Amanda McDonald

Responsibilities: Leadership in a six-state region (AZ, CA, CO, HI, NM, NV) Lead a four-person remote team of Senior and Financial Analysts located across the country P&L Responsibility managing ~$3B in revenue annually Oversight 55+ value-based risk contracts. Includes key national partners and Humana owned entities Experience as Provider Lead for across both claims delegated, and non-claims delegated provider groups Process ~$2B annually in payments for delegated partners Support operational and bid strategy including revenue projections and auditing provider partner financial and membership projections Present on our regional operational committee that includes competitor analytics, expense trend analytics, AEP debriefs, and provider financial performance Complete pro formas for new and existing external partners to assist with contract negotiations Present in National Solvency call. Reviewed KPIs to guarantee our delegates remain solvent Monitoring and auditing provider data to ensure claims, vendor, and payment accuracy to drive long term financial sustainability Participating in call listening to identify consumer pain point and address the root cause Lead my peers to revamp our evaluation form. Form clearly maps out expectations and gives a path to career growth during our mid-year and final review conversations. Chosen to participate in SDOH Think Tank to help our partner with our providers to better address member needs Reporting directly to the RVP of Finance and Operations

Responsibilities: Collaborate with internal partners—including Health Services, Market Operations, Quality, and Risk Adjustment—to provide analysis and reporting that support effective engagement between internal and external stakeholders. Lead peers in automating audit projects to enhance data accuracy. Develop and maintain analytical tools for monthly tracking and reporting of Medicare membership and financial performance. Collect, analyze, and create multi-faceted data to recommend and drive strategic decisions. Deliver comprehensive reporting of actual and accrued financial performance, comparing results to prior years and relevant market benchmarks, and provide detailed variance and trend analysis to stakeholders for informed decision-making, financial success, and membership growth. Perform monthly budget versus actual analyses to identify variances and profit improvement opportunities. Utilize SAS Enterprise Guide, Microsoft SQL Server, and PL/SQL (Oracle) to extract data for analysis. Participate in market dynamics and competitor analytics to support CMS bid activities. Prepare pro formas for new and existing external partners to facilitate contract negotiations. Provide training and support for new associates. Earned the ability to manage the financial relationship if key provider relationships in the Arizona and California market.

Responsibilities: Conduct a full and comprehensive analysis of each business prospect in order to assess the credit worthiness of each commercial loan origination and renewal. Utilizing a detailed financial analysis process, prepare credit presentations utilized by credit administration in the approval process. The credit analysis process includes a full and comprehensive financial analysis of historical cash flow trends, balance sheet and capital structure, collateral position, projections, management performance, with the purpose of identifying and mitigating all risks associated with the transaction. Responsibilities also included assisting assigned lending units in portfolio maintenance items such as the management of covenant testing and tickler maintenance, and annual large relationship reviews.

Responsibilities: Received a firm grasp of Gore’s culture and company values Rebranded Gore's Medical Mastery Series Assisted R&D by entering data into the E1 system and Excel files Researched competitions educational programs to maintain Gore's competitive edge Sat in and gave input on marketing and sales meetings Achievements: Chosen from over 100 applicants for this opportunity Asked to return for a third summer

Responsibilities: Assisted Professor by grading projects Graded first and final draft of projects Met deadlines when given to grade the projects Graded projects fairly and unbiased Achievements: Chosen because of my deep understanding and success when I took the course

Responsibilities: Demonstrate excellent customer service by remembering clients’ names and creating an individualized experience Use the Millennium database to perform daily tasks Achievements: Awarded commission and additional shifts for meeting and exceeding monthly sales goals

Responsibilities: Represented the Northern Arizona Healthcare Foundation by soliciting at local businesses for events Attended events and helped with any challenges that could arise to make the event run smoothly Achievements: Organized data through Excel spreadsheets Raised 3,000 dollars in donations benefiting breast cancer research, the Verde Valley Hospice, and the Heart and Vascular Center of Northern Arizona