KACIE M. FORD
Ambler
Summary
Results-driven leader with strong background in strategic management and organizational growth. Skilled in developing and implementing effective business strategies, optimizing processes, and driving team performance. Known for adaptability, effective collaboration, and delivering measurable outcomes in dynamic environments. Strong communication and problem-solving abilities, coupled with focus on fostering productive and positive team culture.
Overview
17
17
years of professional experience
Work History
National Stars and Risk Adjustment Director
Cigna
01.2022 - Current
- Lead Stars and Risk Adjustment operations across 21 Medicare Advantage markets, representing $7.5B in potential revenue.
- Collaborate with cross-functional leaders and local market teams to execute strategic initiatives aligned with CMS compliance and growth goals.
- Develop and oversee engagement programs reaching 1M+ members and 50K+ providers, driving improvements in quality and documentation.
- Direct a team of 7 senior leaders and 100+ clinicians to execute local market plans in partnership with Clinical, Medical Economics, and Provider Contracting teams.
- Implemented governance structure to drive accountability and accelerate outcomes; enhanced quality, revenue accuracy, and Stars ratings.
- Spearheaded planning and performance cadence with internal and external leadership teams.
Network Operations Director
Cigna
01.2018 - 01.2022
- Directed strategy and operational performance for Network Operations and Provider Relations across PA, NJ, and Mid-Atlantic.
- Managed provider network of 50K+ and 74K+ Medicare Advantage members.
- Led expansions that achieved 117% of sales goals (2020) and 102% (2021); launched new PPO product.
- Drove quality improvement initiatives contributing to a 4-STAR regional rating.
- Negotiated value-based contracts with IPAs and ACOs to enhance affordability and compliance.
- Improved grievance resolution turnaround by 6% while maintaining CMS adequacy standards.
- Built and led 30+ team; launched new hire onboarding program with NPS of 92.
Network Operations Senior Manager
Cigna
01.2016 - 01.2018
- Managed shared savings and risk contracts for 1,100+ PCPs generating $500M+ in revenue.
- Implemented initiatives delivering $6.8M in cost savings (2018).
- Developed Pay for Performance program boosting HEDIS gap closure by 5% and risk form completion by 10%.
- Distributed $2.1M in shared savings over two service years.
Network Operations Administrator
Cigna
01.2012 - 01.2016
- Developed risk share arrangements improving care coordination and generating $3.1M in savings.
- Led first employed health system risk model in PA, lowering MCR by 5%.
- Launched Partnership for Quality Program affecting 41K+ member lives, contributing to improved STARs ratings.
Regional Account Manager
Optum
01.2008 - 01.2012
- Conducted audits and recovered $1.3M in overpayments in year one.
- Created financial discrepancy reports reducing rework and recurring credits.
- Built relationships with CHOP and Temple University Hospital leadership to support revenue cycle management.
Education
B.S. - Business Administration, Finance, International Business and German
The Pennsylvania State University, Smeal College of Business
12.2007
Certified Change Management Practitioner - undefined
Prosci
01.2017
Skills
- Stars & Risk Adjustment Strategy
- Population Health Management
- Value-Based Contracting
- Team Leadership & Development
- CMS Regulatory Compliance
- Interoperability / Health IT (eg, Epic)
- Strategic Planning & Execution
- Change Management
- Medicare Advantage Programs
Timeline
National Stars and Risk Adjustment Director
Cigna
01.2022 - Current
Network Operations Director
Cigna
01.2018 - 01.2022
Network Operations Senior Manager
Cigna
01.2016 - 01.2018
Network Operations Administrator
Cigna
01.2012 - 01.2016
Regional Account Manager
Optum
01.2008 - 01.2012
Certified Change Management Practitioner - undefined
Prosci
B.S. - Business Administration, Finance, International Business and German
The Pennsylvania State University, Smeal College of Business
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