As senior vice president and general manager of government programs, Kathleen leads the growth, operations, and finances of government programs with accountability for the overall performance of Regence’s Medicare and Federal Employee Programs (FEP) lines of business and other government contracts. She owns 2.5 billion P & L for these lines of business.
Her work includes oversight of our risk adjustment and Stars area, which supports both Medicare and the individual market and collaborates closely with our clinical and provider teams. Kathleen is an executive liaison with external agencies such as Centers for Medicare & Medicaid Services (CMS), FEP Director’s Office and America’s Health Insurance Plans (AHIP).
She came to Regence in 2017 with a rich career built around commercial and government program health plans with experience from finance to network to medical economics. Before Regence, Kathleen served as the central region president for Humana, where she led membership growth and revenue optimization efforts within their Medicare Advantage business and oversaw risk adjustment, Stars, medical management, and value-based provider agreements. She has also held executive roles at Excellus BlueCross BlueShield in New York managing claims, customer service, membership and provider network strategy and development. Kathleen’s experience spans 30+ years in the health plan industry.
Kathleen received her bachelor’s degrees in accounting and finance at Houston Baptist University and her master’s degree in strategic leadership from Roberts Wesleyan College.