Greg Pasieka
Vice President of Finance And Operations @ Affinity Group, Sales & Marketing Agency
About
Insurance leader with a consistent and proven track record for driving outcomes and delivering financial and operational results spanning several lines of business; over 20 years of insurance industry experience leading large scale complex projects and cross functional teams; formulating short and long term strategies; developing business plans; and successfully achieving corporate metrics and departmental goals. Functional Experience P&L Ownrship | Pharmacy | Sales and Marketing | Product Development | Analytics | Contract Management | Project Management | Pricing & Forecasting | Client Management
United States
Buffalo
Insurance
Financial Analysis, Financial Reporting, Sales Management, Health Insurance, P&L Management, Client Relations, Client Services, Business Strategy, Business Development, Strategic Planning, Business Relationship Management, Healthcare, Team Development, Scenario Planning, Leading transformational change, Diversity Champion, Profit & Loss Management, Leadership, Communication
Experience

Vice President of Finance And Operations
This position oversees the Finance, Client Service, and Human Resource Departments. o P&L development and reporting for all business units in the Northeast Region o Forecasting / budget development o Cash flow management o Strategic lead for vendor management, purchasing, and contracting o Development and delivery of financial results to the senior leadership team o Oversight of Human Resources o Manage Client Services Team supporting the regional and national market leaderships teams.

Market President for Medicare Advantage
This position was responsible for the P&L of the region in addition to serving as the market leader for the Medicare Advantage line of business o P&L responsibility for the Medicare Advantage line of business with direct ownership of network contracting and performance management including value-based contracting. o Grew membership by 33% in first two years and achieved the market’s first 4 Star rating o Expanded into 2 new markets / service areas generating organic growth and scale o Responsible for provider performance initiatives within an ACO setting including value-based contracting and overall collaboration with the population health management teams to drive win-win outcomes on Stars, MLR, and other key quality metrics o Increased value-based membership by 32% in 2 years. o Oversight of our initial entry into the special need plan (SNP) products o Responsible for compiling and presenting operating results to the Senior Leadership Team. o Responsible for developing affordability initiatives in order to mitigate medical and drug trends o Matrix ownership of Stars, Risk Adjustment, Sales, Product Development, and Finance

Vice President of Medicare Advantage
BlueCross BlueShield
The position had P&L responsibility over the organization's Medicare Advantage book of business. It had direct oversight of the following functional areas: Sales, Product Development, Enrollment, Revenue Management / Risk Adjustment, Case / Disease Management, and Customer Service. The position also worked collaboratively with Network Contracting and Actuarial Services to meet financial performance goals. o P&L responsibility for the Medicare Advantage, PDP, SNP, and Med Supplemental products. o Corporate lead for the development of the Medicare Advantage rate filing including oversight of rate development, product bid submissions, and product deployment. o Business Unit leader overseeing key vendor relationships including contracting, proposal analysis, selection, execution, and overall project governance. o Shared responsibility for the development of disease management programs to control medical expense trends resulting in over $10,000,000 in savings. o Responsible for the organization’s Star metrics and program oversight resulting in 4.5 Star revenue.

Director of Pharmacy
BlueCross BlueShield
Responsible for the profit and loss of the self-funded line of business in addition to overarching responsibility for the organization’s drug trend metrics across fully and self-insured products. Goals included P&L performance, client retention and satisfaction, drug trend metrics, Stars, and PBM oversight, operational performance. o 3 years of profit and loss (P&L) responsibility for organization’s largest book of commercial business. o Responsible for client retention and growth metrics for mid and large sized groups of 500 - 15,000 lives. o End-to-end oversight and relationship management of our PBM and specialty pharmacy partners. o Accountable for existing and prospective client RFPs. o Operational oversight for over 600,000 lives

Director of Risk Adjusted Revenue
BlueCross BlueShield
This was a newly created position that had direct responsibility for the growth of the organization’s Medicare Advantage and ACA revenue. Functional responsibility for analytics, data submissions, operations (coding), vendor procurement, and provider coding. o Responsible for the management and growth of over $900 million dollars in revenue for the company’s Medicare Advantage and commercial lines of business. o Responsible for all coding operations and provider engagement incentives / activities. o Deployed a provider coding software which closed quality / Star gaps and increased risk scores. o Achieved a 17.5% increase in revenue over a three year period.

Director of Individual Products and Health Care Reform
BlueCross BlueShield
Reporting to the Chief Financial Officer (CFO), this position directed all Affordable Care Act (ACA) initiatives and mandates. This position worked with the organization’s Executive Team in order to position the company for success in the post ACA world. After successfully meeting all required business metrics, this role was tasked with the end-to-end development of the organization’s entry into the ACA individual and small group exchange market. o Lead a group of 100 employees in the successful implementation and launch of our insurance exchange products. o Developed a cross functional team of individuals to craft the organization’s first dedicated unit with CMS Star metric accountability. o Established a scenario planning model to ensure our entry into the market was prudent and sustainable. o Successfully implemented all aspects of the Affordable Care Act including product mandates, medical loss ratio filings, client-specific education and training, and rate filings.

Regional Sales Director
BlueCross BlueShield
This position was responsible for managing the Sales team in multiple regions across the state. It reported to the Chief Sales Officer and managed multiple distribution channels (community and brokers). Goals included client satisfaction, membership growth, and channel management. o Lead region in membership growth for two consecutive years o Increased client satisfaction scores from 75% to 95% within 18 months. o Achieved membership growth of 17% and 10.7% in a two year time span.
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