Megan Estep (McFarling), MBA, PMP

Experience

• 

  US Army

  Jun 2011 - Sept 2015

  • Forecasted civilian payroll for fiscal year 2015 based on analysis of $188M inside 14 different categories, and accurately determined hospital staffing model for 2,400 employees• Analyzed salary for retention packets of 30+ specialty physicians, resulting in 100% retention across many niche and hard-to-fill positions at the US Army’s largest medical treatment facility • Streamlined inpatient discharge through Lean Six Sigma Black Belt education, completing certification project to reduce error rate and ensure effective use of resources while increasing proficiency by 20% over six months Lihat lebih sedikit • Managed the closure of a 76-person company with over $11M worth of property, transferring 400+ separate pieces of equipment to over 50 geographically separate units across three continents• Designed and implemented a 48-hour training program for 10 cross-functional occupational specialties, maintaining skill proficiency for 40 personnel and meeting requirement for continuing education credit• Developed and led a five-person Change Team that maintained the status of equipment and transfers, resulting in a 50% reduction in process cycle time over a four month period Lihat lebih sedikit • Coordinated and directed over 30 medical support missions managing $1.7M worth of medical equipment, supporting a 4,500 person organization with advance lifesaving capabilities throughout its high-risk training cycle• Developed and implemented the agency’s lifesaver certification training, enabling more than 250 personnel to be trained on basic lifesaving skills with a 100% pass rate• Spearheaded risk reduction as Chief Risk Mitigation Officer, developing unique risk matrixes and implementing risk avoidance techniques for three different training exercises resulting in 0% injury rate Lihat lebih sedikit

  • Project Manager

    Jan 2014 - Sept 2015

  • Medical Company, Executive Officer

    Jun 2013 - Jan 2014

  • Ambulatory Department, Supervisor

    Nov 2012 - Jun 2013

  • Medical Logistic Officers

    Jun 2011 - Nov 2012
• 

  Centene Corporation

  Jan 2015 - Jan 2017

  • Built financial calculations of inpatient and outpatient procedures through analyzing related product, claims data, and share trends across eight nationally health plans and three products (Medicaid, Medicare, Affordable Care Act)• Communicate with internal and external customers, competitors, suppliers, and executive leadership to stay abreast of industry and business trend• Established SharePoint site for non-standard and creative contracts that ensured regular audits of financial and clinical benefits and submission of new innovative contract requests Lihat lebih sedikit • Increased breadth of Cenpatico network to meet state required HHSC Geo-Access reports, by efficiently bringing into network over 4,000 providers during a 15 month timeframe• Developed curriculum and provided training to customer service team, comprised of over 50 employees, on updated internal process and systems • Investigate, evaluate, and settle claim disputes by research into HHSC, TMHP, CMS and internal guidelines to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio Lihat lebih sedikit

  • Business Analyst II

    Feb 2017 - Jan 2017

  • Account Manager

    Jan 2015 - Feb 2017
• 

  Baylor Scott & White Health

  Jan 2017 - Jan 2019

  Provider Data Integrity, Manager

  • Manage the provider data network program, comprised of a team of 7 specialists and 2 software platforms to support and expand the network across 143 counties in Texas• Acted as project lead on 3 software upgrades and 2 major performance improvement projects working with external stakeholders and conducting performance risk assessments to develop response strategies. Facilitated an efficient software lifecycle (requirements development, test phases, QA, elevation and support) with an end goal of customer satisfaction• Performed in-depth root cause analysis on state Provider File process and successfully increased our approved provider count by 23% for Primary Care Providers and 70% on Specialist Providers to increase our Geo-Access adequacy• Produced training manual and quick reference guidance on provider loads, provider maintenance, and HHSC, CMS, and NCQA regulatory principles Lihat lebih sedikit

• 

  Centene Corporation

  Jan 2019 - Apr 2023

  • Acted as product owner over a high-profile strategic vendor. Reviewed legacy relationship and identified key opportunities for $1.4M+ in savings. Led cross-departmental implementation to stand up new streamlined operations• Managed the high-profile relationship between telehealth providers and Centene through the value-based agreement process. Successfully implemented an attributed model telehealth strategy across 170K lives• Lead the Value Based Contracting (VBC) RFP process with a cross functional team consisting of reporting, analytics, IT and procurement. Appropriately prioritized team goals and coordinated the proper measures to ensure vendor selection fairly and on time Lihat lebih sedikit • Spearheaded a national cross functional team to target systemic configuration and claims issues during the Wellcare merger. Over 6 months, reduced the financial outstanding liability by $4.3M and closed 65% of legacy issues • Through innovated ideas and data driven analysis, provided strategic planning for growing Medicare line of business in Texas. Successfully, part of a team effort, increased our membership by 49% during the Annual Enrollment Period (AEP)• Subcommittee chair for the Centene military employee inclusion group of 1138 employees. Developed key materials and conducted workshops, panel discussions and fireside chats Lihat lebih sedikit

  • Project Manager III/ Manager, Contracting

    Jan 2021 - Apr 2023

  • Senior Product Performance Analyst

    Jan 2019 - Jan 2021
• 

  EHealth, Inc.

  Jan 2023 - Feb 2024

  Senior Partner Success Manager

  • Acting as a healthcare account executive, conducted business to business (B2B) sales, responsible for accruing $730,000 customer lifetime value (CLV) throughout the 2023 year by promoting new and existing portfolio tactics to secure new accounts and provide value to existing accounts • Key relationship manager of 10 accounts, analyzed existing accounts data to enhance profitability and performance. Ensure fluid communication between partners and eHealth, vocalizing pain points, analyzing trends, and developing solutions Lihat lebih sedikit

• 

  Centene Corporation

  Jun 2024 - now

  Manager Network Strategy and Market Analysis