ANDREA GIOIA

Menasha, WI 54952

971-404-4393
gioiaam@gmail.com

SUMMARY
Team oriented health insurance executive with extensive strategic and product
development experience possessing exceptional interpersonal communication skills,
extensive public speaking experience with ability converting diverse groups and functional
disciplines into effective teams. Proven strategic thought leader and problem solver with
analytic skills, expansive product knowledge and integrity.
PROFESSIONAL EXPERIENCE
NETWORK HEALTH, Menasha, WI
Vice President Product Management & Health Analytics

2015-2016

Reported to the Chief Sales & Strategy Officer of Network Health, a local health plan in
Menasha, WI. Led Health Analytics, Health and Wellness, Strategic Development and
Product Management. Responsible for setting the strategic direction of how Network Health
utilized data to create solutions related to trends, cost drivers and the related analysis.
Worked collaboratively with cross-functional leaders and teams to identify
opportunities to improve quality, financial performance and medical utilization.
Managed the design, messaging, positioning, placement and pricing for individual
and group products, self-funded offerings, and Health and Wellness programs.
Led market analysis and research, product implementation, ASO development and
RFP development
UPMC HEALTH PLAN, Pittsburgh, PA
Executive Director of Product Innovation

2011-2015

Reported to the President of the Commercial Division of UPMC Health Plan, an integrated
delivery system with 2.9 million health plan members. Developed critical market, programs,
and product strategies and go-to-market plans across all commercial market product
segments. Responsible for developing and delivering consumer driven health and wellness
products and programs, market strategies for private exchanges, Patient Centered Medical
Homes (PCMH) and Value Based Health Care solutions.
Utilized the latest in research in distribution, technical capabilities and corporate
knowledge to develop a comprehensive set of strategic plans to ensure
competitiveness in the marketplace.
Led the enterprise wide initiative to develop health care reform strategies and
developed products to meet ACA requirements across all market segments.
Led HHS Qualified Health Plan (QHP) submission process across health plan and
ensured required regulatory approvals for participation on the Marketplace and
SHOP Public Exchanges.
Led the effort to expand the integration of Absence Management, Employee
Assistance Plans (EAP) and Workers Compensation into the health plan product
portfolio.
Managed the Stop Loss expansion, selection of Life and Short and Long-term
Disability partners.

ANDREA GIOIA
Menasha, WI 54952

971-404-4393
gioiaam@gmail.com

PREMERA BLUE CROSS, Mountlake Terrace, WA

Director of Product Strategy & Development

2004-2010

Planned, directed and executed the marketing of products and services in concert with the
financial objectives of Premera Blue Cross of Washington, Premera Blue Cross Blue Shield of
Alaska and Life Wise Health Plans of Oregon and Arizona. Led the strategic development of
all commercial health plan products in all market segments, including the design and
development of innovative value based strategic plans.
Led the development, placement and launch of all consumer directed health
products, personal spending accounts, value based benefit plans, self-funded plans,
senior, individual and group health products.
Managed the selection, contract negotiation and execution of vendors for consumerfacing tools, loyalty based programs, incentive fulfillment, CDHP fiduciary banking
administration and product tools.
Developed product calendars, streamlined product implementation processes to
shorten time to market development and instituted cross-functional forums to
ensure successful product implementation and launch.
Accountable for a large portfolio of major projects reporting to executive leadership,
including development of an incentive wellness plan model and Medicare Advantage
plans.
Developed value based health care pilot programs including Nurse Advocate,
PCMH, value based pharmacy formulary, and a back pain program in collaboration
with health care providers, and Premera functional teams.
COMPLEMENTARY HEALTHCARE PLANS, Portland, OR
Vice President of Sales

1999-2003

Led the marketing and sales of complementary healthcare pre-paid (capitated) programs
and leases to PPO networks of acupuncturists, chiropractors, naturopathic physicians and
massage therapist to national and local health plans, HMOs and third party administrators
(TPAs).
Oversaw all insurance company operations, including product development, policy
forms and regulatory approval, as well as sales and marketing
Obtained the first Certificated of Authority (insurance license) in the State of Oregon
for a complementary care ancillary lines insurance company. Promoted to President
and CEO of Complementary Healthcare Insurance Co.
EDUCATION/DEVELOPMENT
Bachelor of Science Degree in Finance
DePaul University, Chicago, IL
Certified Lean Leader Toyota Production System