Peter Krause

Experience

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  Mankato Rehabilitation Center Incorporated

  Jan 2003 - Jan 2012

  Personal Care Attendant

  • Worked as a Personal Care Attendant for a mentally disabled individual, handling all aspects of clients needs, including personal hygiene needs, schoolwork, organizational skills, training and exercise.

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  Best Buy

  Jan 2008 - Jan 2009

  Customer Assistant

  • Worked as a sales associate with extensive knowledge regarding all departments of the retail floor. • Promptly diagnosed customers needs and proposed solutions to meet those needs. • If appropriate, redirect customers to the particular department or sales associate to address their needs.

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  U.S. Commercial Service

  Jan 2011 - Jan 2012

  International Trade Intern

  • Assisted U.S. exporters to target the right market(s) for their products and services.• Conducted extensive market research and prepared readiness reports to support the clients navigating the export process from beginning to end.

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  Optum

  Jan 2012 - now

  • Responsible for ensuring operational success of the Owensboro Health Market Performance Partnership (MPP), consisting of end-to-end IT and RCM delivery. • Cultivated excellent working relationships with key client executives, enabling Owensboro Health to be the most successful MPP to date as reflected in NPS Scores and continued growth. • Developed a robust governance framework to ensure effective communication across Optum and hospital leadership. Created forums to both address issues, risks, and dependencies as they arise and highlight key accomplishments as we transform hospitals operations.• Ensured accountability for partnership performance against contractual success measures (KPIs, SLAs, etc.) across a heavily matrixed team environment, including business partners from Finance, Accounting, Human Capital, Legal, and Vendor Management. Show less • Deal Lead in the Engagement Management Office, supporting the design of multi-pillar managed service partnerships with health systems. Partnerships are designed to run for 10 years, have a >$500M total contract value, and are calibrated to enable the health system to remain financially independent and continue to serve their community.• Led clients through the solution design process, which included documenting their strategic priorities, developing a transformation roadmap, and producing an enhanced financial value proposition. • Cultivated positive professional and interpersonal relationships with key client counterparts on each deal pursuit, then leveraged those relationships to effectively manage the diligence, design, and contracting processes.• Recognized as a legal contracting process SME across MPP; refined the process and led the development of SOPs to document best practice in the contract review and negotiation processes.• Managed dozens of resources directly and in a matrixed environment to complete key project milestones.• Lead MPP’s strategic resourcing effort to recruit and retain top talent by leveraging key relationships, creating mentorship opportunities, and conducting over 100 interviews. Show less • Responsible for selling, directing and managing $4M+ annually in OAS consulting engagements and acting as the OAS relationship lead to a number of strategic business units across the UHG enterprise including; UHG R&D, UHG Ventures, UHG Human Capital, Optum Inclusion & Diversity, Optum Technology, Optum Well Clinic, Optum Life Sciences and OptumRx. • Mentored and managed a team of six direct reports and achieved a 100% manager effectiveness index score for each of the five years reviewed, which is an index derived from feedback provided by direct reports.OptumRx• Led a 10-person cross-functional team through an end to end lifecycle analysis of the 2.8 million active CAGs (Carrier Account Group) that exist in OptumRx’s pharmacy fulfillment tool IRIS; results of this analysis were delivered to OptumRx leadership in a phased approach to remediating each issue identified. • Implemented a new CAG governance model and standardized approach to the data inputs collected in relation to this essential client identifier; will result in an estimated cost savings for OptumRx of $25M made up of; more accurate tracking of accounts receivable, elimination of apology member mailings needing to be created due to CAG-related errors, reductions in rework and better ability to deliver on client performance guarantees. UHC E&I Product (Experience Led Transformation Program)• Successfully pitched the conceptual design, initial product roadmap and benefits case of a microfinancing solution to support members in high deductible health plans ability to pay for necessary DME products and costly procedures.• Led the strategic development of a member and provider facing healthcare digital marketplace, initial proof of concept was deployed to the UHC Special Needs Initiative member population. • Developed an adaptable framework for the implementation of incentives into healthcare consumer products and services to promote consumer engagement. Show less Optum & Cisco Co-Development Center• Product champion of a new automated documentation tool focused on front-end speech to text transcription to enable providers to transcribe their notes directly into the EHR with only their voice and an ambient listening device in the exam room. • Responsible for architecting this transformational solution from concept to minimum viable product in collaboration with; Optum360’s Computer Assisted Coding (CAC) and Clinical Documentation Improvement (CDI) technologies, M*Modal Natural Language Understanding (NLU) software and Computer Assisted Physician Documentation (CAPD) capabilities and Cisco’s WebEx Teams collaboration software.• Developed user experience design documents and collateral, including product wireframes/mockups, storyboards, user guides, training materials, FAQs and other product deliverables and documentation. • Fostered positive and productive relationships with key stakeholders in the OptumCare testbed to support a successful pilot launch. Show less UHG R&D• Responsible for the preparation of UHG’s 505(b)(2) application to the FDA, to request approval for the use of a new pharmaceutical treatment packaging approach called polypill. The polypill for cardiovascular disease patients combined together four generic individual medications (Aspirin, Statin, Beta Blocker and ARB inhibitor) that the majority of these patients were prescribed to take on a daily basis into a single capsule to drive medication adherence and cost savings. • Partnered with a large academic health system and UHG senior leadership to co-create an external research study that focused on the health benefits derived through the application of polypill treatment approach to cardiovascular diseases patients. Show less UHC Digital• Led operational readiness and development of a change management toolkit that included a phased roll out plan and comprehensive governance structure to lead the organization through the launch of the redesigned myuhc.com member portal for UHC’s 65M members. • Created a weekly dashboard that was shared with UHC executive leadership that provided the metrics around each subset of the member populations that was migrated onto the redesigned member portal and a summary of any defects that were identified with each release. Show less Massachusetts Health Connector Marketplace • Project Manager on the Massachusetts Health Connector Marketplace specializing in release management and leading the decommissioning effort of the legacy health exchange system from the previous vendor CGI. • Responsible for coordinating and sequencing the deployment activities of the IT delivery team for all overnight hot fix releases (14 in total) and communicating the results of each deployment to the Commonwealth of Massachusetts and Optum stakeholders. UHC M&R Sales Strategy and Planning • Responsible for analyzing, documenting and leading the agile development of the UHC M&R external sales teams business requirements needed to implement a Pega Case Management system to monitor the completion of complaints and services requests logged against sales agents.• Acted as the liaison between the business users, the IT delivery team and the Pega solution architects to develop a reporting structure that allowed for high levels of customization and filtration. Show less

  • Director of Account Operations & Growth (supporting Owensboro Health)

    Dec 2022 - now

  • Director, Optum Market Performance Partnerships

    Jul 2020 - Dec 2022

  • Director, Optum Advisory Services

    Jan 2019 - Jul 2020

  • Manager, Optum Advisory Services

    Jan 2017 - Jan 2019

  • Senior Consultant, Optum Advisory Services

    Jan 2016 - Jan 2017

  • Consultant, Optum Advisory Services

    Jan 2015 - Jan 2016

  • Analyst, Optum Advisory Services

    Jan 2012 - Aug 2015