Healthcare Executive · Phoenix, AZ

Operational scale delivered across the healthcare ecosystem for Payers and Providers.

Twenty years standing up, running, and growing platform-led (BPaaS) operations across healthcare, on both the payer and provider side, with AI put to work where it actually changes the unit economics. Currently lead the BPaaS practice at Firstsource and founder of Averra, a healthcare-intelligence platform. I build the platform and run the business on top of it. Open to executive roles to stand up and scale a BPaaS business end to end.

Open to new opportunities $700M+ TCV closed 5,000+ FTE managed

By the numbers

20+
years in Ops and Tech
$700M+
TCV closed in the last 2 years
5,000+
global FTE under leadership
5 geos
US, India, Philippines, plus nearshore Mexico and Puerto Rico
25:1
payment integrity ROI lift (3:1 to 25:1)
+45%
margin turnaround on a -100% account
Work samples

Proof of work, not just a résumé.

Start with Averra, the healthcare-intelligence platform I founded and am building. Below it, three more lenses on the same operator: the résumé is the formal career record, the Solution Showcase is a working interactive demo of a real BPaaS solution I designed and pitched (fictionalized so it can be shared safely), and the Local Church Teams Hub is a private client engagement I built end-to-end. Each opens in a new tab. Each stands on its own.

Flagship · Founder
Averra
Healthcare intelligence, finally connected.

The platform I’m building, not just running.

Averra is a modular, AI-powered platform I founded that unifies care management, claims, and operational data on top of the systems a payer or provider already runs, with no rip and replace. It is proof of the thing that matters most in a BPaaS leader: I don’t just operate platform-led delivery, I design and ship the platform underneath it. Live product, real architecture, built hands-on.

See the platform
Solution Showcase SX

Leased Network Offering

A fully interactive solution showcase. Click through the ecosystem architecture, EDI data flows, an onboarding form with DocuSign, a contact center with sample agent screen and four call scripts, three dashboards (HP, Customer, Operations), an implementation Gantt, and a resource library. The mechanics translate to any vertical that runs files, payments, and a contact center.

Open the showcase
Client Project CH

Local Church Teams Hub

A self-service hub I designed and built end-to-end for a private client adopting Microsoft Teams. Includes the migration plan, team structure, a "how do I" answer library, training modules with Mac and Windows mockups, the project timeline, and a feedback workflow. Demonstrates the kind of self-service tooling I build when the standard onboarding approach is not enough. Client identity de-identified for sharing.

Open the hub
About me

Business savvy executive who actually loves AI.

I am a transformation executive with a 20-plus year track record of running enterprise-scale operations and building the platforms underneath them. The deepest of those years are in healthcare BPO/BPaaS (payer, provider, Medicare, Medicaid, ACA, full P&L, global plus nearshore delivery across the US, India, the Philippines, Mexico, and Puerto Rico), but the operational thinking ports cleanly into other regulated, customer-heavy verticals: financial services, collections, insurance, utilities. The Range section below has the receipts.

What sets me apart in this moment is that I am not waiting for AI to be "ready." I am personally building with it. I am exploring practical AI applications inside my day job (20 to 30 percent efficiency gains while staying inside HIPAA, HITECH, and CMS compliance lines), and I am building solutions on my own time for outside customers, like the local-church Teams hub in the project gallery above. I treat AI the way the best leaders treated cloud in 2014: get hands-on, build things, fail small, scale what works.

I love the kind of role that does not fit cleanly into a single function: where AI, transformation, sales, customer success, and operations all sit on the same desk. That is where my career has actually been most useful, and where I do my best work.

What I am looking for

A senior role that combines AI and transformation leadership with sales, operations, and customer-facing responsibility. Equally comfortable on a stage with a CFO, in a war room with engineers, or on a Zoom with a frustrated customer. Healthcare experience is a strength but not a requirement, the operational thinking carries.

Range

The thinking carries across industries.

Healthcare is the deepest part of my career, but it is not the only thing I have done. Below are the experiences that show how the operational mechanics port cleanly to other regulated, customer-heavy verticals like banking, collections, insurance, and utilities.

Mergers and acquisitions · 2021

Post-acquisition transformation at Omega Healthcare

VP, Operations and Transformation, M&A Program

Led a major M&A integration program: aligned operational, technology, and financial workstreams across acquired entities, partnered directly with the Board on asset evaluation and governance standardization, deployed automation and analytics that reduced operational costs by 25 percent, and procured and managed the outside consulting firm running diligence and transition planning. The diligence-to-day-1 muscle ports cleanly to any vertical that does roll-ups: BPO consolidations, financial services platform acquisitions, insurance administration mergers, utilities CX consolidation.

Hospitality operations · age 15 to 18

Hotel front desk supervisor and events coordinator

Full-time night supervisor and events lead

Ran the overnight front desk and events at a hotel from age fifteen through eighteen, full-time. Owned overnight guest service, billing reconciliation, security incidents, vendor coordination for events, and on-the-fly problem solving in a 24/7 customer-service operation. Most leaders learn customer ops in their thirties. I started learning the rhythm of a contact center before I could vote: calls at 3 AM are not different in kind from claim escalations, payment disputes, or contract problems at scale.

Retail and B2B distribution

Auto parts store manager and commercial accounts lead

Store manager, then commercial sales representative

Ran an auto parts store and grew it into the commercial supplier of choice for the local independent repair shops. Took the rep role personally, designed and stood up a parts delivery model that dropped supplies at shop locations on demand, and managed those commercial accounts as a portfolio. That is B2B account management, supply chain, last-mile logistics, sales, and operations design rolled into one job. The instincts behind that work are the same instincts I bring to managing a $200M-plus portfolio of BPaaS accounts today.

Healthcare · 20+ years

The deep specialty

Payer, provider, Medicare, Medicaid, ACA, BPO, BPaaS

For the audience already familiar with my healthcare depth, the short version: $700M-plus TCV closed in the last two years, $450M flagship BPaaS engagement, payment integrity ROI scaled from 3:1 to 25:1, a flagship account turned from -100 percent margin to +45 percent, 5,000-plus FTE under leadership across five geos, and AI/GenAI deployments delivering 20 to 30 percent efficiency gains inside the strictest regulatory boundaries (HIPAA, HITECH, CMS). The Transformation timeline below has the role-by-role specifics.

Why this matters across industries

The mechanics of running a contact center, processing electronic transactions, executing payments, integrating an acquisition, and partnering with a Board are largely the same whether the vertical is healthcare claims, financial services collections, insurance policy administration, or utilities customer service. The regulations and the file formats change. The operational discipline does not.

The healthcare playbook I have spent 20 years sharpening (platform-led delivery, AI and automation in production, global plus nearshore workforce design, full P&L ownership, M&A integration, and C-suite plus PE partnership) is the same playbook other regulated, customer-heavy verticals need most. I am open to applying it where it can do the most good.

Transformation

Turning legacy ops into platform-led, AI-enabled delivery.

A few examples from across the resume. The pattern is consistent: take an operation that has been run "the way it has always been run," redesign the workflow around the work that actually matters, and put automation or AI where the leverage is highest.

Firstsource · Dec 2023 to present

$450M TCV BPaaS flagship and AI-led efficiency at scale

BPaaS Practice Leader
Govern Firstsource's flagship 7-year BPaaS program covering digital intake, enrollment, claims, provider and network management, and member and provider services. Implemented AI-driven automation and digital process redesign achieving 20 to 30 percent efficiency gains while maintaining HIPAA, HITECH, and CMS compliance. Combined active ACV $200M+ across 11+ accounts.
Firstsource · Dec 2023 to present

300-FTE rebadge with $25M in guaranteed savings

National payer engagement
Led a 300-FTE rebadging initiative for a national payer, structuring and delivering a $120M TCV, 3-year agreement with $25M in guaranteed savings through automation and workforce optimization. Negotiated the model, the SLAs, and the savings commitment.
Firstsource · 2024

Net-new ACA commercial line, 0 to 30k members in 18 months

California Medicaid payer
Built a net-new ACA commercial operations line from scratch for a California Medicaid payer. Scaled membership 3x ahead of Year-1 target, $16M TCV. Cross-functional design across enrollment, claims, member services, and the regulatory wraparound.
Acheveya · 2021 to 2023

Contact center: 50 percent lost calls to under 2 percent

Founder and CEO of boutique consulting firm
Globalized revenue cycle operations across multi-state provider clinics, integrated scheduling, referral authorizations, and automated billing and collections. Transformed contact center performance from 50 percent lost calls to under 2 percent in months. Implemented California Medi-Cal operations and launched a new ACA retail platform.
Cognizant · 2017 to 2021

Phoenix hub: $20M to $100M revenue, plus a -100 percent margin turnaround

Head of Healthcare Delivery
Grew Phoenix Healthcare Service Center from $20M to $100M in annual revenue. Turned around Cognizant's largest healthcare BPO/IT client from -100 percent margin to +45 percent through operational restructuring, automation deployment, and governance discipline. Regional Delivery Center Leader for a 2,500+ employee hub with combined oversight exceeding $700M annually.
UnitedHealth / Optum · 2005 to 2017

Payment integrity ROI from 3:1 to 25:1

Sr. Director, Payment Integrity and Dental Operations
Directed Payment Integrity and Dental Systems Operations across Medicare, Medicaid, and Commercial. Grew program ROI from 3:1 to 25:1 through analytics and automation tools targeting fraud, waste, and abuse across Medicare Advantage, Medicaid managed care, and commercial populations.
Mergers and acquisitions

End to end M and A, from due diligence to integration.

M and A is one of the cleanest tests of whether an executive can hold strategy, operations, and people work in their head at the same time. I have sat on every side of the table.

DD

Due diligence

Operational, financial, and technology diligence on acquisition targets. Asset evaluation. Risk identification. Governance gaps.

Omega Healthcare: collaborated with the Board of Directors to evaluate assets and standardize governance across acquired entities.
CN

Contract negotiations

Negotiating commercial terms, transition services agreements, and savings commitments. Aligning what gets sold to what can actually be delivered.

$120M TCV national payer rebadge with $25M in guaranteed savings and 300 FTEs in scope, structured and signed.
IN

Integration

Post-acquisition operational, technology, and financial integration. Standardizing across acquired entities without breaking what worked.

Omega: led post-acquisition transformation aligning operational, technology, and financial workstreams across acquired provider entities.
AN

Announcements and change

Internal and external communications. Day-1 readiness, customer notification, employee transition planning, regulatory filings.

Multiple rebadge announcements coordinated across HR, Legal, Communications, and the receiving and outgoing operations teams.
CO

Cost takeout

Identifying and executing the synergies that justified the deal. Workforce optimization, automation deployment, vendor consolidation.

Omega: introduced automation and analytics tools that improved delivery performance and reduced operational costs by 25 percent.
PE

Private equity partnership

Working directly with PE sponsors on portfolio strategy, value creation plans, exit readiness, and add-on integration.

Acheveya: partnered with PE firms and health system executives to restructure portfolios and execute turnaround strategies.
Key skills

What I bring to a role, with examples.

A working list rather than a checklist. Each card has the skill and one concrete example of where it shows up in my actual work.

AI

AI and GenAI in production

Practical AI deployment inside regulated operations. Not pilots that never ship.

Firstsource: 20 to 30 percent efficiency gains from AI-driven automation, all within HIPAA, HITECH, and CMS compliance lines.
PL

Full P and L ownership

Revenue, cost, margin, headcount, capex. Numbers I have personally been on the hook for.

Cognizant Phoenix hub: $20M to $100M revenue under direct ownership, plus -100 to +45 percent margin turnaround on a flagship account.
SD

Solution design and product strategy

Translating customer pain into a sellable, deliverable platform offering. Where most BPaaS deals actually win or lose.

$700M+ TCV in new business development, leading solution design, pricing, and competitive pursuit across payer and provider deals.
GD

Global multi-geo delivery

US, India, and Philippines under one operating model. Time zones, regulations, talent, culture.

Cognizant: global healthcare BPS delivery across 5,000+ associates serving enterprise payer accounts.
RC

Regulatory fluency

HIPAA, HITECH, CMS, Medicare Advantage, Medicaid managed care, ACA, value-based care, SOC1 and SOC2.

UnitedHealth: built deep regulatory fluency across CMS, MA, Medicaid managed care, ACA, and VBC models, informing operational strategy and audit readiness.
CS

C-suite and Board engagement

Partnering directly with CEOs, CFOs, Boards, and PE stakeholders on investment, governance, and growth strategy.

Firstsource: partner with CEO, CFO, and PE stakeholders to align pricing, investment strategy, and governance across the portfolio.
SL

Sales and growth pursuit

RFP-led growth, competitive pursuit strategy, deal qualification, executive sponsor for top opportunities.

$700M+ TCV closed across payer and provider opportunities at Firstsource alone, plus growth turnarounds across prior roles.
TT

Turnarounds and operational fixes

Walking into broken operations and getting them stable, then good. Patient with people, impatient with metrics.

Acheveya client contact center: from 50 percent lost calls to under 2 percent, while improving access and member retention.
TL

Thought leadership and analyst engagement

Speaking, analyst relationships, advisory boards. Putting a voice and a face on the operations work.

Firstsource recognized as a Leader in Everest Group's Healthcare Payer BPaaS Solutions PEAK Matrix Assessment 2024.
Recommendations

People who have worked with me, in their words.

A growing collection of references from customers, peers, managers, and partners across the years. Existing LinkedIn recommendations are public on my profile. If you have worked with me and would like to add to the record here, the form below makes it easy.

Direct report

"I worked with Amanda 17 years ago when she was a newly promoted claims director and again at Firstsource where she is an SVP and I currently report to her. Amanda is one of the smartest and dedicated leaders I know. She gives everything she has to her job and it shows in her rapid growth and the success she has demonstrated. A former colleague that worked with both of us commented that Amanda has an Eidetic memory and I have seen this in action multiple times. Additionally, since moving to her team at Firstsource, I have seen her land our two biggest accounts, win countless awards, and navigate huge barriers and not only overcome them but bring the team along with her. She is solutions focused, an amazing negotiator, and a truly caring and empathetic leader. Seeing her rise through the various positions and the development of teams, products and businesses has been a truly remarkable experience."

RB
Randine Besosa
Training, Quality, and Knowledge Management Leader · Firstsource (reports to Amanda) · Jan 2026
Vendor partner

"Amanda is a true professional and a great partner who understands what it means to truly collaborate in order to achieve a mutually beneficial result. She is never afraid to take on challenging topics and find creative ways to resolve them. A true professional!!"

MF
Matt Francis
Senior Vice President, Sales · Vendor partner · Jul 2025
Direct report

"Amanda is one of the strongest leaders I've worked with, consistently balancing strategic vision with disciplined execution. She has a unique ability to engage in deep technical discussions, quickly distill what matters, and translate that into clear, actionable business and technical requirements. Her attention to detail is evident in how she drives initiatives end to end, ensuring alignment, accountability, and successful delivery. She leads with clarity and purpose, bringing cross-functional teams together and maintaining focus on meaningful outcomes. She sets a high standard and fosters an environment where both strong execution and thoughtful innovation can succeed."

JF
Joe Frank
AVP Technology · Firstsource (reports to Amanda) · Apr 2026
Former direct report

"During my 2 year tenure working for Amanda, I witnessed the transformation of our team from a support group into a leader in our line of business. Amanda brought organization and purpose to our team and drove everyone to be their best. She is a tenacious and brilliant person who can accomplish the most complex initiatives that leave a lasting mark on an organization. There was never a time when I doubted her drive or ability to succeed, a combination of traits that any organization would be lucky to employ."

EN
Emmanuel Nagib
Healthcare Operations Professional · Former direct report · Aug 2022
More on LinkedIn

Additional public recommendations from former managers, customers, peers, and partners are on my LinkedIn profile and available on request.

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