

Professional Experience

CARELON BEHAVIORAL HEALTH, New York, NY 8/2022 – 9/2024

Program Manager, Strategy and Program Implementation

Served as Director of NY strategy to improve market performance through financial budgeting, provider utilization, and clinical performance. Worked with Growth Team to prepare presentations for NY State Department of Health (DOH) / Office of Mental Health (OMH) officials, promoting operational improvements. Hired and trained 2 account executives.

●Partnered with finance and account executives on annual business planning and multi-year growth forecasting / strategies, resulting in prepared budget for 2025 through 2026.

●Facilitated monthly performance reviews of clinical and network across the state, strategizing how to improve clinical performance through staffing updates.

●Managed 3 Medicaid Advantage Plan rollouts as the Program Manager, launching MAP plans for NY.

●Upsold services for Medicare Advantage Plan to existing account, increasing revenue $300K in year one and $100K in subsequent years.

●Acted as core team member on Access and Availability project, providing guidance and advice from NY perspective for Medicaid health plans.

AFFINITY HEALTH PLAN, Bronx, NY 5/2015 – 12/2021

Executive Director

Served as member of Executive Leadership Team (“ELT”) - Reporting directly to CEO; Oversaw all aspects of product strategy, benefits implementation, operations, and marketing for organization’s Medicaid, Essential Plan, Child Health Plus (CHP), and HARP (Enriched Health) plan in compliance with state contracts. Departmental oversight included Product Management, Provider Relations, Value-Based Payment (VBP), and Customer Service call center. Represented Affinity interests in community health plan industry coalitions.

●Developed and implemented Affinity VBP model, contracting strategy, financial reporting, and data sharing processes, reducing medical loss ratio and improving quality for Medicaid and other government programs.

●Rebuilt provider trust in Affinity through direct provider contact, resolving long-standing claims issues and demonstrating improved data quality and reporting from the Facets system.

●Served as executive sponsor for development and launch of PopAction Analytics tool, 3M Informed Analytics set of reports that allowed providers to track and act on key performance indicators of potentially preventable events, chronic fallout, diagnosis and coding quality, member risk score changes, and risk-adjusted financial performance with information from Facets payment system.

●Oversaw Medicaid and CHP customer call center cost reduction efforts through multi-location outsourcing, reducing costs $300K+ / year.

●Led RFP and implementation of Affinity Health On Demand! micro-video learning platform, increasing email open rate.

●Oversaw reformation and implementation of inbound renewal calls process, leading to more efficient use of retention team staff time, increased retention rates, and reduced Medicaid member churn.

●Managed stakeholders in New York Healthy Homes Initiative, pay-for-performance asthma program, leading to reduction in costs due to asthma emergency room visits.

●Oversaw launch of Essential Plan and subsequent effort to insource Essential Plan member enrollment, billing, and payment processes in Facets. Adrian S. Roberts ***************@*****.*** Page Two

HEALTHFIRST, New York, NY 10/2012 – 5/2015

Assistant Director, Portfolio and Project Delivery Office (PMO)

Managed Healthfirst’s Growth Portfolio of projects, including Health Insurance Exchange program. Worked with department head to develop PMO standards, training, and templates. Administrative and managerial oversight of a team of 8, including project managers, senior project managers, and program managers.

●Led team of 3 project managers and 80+ project participants representing every company department to implement and launch several individual commercial insurance products to participate in New York State of Health marketplace created as part of Affordable Care Act.

CREDIT SUISSE, New York, NY 8/2003 – 4/2012

Vice President, Office of General Counsel / Legal and Compliance

Served as Regional Finance Head - tracked, analyzed, and managed Legal and Compliance expenses. Prepared annual budget and performed variance analysis of actuals to budget using Hyperion Essbase’ Excel add-in functionality, and regularly prepared executive presentations on cost management opportunities, back office allocations to front office divisions, cost drivers, and changes in headcount composition.

●Initiated and managed process improvement and technology implementation projects for Office of General Counsel globally. Utilized Six Sigma / Lean methodologies to improve quality, achieve greater efficiency, and increase productivity.

●Spearheaded electronic legal billing implementation in UK, addressing office concerns and compliance with UK Law Society and tax authorities. Reduced invoice payment cycle by 30 days and improved rate negotiations, saving $50M in legal costs over 2 years.

●Collaborated with legal documentation team to define and capture standard and fallback positions for trading agreements. Implemented tracking of negotiated terms in MS Access, later transitioning to Framesoft, reducing documentation bottlenecks and mitigating risks in calculating credit exposure.

Assistant Vice President, Strategic Planning - Global Planning and Analysis

Revamped 3-year strategic planning process to reduce complexity and increase data reliability, allowing for more rapid response to changes requested by CFO. Connected Excel spreadsheet charts with strategic plan PowerPoint presentation for dynamic updates. Worked with budget control team, front, mid, and back-office planning and analysis personnel to prepare Firm’s strategic business plan. Performed analysis on 3-year base case and downside financial projections, variances, and KPIs.

●Led requirements gathering, process and report design, and financial and management reports development for Clarity Planning tool implementation. Reduced overall time to complete annual budget process 2 months, allowing for more accurate forecasting. Designed firm-wide training materials and led training and informational sessions.

CD INTELLIGENCE, LLC, New York, NY

Director, Business Development

KURT SALMON ASSOCIATES, Atlanta, GA

Senior Consultant, Supply Chain / Customer Relationship Management

ERNST & YOUNG CONSULTING SERVICES, LLC, Atlanta, GA

Senior Consultant, Financial Applications

Education and Training

−Bachelor of Arts (BA), Business Administration / Accounting, Morehouse College, Atlanta, GA

magna cum laude; Beta Gamma Sigma

−Project Management; Green Belt Certification in LEAN / Six Sigma; Trained SCRUM Master; Center for Creative Leadership

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