Meghan Roper

I’m a dynamic healthcare consultant and business leader with a track record of solving complex employer challenges through innovative strategies and cost containment solutions. My career spans healthcare, HR, and business consulting, where I’ve helped organizations design forward-thinking cost containment models, negotiate contracts, and implement custom strategies that improve access and outcomes, as well as reduce costs.

I thrive on bringing clarity to complexity — whether it’s delivering boardroom-ready financial reviews, crafting executive presentations, or creating custom reporting that guides high-stakes decisions. By leveraging data-driven insights, benchmarking, and claims analysis, I uncover the true cost drivers and shape strategies that deliver measurable impact.

As a trusted partner to senior leadership, I’ve helped shape organizational direction, strengthen market differentiation, and drive sustainable growth. With deep expertise in business and benefits strategy, I bring the energy and creativity to not only transform programs but also elevate the value clients deliver to their workforce.

I combine intuition and empathy with a strategic mindset to design customer-centric and white-glove solutions that align with business goals, foster loyalty, and create long-term value. My passion lies in bridging business objectives with human needs — building strategies that work on paper and resonate in practice.

EmployerAdvocates • Remote • 2015 TO 2025

Regional boutique consulting firm, specializing in healthcare, business, and HR consulting.

Founding Partner, Director of Clinical Operations & Strategic Initiatives • 2021 – 2025

Elevated client engagement to executive and decision-maker level, while guiding strategic health plan design, vendor partnerships, and cost-containment initiatives. Directed R&D initiatives to identify emerging healthcare, mental health, and pharmacy solutions. Conducted vendor outreach, vetted capabilities, and negotiated direct contracts. Partnered with CEO as strategic right-hand and contributed to organizational growth by developing forward-looking contracting models and market differentiation strategies. Led enterprise-wide data analytics and benchmarking projects, identified cost drivers, and delivered actionable insights across the client portfolio. Developed business cases and ROI models for new benefit solutions, equipping employers with evidence-based strategies for healthcare spend optimization.

Oversaw Risk

Liability and Stop Loss coverage, aligned contracts with employer health plans, mitigated exposure, and integrated policies with FMLA, ADA, and state leave laws.

• Pioneered Single Case Agreements program, achieved measurable cost savings, and improved access to specialized providers.
• Streamlined contracting processes with mental health providers, expanded access to care networks, and strengthened employer healthcare offerings.
• Negotiated Single Case Agreements (SCAs) with out-of-network providers, delivered savings between 10%–40%, and secured access to specialized care for employees.
• Expanded subject matter expertise across health and pharmacy benefits, served as an internal resource for peers, and influenced consulting practices across the organization.
• Designed and implemented an innovative pharmacy carve-out program, reducing specialty drug costs by up to 50% for multiple employers while creating a scalable payment process outside traditional PBM structures.

Spearheaded consulting engagements for complex employer health and welfare plans, while advising C-suite stakeholders on cost-containment strategies, plan design, and pharmacy benefit optimization. Orchestrated RFP lifecycle from strategy through vendor selection and implementation, secured competitive contracts, and streamlined carrier partnerships. Engineered scalable process frameworks, SOPs, and compliance documentation that became enterprise-wide standards.

Designed and authored comprehensive employee communications, benefits guides, and open enrollment materials. Produced reusable templates, branded materials, and standardized processes that scaled across multiple employers and remain in active use today.

• Mentored and guided account management team, strengthened client relationships, and enhanced consultative services delivery.
• Innovated digital client-service platforms, including a secure portal for submissions, improving client access, service delivery, and overall satisfaction.
• Directed open enrollment education sessions and led employee-facing meetings to drive understanding of plan options and boost enrollment outcomes.
• Led creation of customized cost-containment strategies across client portfolio, achieving measurable reductions in claim costs and long-term healthcare expenditures.
• Partnered directly with CEO as strategic advisor, contributing to foundational growth from inception to multi-million-dollar revenue while shaping organizational culture and infrastructure.
• Championed development of a Preferred Provider Narrow Network, drove significant cost savings, eliminated member out-of-pocket expenses, and achieved measurable reductions in employer healthcare spend.

Boutique consulting firm, specializing in benefits, HR, and business consulting.

Senior Account Executive

Directed consulting engagements for the most complex client health plans and oversaw plan design, cost-containment initiatives, and vendor partnerships. Authored benefits guides, client employee communication materials, and educational presentations. Administered end-to-end RFP management, including development, vendor negotiations, and implementation of new benefit programs.

Advanced provider contracting expertise and negotiated direct agreements with hospitals and physician groups to secure favorable reimbursement terms. Oversaw client compliance with state and federal regulations, managed filings / audits, and reported deadlines to mitigate risk and preserve employer capacity.

• Developed a scalable process for member cost-savings support, connecting employees with contracted low-cost providers.
• Slashed administrative burden and error rates by introducing electronic enrollment platforms and modernizing client workflows.
• Streamlined antiquated client processes by digitizing enrollment systems and improving accuracy and employee experience.
• Gained in-depth exposure to healthcare provider operations and enhanced subject matter expertise in hospital contracting and reimbursement models.
• Expanded compliance oversight capabilities, delivered accurate, timely filings, safeguarded clients from penalties, and strengthened regulatory standing.
• Facilitated open enrollment and new hire education sessions as well as delivered live and recorded presentations that empowered HR teams to sustain ongoing training.
• Acted as primary liaison with health plan carriers and vendor partners, leading resolution of escalated issues and advocating for employer and plan member interests.
• Built data-driven processes for claims analysis and leveraged Medicare and commercial benchmarks to identify savings opportunities and guide clients to lower-cost providers.

BBA Degree, Marketing | Southwestern OK State University