Lynne Urbani Craddock 90 Crest Drive Cranston, Rhode Island 02921 (401) 828-3407 (401) 316-1999 (cell) lc122b0ce@westpost.

net Health Plan President **Clinic CEO **Physician/Hospital/Payor Relations * Pharma cy PBM/Provider Contracts/Reimbursement Senior Officer Positions * Business Operations *Turnaround Specialist Innovative, goal-oriented executive with a proven track record of senior leaders hip experience and outstanding reputation of professional excellence. Strong in terpersonal and organizational skills to build, lead, and train a professional t eam. Bottom-line P & L results and performance improvement driven. Strengths i nclude: leadership, motivational and collaborative skills; budget management, pu blic speaking, relationship builder, problem-solving, customer service-oriented and business-focused. Depth and breadth of health care industry knowledge , inc luding: Payor and Health Delivery Systems, Pharmacy/ Provider/Payor Relations, C ontracts and Reimbursement, Customer Service and , Operations. Key Results: President of a $1B Medicaid HMO in New Jersey which resulted in $30M financial t urnaround in one year, and improved State, Provider, and Employee relationships. Chief Executive Officer of RI Free Clinic. Led a restructuring effort that resul ted in 100% increase in patients, positive P&L management, launched a retail pha rmacy at the clinic, recruited over 60 new health care providers and increased v olunteer participation by 50% in 15 months. President of HMO in RI which led to highest level of profitability in company's history in three years with annual revenues of $450M. Responsible for 500 emplo yees and an operating budget of $50M. PROFESSIONAL EXPERIENCE January, 2010-October, 2010 Americhoice; Newark, NJ Subsidiary of United Health Care - Second largest health plan in New Jersey President, Americhoice Health Plan * Managed P&L of the $1B Medicaid State contract providing coverage for over 350 ,000 members. * Implemented successful financial turnaround by revising hospital reimbursement contracts and by achieving a significant State rate increase. 2008 -2009 Rhode Island Free Clinic; Providence, RI Chief Executive Officer * Successfully built a primary care and specialty physician network, launched a retail pharmacy, and increased patient "thru-put" by 100% at the clinic. * Managed the entire operation of the clinic, developed a multi-year strategic d evelopment, and implemented the financial and marketing plans. * Implemented a positive public relations and media plan for building community and State awareness of the Clinic and produced new partnerships and philanthropi c opportunities. * Responsible for 8FTE's, 255 volunteers, 100 physicians and an operating budget of $1.5 million. 1986 - 2007 Blue Cross & Blue Shield of RI; Providence, RI Largest Health Insurance Plan in Rhode Island President & Chief Executive Officer; BlueCHiP, Coordinated Health Partners Senior Vice President of Customer, Provider and Medical Services Senior Vice President of External Services

Vice President Assistant Vice President of Professional and Provider Relations Research and Development Coordinator, Policy Department Key Accounts Level II Claims Examiner * Spearheaded performance improvement across the entire HMO * Established a strategic and financial recovery plan and revised the operations of medical management, program development, quality improvement and medical pol icy * Established a pay for provider performance based contracting and reimbursement system * Implemented Corporate Communications, Community Relations, and Customer and Pr ovider Service Business Plan * Significantly improved Provider/PBM Relations, Contracts and Reimbursement, Me dical Management, policy and claims expense, Quality Improvement, Membership, Bu siness Process Reengineering, and billing validation performance * Built and trained a professional, customer and a JD Powers award winning provi der relations service team * Created a government (Medicare & Medicaid) product line "champion" function * Improved the dental operations with streamlined policies and payment increases and enhanced the dental provider network to compete more effectively. PROFESSIONAL ACCOMPLISHMENTS Pharmacy/Physician/Hospital Relations, Contract, Reimbursement * Personally recruited several key physician groups to the HMO network * Established the largest statewide pharmacy network for Commercial and governme nt programs * Led reimbursement strategies that established fee-for-service, capitation, and global rates * Developed risk-based physician contracts for over 500 physicians * Negotiated and managed the largest statewide pharmacy benefit management (PBM ) contract totaling over $250M Customer Service * Built an infrastructure and implemented a culture of superb customer service b y creating a team of customer and provider representatives providing superlative first call resolution and concierge service levels * Consistently met or exceeded all Member Touchpoint Metrix * Served as corporate champion for all events, programs and initiatives througho ut the community Medical Management, Policy * Established a performance improvement team and structure which moderated claim s trend expense to under 9% for several years * Developed a multi-specialty medical directors' unit resulted in successful med ical claims reviews * Created a medical policy business area, which implemented 100 policies/benefit s per year * Established the first pay-for-performance multi-year strategy and physician an d provider utilization report card Quality Improvement, Employer Group Reporting, Billing Validation * Achieved the highest Commendable score by NCQA as #1 Medicaid Plan, #18 Medica re Plan and #30 Commercial Plan * Recovered over $30 M in provider billing inaccuracies over a two-year period * Developed a employee incentive program based on performance of operations * Achieved excellent HEDIS scores in New England in five clinical improvements f or three consecutive years Government Programs * Successfully implemented MAPD, Optima and BlueCHiP for Medicare products and a

chieved record enrollment * Developed physician, pharmacy and hospital network for BlueCHiP for Medicare and Rite Care (Medicaid) program * Implemented sustainable physician and hospital reimbursement payment schedules PERSONAL Education: Masters in Health Administration; Salve Regina University, Newport, R I Bachelor of Science; Rhode Island College, Providence, RI Awards: Charles B. Willard Achievement Award - Rhode Island College Exceptional Woman of the Year in Business - Women's Center of Rhode Island Women in Business - Rhode Island Monthly Child Care Chair - Options for Working Parents Distinguished Service Award - American Heart Association Speaking Pay for Performance and Physician Profiling, Network & Contract Managem ent, Florida, 2007 Engagements: Optimizing Specialty Network Management, Case Management; Scottsdal e, AZ, 2006 Pay for Performance, San Francisco, CA, November, 2005 Hobbies: Golfing, reading, dancing Languages: Spanish