About HLTHWORKS

HLTHWORKS does not deploy analysts.

HLTHWORKS does not deploy analysts. We deploy former operators — executives who have personally led the functions they are now asked to transform.

125+

Senior Healthcare Executives in the HLTHWORKS Network

$16.65B+

Total Delivered Impact - 30+ Engagements

$555M

Impact in a single health plan engagement

100+

Health Plans, Systems & Medical Groups Served

RaeAnn Grossman
Founder & CEO

RaeAnn Grossman founded HLTHWORKS because she had spent 30 years inside the organizations most consulting firms only advise from the outside. She has held the P&L. She has run the health plan. She has rebuilt the Risk Adjustment program, grown the Medicare Advantage book, and sat in the chair where the hardest decisions get made. HLTHWORKS exists because she knew there was a better way to deliver that experience to the leaders who need it most.

Her operating career spans every major domain HLTHWORKS serves. As GM & EVP at Cotiviti, she led a $1B P&L across 2,000+ employees and integrated nine business units while driving 25% margin improvement. As GM/President of Medicare Advantage and COO at Molina Healthcare, she grew the MA book from $50M to $1.5B across eleven states. As Chief Growth Officer at Signify Health and Datavant, she built revenue from the ground up — $6M to $175M, $7M to $450M — in markets that demanded both clinical credibility and commercial execution. She began her career in provider network leadership at BCBSAZ, Centene, and Scottsdale PHO, where she developed the payer-provider fluency that defines how HLTHWORKS operates today.

At HLTHWORKS, RaeAnn brings that full career to every client engagement — not as a senior advisor who reviews the work, but as an operator who is in it. She is currently completing executive programs at Harvard Medical School in AI Transformation in Healthcare and Digital Health, and holds certifications from The Wharton School in Executive Presence and Influence and from Harvard T.H. Chan School of Public Health in Women’s Leadership and Board Governance.

The HLTHWORKS Advisory Board

The HLTHWORKS Advisory Board is composed of former C-suite executives whose careers span the full breadth of healthcare — health plan finance and actuarial, compliance and regulatory, technology and AI, plan performance operations, and private equity. They advise on strategy, validate our approach, and bring independent depth to our most complex engagements.

The HLTHWORKS Consultant Team

Behind every HLTHWORKS engagement is a curated team of operators and experts from our 125 former healthcare executives — not consultants who have studied the industry, but operators who have run it.

HLTHWORKS consultants include former health plan Chief Financial Officers, Chief Actuarial Officers, Chief Medical Officers, Chief Star executives, Chief Data Officers, Chief Operating Officer and senior operational leaders who have spent careers inside the organizations HLTHWORKS now serves. They have led Medicaid, Commercial Medicare Advantage plans, rebuilt Risk Adjustment programs, managed HEDIS performance cycles, negotiated provider contracts, and driven AI implementation from strategy through deployment.

When HLTHWORKS takes on an engagement, we match the right operators to the right problem — bringing bench depth that no boutique firm can replicate and domain precision that no large generalist firm can match.

PLAN OPERATIONS
& FINANCE

  • Health Plan General Management
  • Medicare Advantage Operations
  • ACA & Medicaid Markets
  • CFO & Finance Leadership
  • Chief Actuarial & Bid Strategy
  • Risk Adjustment Accuracy & Completeness

QUALITY & CLINICAL PERFORMANCE

  • Star Performance & HEDIS Execution
  • ECDS & Quality Measurement
  • Member Experience & CAHPS
  • Clinical Engagement
  • Care Gap Closure
  • Value-Based Care Design

NETWORK & PROVIDER OPERATIONS

  • Network Management & Design
  • Provider Engagement
  • Health System Operations
  • Medical Group Leadership
  • Laboratory Operations
  • PBM Operations & Strategy

TECHNOLOGY &
STRATEGY

  • AI & Digital Health Execution
  • Healthcare Strategy
  • Data Governance & Analytics
  • Vendor Innovation
  • Regulatory & Compliance
  • Actuarial & Bid Strategy

Four Beliefs That Drive Every Engagement

01 — We deploy former operators — not analysts.

Every HLTHWORKS executive has personally led the function they are being asked to transform. We do not send people to learn on your engagement.

02 – Innovation and performance are the same objective.

The organizations pulling ahead are not running AI and performance improvement as separate initiatives. HLTHWORKS builds the bridge between them.

03 – Scalability requires architecture, not activity.

Every engagement is designed to be sustainable without us. We build the operating model, not the dependency.

04 — Compliance is the floor. Performance is the ceiling.

Regulatory readiness is a baseline obligation. The real work begins after you’ve met it.