Sean Ringer

Program and implementation leader with 10+ years of experience directing complex, cross-functional programs across healthcare operations, technology, pharmacy services, and value-based care. Experienced in program planning, financial and contract performance, staffing, operational readiness, risk management, regulatory compliance, KPI development, data analysis, and executive reporting. Led enterprise implementations serving 500,000+ members, managed teams of 40, supported programs involving millions of dollars in contract value, and delivered measurable financial and operational outcomes.

Skilled at building collaborative relationships, leading complex problem-solving, and driving programs to schedule and performance requirements.

Senior Capability Manager, Consultant - UnitedHealthcare

(2025-07 - 2026-03)

• Directed enterprise capability planning and implementation across clinical, operational, and technology domains, aligning program execution with regulatory standards and organizational strategy.
• Led multidisciplinary teams through complex transformation initiatives, establishing accountability, priorities, milestones, and cross-functional alignment.
• Facilitated governance forums and prioritization workshops, driving decisions across cost, quality, compliance, resource utilization, and capability investments.
• Established KPIs and dashboards to track program and capability performance, enabling data-driven decisions and improved resource utilization and patient outcomes.
• Built partnerships with clinical leaders, IT, and vendors to implement technology solutions and optimize operational performance.
• Optimized workflows and deployed automation solutions, reducing administrative burden and increasing patient throughput by 12%.
• Applied Lean Six Sigma methods to improve processes, service delivery, and operational efficiency.

Senior Project Manager, Consultant - Elevance Health

(2024-02 - 2025-04)

• Led implementation of Elevance Health’s first New York Managed Long-Term Care (MLTC) program, supporting operational launch for approximately 30,000 members.
• Directed the Integra acquisition and integration, coordinating business, clinical, technology, and operational workstreams to achieve readiness, regulatory compliance, and transition objectives.
• Developed executive reporting, risk mitigation strategies, and stakeholder communication frameworks covering status, dependencies, risks, financial/operational considerations, and critical decisions.
• Directed requirements gathering, user story development, and product backlog management to align technology solutions with business and operational requirements.
• Coordinated readiness for claims, member authorization, and core MLTC processes across cross-functional teams.
• Mentored junior project managers and strengthened project management practices, accountability, and continuous improvement.

Senior QMS Program Manager, Provider Analytics - Quest Diagnostics

(2022-12 - 2023-05)

• Coordinated program engagements across five business verticals and implemented standardized reporting metrics to improve transparency, accountability, and management decision-making.
• Strengthened IT and vendor relationships, driving product development and on-time delivery.
• Led transition of three Scrum teams to the SAFe Agile framework, coaching teams on Agile practices, tools, delivery standards, and collaboration.
• Designed a SaaS ecosystem roadmap for the Reference platform to support provider analytics and operational scalability.
• Oversaw portfolio management activities to align initiatives with organizational priorities and delivery expectations.

Director of Value Based Services - Evera Health

(2021-05 - 2022-11)

• Directed value-based service programs across 14 Florida locations, managing risk-based contracts and exceeding year-to-date financial goals by 8%.
• Achieved $2.8 million in ACO incentive payments by driving quality performance and closing care gaps; led Annual Wellness Visit initiatives that exceeded network benchmarks.
• Generated $1.5 million in hospitalization cost savings and managed Medicaid risk contracts covering 28,000 patients.
• Implemented Medical at Home and Remote Monitoring programs for high-risk populations, coordinating operational execution and performance improvement.
• Strengthened provider operations and payment integrity processes to support financial, quality, and contractual performance.

Director of Implementation, Hospice Pharmacy Services - Optum

(2018-03 - 2021-02)

• Led operational workflow design and implementation for 200+ client implementations representing 500,000+ members across Optum Hospice Pharmacy Services markets and millions of dollars in contract value.
• Directed cross-functional teams of 40 and external partners through implementation and go-live activities, delivering 100% of projects on schedule and ensuring operational and technology deployment.
• Led testing, validation, and financial impact analysis across 200+ implementations, identifying and resolving 95% of critical issues prior to go-live.
• Managed requirements gathering and operational readiness planning for enterprise clients, improving go-live readiness by 99.9% and contributing to a 99.9% improvement in post-launch performance/service metrics as documented in the original resume.
• Ensured implementation activities aligned with operational standards, regulatory requirements, client expectations, and established specifications.

Project Manager, National STARS PMO - UnitedHealthcare

(2017-05 - 2018-05)

• Managed Social Determinants of Health data integration initiatives supporting targeted member programs and access-to-care objectives.
• Led data acquisition initiatives with 1,500+ hospitals, enabling comprehensive claims analysis and strategic partnerships.
• Enhanced reporting and analytics capabilities to support STARS performance improvement and management decision-making.
• Implemented CAHPS and HOS call outreach using Eliza autodial technology to capture performance metrics before CMS annual outreach.

Project Manager, ACO Managed Care - WellMed (Optum)

(2015-12 - 2017-05)

• Applied Lean methodology to drive process improvements and quality initiatives across clinical and operational teams.
• Led TQM incentive programs and facilitated provider engagement strategies.
• Supported requirements gathering, workflow redesign, operational optimization, and program execution.

Retired - United States Navy

(1994-01 - 2014-01)

Bachelor of Science - Human Resource Management - University of Maryland, College Park (2005-01 - 2013-03)