Kelly LeGrow

Experience

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  Hi Tech Health Care Services

  Aug 1990 - Apr 1994

  Director of Marketing

  Managed Marketing for Home Infusion CompanyOverall management of marketing operations of home infusion and home medical equipment company. Management of marketing professionals in three state area. Responsibilities included public relations, advertising, and marketing. Accountable for developing and implementing marketing and strategic company plans. Liaison within the system of companies in overseeing assigned key result areas.

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  John Alden Life Insurance Company/Horizon Health

  Apr 1994 - Apr 1996

  Director of Managed Care/Director of Business Development

  Management and Business Development of a Preferred Provider OrganizationOverall management of operations, strategic planning and personnel of the Business Development and Managed Care – Las Vegas PPO Divisions. Negotiated and managed provider and HMO contracts. Developed provider directories and communication. Managed network problem resolution. Managed PPO accounting, proposal responses, negotiated contracts with payers, brokers and employers. Reported to the President.

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  Sierra Health-Care Options, Inc.

  Apr 1996 - Feb 1999

  Director of Operations

  TPA, PPO, Utilizatiion Management CompanyResponsible for all aspects of operations, strategic planning and personnel of Sierra Healthcare Options, Prime Health, Inc., Silver State Medical Administrators and CURB. Management of the operation included claims administration, member services, enrollment, eligibility, utilization review, case management, prior authorization and accounts receivable. Management of budgets and expenses. Responsible for client-related communication and issue resolution. Clients included: State of Nevada, Nevada State Prison System, Clark County Self-Funded plan, Hilton Corp., Mirage, Culinary Union, Four Queens, Riviera, Showboat, Nevada Power, Southwest Gas, Houston Lumber, Spanish Trail & Country Club. Show less

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  Sierra Health Services

  Apr 1998 - Feb 2001

  COO - THC of Nevada

  Home Infusion and Durable Medical Equipment Company.Responsible for all aspects of operations for home infusion and home medical equipment divisions of Sierra Health Services. Profit and loss responsibilities included over $35M annually. Management of budgets, personnel, inventory, accounts payable and clinical operations. Reported directly to the President.

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  Strategic Development, Inc.

  Feb 2001 - Sept 2015

  President

  Strategic Development, Inc. is a businss ally for health professionals seeking ways to navigate through the complexities of the health care industry. Strategic Development's services include: strategic planning, business development, strategic marketing, employer benefit evaluation & design, contract negotiation, issue resolution for provider network obstacles, development and implemention of business systems designed to increase revenue, development and implementation of operational procedures and physician business succession and estate planning.Provide health care and marketing consulting to firms who require self-funded, fully-insured, managed care and ancillary health care expertise. Develop and implement marketing, operations strategy or business plans for health care firms/organizations. Analyze operations, administrative expenses and benefits of self-funded or managed care organizations. Negotiate complex provider agreements between providers and health insurance carriers. Provide expertise relative to utilization and disease management programs. Provide guidance to firms/organizations relative to alternatives in the health care delivery industry. Show less

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  Waymark Insurance Services

  Aug 2008 - Sept 2015

  Managing Partner

  Health Care Brokerage Firm focused on Group Medical, Dental, Executive and employee plans, Group Life Insurance, Group Disability, Retirement Planning (401K), Physician DisabilityManage and operate full service insurance and employee benefits brokerage firm that provides planning, development and negotiation of benefit plans for employer groups both locally and nationally. Develop policies and procedures relative to health care reform, compliance, HIPAA, customer service and insurance regulations. Manage all aspects of operations and P&L. Clients range from medical providers, to engineering firms to casinos and more. Show less

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  Brown & Brown

  Aug 2015 - Sept 2024

  Senior Vice President

  Employee Benefits Broker and Health Care Consultant

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  Piper Jordan

  Feb 2024 - now

  Managing Director

  Employee Benefits Broker and Health Care Consultant