Turning market intelligence into enterprise growth.
Executive and senior leader in Market Intelligence & Strategic Analytics with 27+ years guiding Fortune 500 and non-profit organizations through pricing, risk adjustment, M&A, and portfolio decisions worth billions.
Leadership across Fortune 500 & mission-driven organizations
Outcomes measured in billions, not slides.
Enterprise revenue informed by analytics delivered for Fortune 500 & non-profit clients
Covered lives served through consumer insight & retention programs
Cost structure reduction across enterprise portfolios
Net premium gain across 39 countries via validated M&A targets
Additional results include risk-adjusted premium improvement of $30M with the CMS Department of the Actuary and an MLR turnaround from 102% to 90% through cost structure improvement.
A strategist, an operator, a partner to the C-suite.
Max has more than 27 years in healthcare spanning insurance, provider offices, FQHC plans, and medical device manufacturing. He has led the market and competitive analyses used in strategic positioning, benefit plan pricing, regulatory compliance, risk-adjustment modeling for Medicare, Medicaid, Commercial, and ACA lines, and value-based contracting with clinicians.
Across those years, he has designed and built Market Intelligence & Strategic Analytics capabilities , guiding them from strategic integration through tactical improvement , to deliver $33M revenue enhancement, 8% member retention on 700,000 lives, $2.6B risk-adjusted premium management, and $376M cost reduction.
His foundation is a rare blend: 7 years clinical (trauma medicine, radiology, orthopedics with the U.S. Navy & Marine Corps) and 20 years in strategy, economics, finance, actuarial science, and biostatistics. The combination produces decisions that hold up to both clinical and financial scrutiny.
Eight enterprise domains, one integrated practice.
Strategic Planning & Growth
Aligning enterprise initiatives to capture market share, margin, and durable competitive advantage.
Risk Analysis & Modeling
Risk-adjusted premium capture and value-based contracting across Medicare, Medicaid, ACA, and Commercial lines.
Competitive Landscape
Market positioning, M&A target validation, and offensive/defensive strategy design.
Quality Systems
NCQA/HEDIS, STARs, CAHPS, JCI, and VBC program leadership across regulated environments.
Regulatory & Compliance
CMS, NIH, and Departments of Insurance reporting, filings, and audit-grade analytics.
Tools & Data Engineering
Oracle, MS Server, Tableau, PowerBI, SQL, R, STATA, SAS, SPSS , enterprise warehouse to insight.
Finance & Economics
HEOR, econometric modeling, MLR remediation, pricing, and PBM contract analytics.
Informatics & Governance
Data capture, governance, and operational implementation that turn information into outcomes.
A 27-year arc through healthcare's most consequential decisions.
AltaMed Health System
- Led $3B enterprise market strategy analytics serving 700,000+ covered lives.
- Engineered delivery-channel analysis across 3,100 clinicians and 70 hospitals; positioned #1 in California, #2 in the US.
- Increased member retention 8% through episodic service enhancements in administrative and clinical areas.
- Built the enterprise Strategic Market Landscape study guiding FY25–FY30 planning.
AltaMed Health System
- Led $3B enterprise market strategy analytics serving 700,000+ covered lives.
- Engineered delivery-channel analysis across 3,100 clinicians and 70 hospitals; positioned #1 in California, #2 in the US.
- Increased member retention 8% through episodic service enhancements in administrative and clinical areas.
- Built the enterprise Strategic Market Landscape study guiding FY25–FY30 planning.
Econovation Health Advisors, LLC
- Produced contract, economic, and risk-adjustment analyses for 1.1M consumers (Advantasure/UST).
- Completed $80M HEOR studies bridging clinical, financial, and regulatory domains.
- Implemented Agile reporting suites and informatics governance driving $22M cost improvement.
Econovation Health Advisors, LLC
- Produced contract, economic, and risk-adjustment analyses for 1.1M consumers (Advantasure/UST).
- Completed $80M HEOR studies bridging clinical, financial, and regulatory domains.
- Implemented Agile reporting suites and informatics governance driving $22M cost improvement.
Arjo
- Partnered with US, EU, and APAC C-suite on 9 product lines, 230 SKUs, across 29 countries.
- Designed ROI models supporting $220M revenue streams and validated M&A growth to 16% share.
- Engaged value-based contracting implementation for 56K clinicians worldwide.
Arjo
- Partnered with US, EU, and APAC C-suite on 9 product lines, 230 SKUs, across 29 countries.
- Designed ROI models supporting $220M revenue streams and validated M&A growth to 16% share.
- Engaged value-based contracting implementation for 56K clinicians worldwide.
Centene Corporation
- Designed risk adjustment applications unlocking $7B enterprise market value on 400K members.
- Drove Medicare MLR from 102.7% → 90.6% across 9 states; implemented $33M cost savings.
- Led Medicare Benefit Plan, Part D reconciliation, PBM contracting, and CMS filings.
Centene Corporation
- Designed risk adjustment applications unlocking $7B enterprise market value on 400K members.
- Drove Medicare MLR from 102.7% → 90.6% across 9 states; implemented $33M cost savings.
- Led Medicare Benefit Plan, Part D reconciliation, PBM contracting, and CMS filings.
Optum , UnitedHealth Group
- Boosted annual CMS reimbursement capture by $30M+ through risk gap closure.
- Authored informatics & data governance for 4M+ consumers across risk, contracting, and quality.
Optum , UnitedHealth Group
- Boosted annual CMS reimbursement capture by $30M+ through risk gap closure.
- Authored informatics & data governance for 4M+ consumers across risk, contracting, and quality.
WebMD
- Increased eHealth enrollment 40%+ with Chevron, Bank of America, and other Fortune 500 clients.
- Designed consumer health assessment models and psychometric profiling for enterprise accounts.
WebMD
- Increased eHealth enrollment 40%+ with Chevron, Bank of America, and other Fortune 500 clients.
- Designed consumer health assessment models and psychometric profiling for enterprise accounts.
What senior leaders say about working with Max.
Max did some great work in support of our market intelligence, business intelligence and broader analytic work. He partnered with key stakeholders to understand their needs and executed delivery of both ad-hoc and production assets. Max built an effective team to deliver this enterprise analytic function.
Max is a skilled financial analyst. His analyses are always comprehensive and thorough. He cares about the integrity of the work and is always seeking innovative methodologies to further refine his analyses.
A strategic mindset paired with a sleeves-rolled-up approach. Max consistently translates complex information into decisions executive teams can act on.
Academic foundation & honors.
- University of Texas , San AntonioExecutive M.A., Health EconomicsDec 2027 · in progress
- University of Oregon, Lundquist Graduate School of BusinessMBA, Finance & Marketing , Cum Laude1994
- University of Tennessee, College of ScienceB.S., Biology & Management Statistics , Magna Cum Laude & Dean's List all semesters1991
- George Washington UniversityA.S., Physics & Radiation Technology , Summa Cum Laude & Dean's List all semesters1991
- U.S. Naval School of Health SciencesHospital Corpsman / Pre-Medicine1986
Global platforms on health economics & value-based care.
Credentials earned and in active pursuit.
- Certified Project Manager , Systemation Corporation
- 340B Program Certification , Apexus Corporation
- CORE (Center for Operations and Research Evaluation) Leadership Program
- Retired ARRT (American Registry of Radiology Technology) clinician
- Completed Levels 100, 110 of the Society of Actuarial Examination for ASA license
- CPC (Chartered Management Consultant) , in progress
- PCM (Professional Certified Marketer) , in progress
- CBE (Certified Business Economist) , in progress
- FACHE (Fellow American College of Health Executives) , in progress
- FHFMA (Fellow Healthcare Financial Management Association) , in progress
U.S. Navy , Fleet Marine Force Hospital Corpsman.
Feb 1985 – Jun 1989
- Navy & Marine Corps Medal
- Joint Service Achievement Medal
- Navy E Ribbon
- Silver Lifesaving Medal
- Meritorious Honor Medal
- Navy Good Conduct Medal
- Fleet Marine Force Medal
- Navy Sea Service Deployment Medal
- Basic Military Training Honor Graduate Medal
- Cold War Medal
- U.S. Navy Commemorative Medal
- Golden Shellback Certificate
- Air Warfare Specialist, LPH-11 USS New Orleans
- Department Informatics Security Lead, LPH-11 USS New Orleans
- WestPac 1988 Amphibious Readiness Group , Marine Air-Ground Task Force; 1st Marine Expeditionary Force
- Cobra Gold
- Valiant Usher 1
- Valiant Usher 2
- Valiant Blitz
- Joint Operations Command South Korea Special Operations Team 1988
- Australia 200
A 30/60/90/180-day pathway from intelligence to impact.
Market Landscape
E/C/S officer needs assessment and current-state diagnostic.
MISA Framework
Vision, concept, and operational SitRep signed off with leadership.
Framework in Motion
Continuous implementation supporting 1/3/5-year strategic planning.
Plans Delivered
FY27–30 plans finalized, external reporting and Rx industry review underway.
Ready to align analytics with your enterprise strategy?
Whether you're navigating an M&A decision, a risk-adjustment program, or an FY planning cycle , let's explore where intelligence can move the number that matters.
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