Gregg Kunemund Email Address

GK Healthcare Consulting Group LLC President and Chief Executive Officer

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As the Health Plan Medicare & Medicaid CEO & Executive accountable for achieving profit and loss targets, sales, network, market expansions, product designs and operations oversight for the Medicare Advantage, Part D, Group Retiree and Medicare Supplement portfolio of products in Alabama, Georgia, Louisiana, Arkansas & Mississippi (Serving over 776,000 members). Responsible for developing and deploying business plans at the market level with a strong focus on managing clinical and network costs and building relationships across the markets key stakeholders; regulatory, provider, claims, service operations, medical management, community partners. Market Quality Leader directing team success, and moving STARs improvement from 2.5 to 4 STARs in over 91.4% of my 766,000 Medicare membership, and building team strategies to drive to 5 STARs •As the Local Market Executive accountable for achieving profit and loss targets, sales, network development including ACO partnerships, market expansions, Medicare and Medicaid product designs and operations oversight for the Medicare Advantage, Group Retiree, Dual Eligible, Chronic, Part D and Medicare Supplement portfolio of products in Georgia Alabama, Arkansas, Tennessee & Mississippi. (Serving over 766,000 members) •Oversee revenue of 7.2 billion & IOI of 673 million. (#1 for M&R last 5 years) •Responsibility for strategy, growth, process improvement, policy development, program planning, profit and loss management, administration and operation of assigned plan functions, programs, and activities •MLR accountability is primarily focused on revenue improvement (via RAF/Coding Accuracy, STAR ratings) and medical cost management •Participated in CMS visit & audits. Work with State Medicaid for MIPPA/SMAC •In an executive role, develop and manage business and information technology operations to improve service to the organization's members and healthcare professionals; improve the access and availability of healthcare services in existing markets and expand into yet defined new markets •Execute strategies to meet or exceed annual goals that include but not limited to product development, sales growth, client relationships and overseeing claims, service, appeals & grievances, and enrollment operations for the region •Oversee 25 ACO network gain-share and risk capitation deals •NPS score 72 combined five states •Responsible for working with key functional areas to create a competitive and integrated response to rapidly changing market and regulatory conditions