Kevin Mowll

Kevin Mowll

Executive Director of RISE

Chair of the Executive Committee of the Board

Chair of the RISE Association Advisory Board 

Kevin is responsible for building up the RISE association, creating a better value for our members, enhancing member education and content, as well as expanding and enhancing our conference offerings.

Prior to joining RISE, Kevin was Vice President for Senior Products with the Tufts Health Plan in Boston, responsible for sales, marketing, product development, business performance and strategic planning for the senior products business unit. Kevin has a diverse background and an expertise in Medicare health plans. His expertise focuses on:

  • Consumer-driven product design and value segmentation
  • Growth-oriented product development and implementation
  • Market-based sales team development and execution
  • Strategic and business planning
  • Financial performance management and business plan execution
  • Optimization of sales channel distribution models

Kevin was previously Vice President for Senior Products with the Tufts Health Plan in Boston. He was responsible for sales, marketing, product development, business performance and strategic planning for the strategic business unit. Kevin has a diverse background and an expertise in Medicare health plans.

Earlier, Kevin was the Vice President, Medicare Products, for Capital District Physicians’ Health Plan in Albany, New York, when the Medicare Advantage membership grew from 12,000 to 30,000, including both individual and group retiree business.

Originally, from Southern California, Kevin worked for PacifiCare Health Systems and CIGNA Healthplans. At PacifiCare (which was acquired in 2005 by United Healthcare) Kevin led the development and launch of multiple products and conducted service area expansions for health plans, led a multi-functional franchise team for start-up Medicare health plans, and ran provider network management.

A speaker at national conferences on Medicare Advantage business themes, Kevin has also chaired several events. He founded a professional social networking group on LinkedIn called Medicare Advantage Healthplan Colleagues, focused on educating and sharing best practices by developing a virtual community with shared interests and concerns. The group attracted over 11,000 members from across the country.

Kevin is married and has three adult children, and now lives in Santa Cruz, California.


Tags: Kevin Mowll, RISE, Board

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The Risk Adjustment Forum: Operational Integration and Compliance 

This is your can't-miss opportunity to gain proven strategies for enhancing the compliance of your coding and risk adjustment data. You also will get unparalleled insight and tools to help streamline the integration of risk adjustment and quality initiatives, and take away critical lessons learned from plans breaking down operational silos. You will also hear directly from CMS! 

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Quality Visits: Closing Gaps in Care to Meet Your Quality Performance Goals

Meeting and exceeding quality standards has never been more important for health plans as reimbursement is increasingly linked to specific quality goals. This informative webinar will help you understand how to gain control over meeting your quality goals by executing targeted interventions for those members with gaps in care. You’ll get a glimpse of how to coordinate everything from member outreach and engagement, to actual gap closure and reporting to the member, their primary care provider and the health plan.

 

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