KELLY BASEL
Franklin
Summary
Senior executive with 20+ years of experience driving business development, revenue growth, and strategic partnerships across workers’ compensation, TPAs, managed care organizations, and PPO networks. Proven track record of building broker, carrier, and self-insured relationships; responding to RFPs; closing complex enterprise opportunities; and expanding national footprints through consultative, value-driven solutions. Hands-on, entrepreneurial leader who blends a hunter mentality with long-term relationship building.
Overview
28
28
years of professional experience
Work History
Vice President, Network Programs
EK Health Services, Inc.
07.2025 - 01.2026
- Led enterprise-wide network strategy and program governance across PPO, MCO, and specialty managed care solutions supporting national workers’ compensation programs.
- Drove margin improvement through renegotiation of network and vendor contracts, improving unit economics while maintaining service quality and regulatory compliance.
- Improved program profitability by aligning network strategy, contract economics, and operational execution with enterprise financial targets.
- Restructured and realigned network and program management departments to improve accountability, scalability, and performance.
- Designed and executed network optimization strategies focused on utilization management, access, and cost containment to strengthen client value propositions.
- Led Managed Care Organization (MCO) development and oversight, ensuring compliance with state-specific regulatory requirements.
- Partnered with executive leadership, sales, clinical, and operations teams to align network capabilities with product strategy, client needs, and revenue goals.
- Delivered executive-level reporting and insights supporting strategic decision-making, client confidence, and long-term growth initiatives.
Vice President, Network Services
Conduent / StrataCare
09.2023 - 03.2025
- Led partner and network strategy across 46+ PPO, ancillary, specialty, and cost-containment organizations, supporting enterprise growth and EBITDA improvement.
- Implemented strategic enhancements to PPO analytics and utilization models, resulting in 10–15 point utilization improvements with measurable financial impact.
- Built and delivered executive-level stewardship and growth presentations to insurance carriers, TPAs, large employers, and government entities, identifying expansion and upsell opportunities.
- Collaborated with sales, product, and operations teams to align network solutions with client needs, supporting new business acquisition and retention.
- Supported casualty-market growth initiatives through PPO mosaic optimization and bundled managed care strategies.
Vice President, Provider Program Management
One Call
09.2021 - 09.2023
- Built and expanded strategic partnerships supporting revenue growth, market expansion, and client retention across managed care programs.
- Collaborated cross-functionally to launch initiatives that increased market penetration and strengthened enterprise alignment.
- Reorganized and led three departments, implementing performance metrics that improved accountability and execution.
- Partnered with external stakeholders to identify and pursue new market opportunities, contributing to sustained revenue growth.
- Oversaw Managed Care Organization (MCO) participation, ensuring regulatory compliance while meeting growth objectives.
Senior Vice President / Principal – Healthcare Consulting
Pericon Consulting
03.2020 - 09.2021
- Delivered executive-level consulting to healthcare and workers’ compensation organizations focused on go-to-market strategy, product launches, and revenue optimization.
- Supported clients in launching new healthcare products, including COVID-19 testing initiatives, improving access and revenue opportunities.
- Designed and implemented technology and operational solutions to streamline medical management and enhance data-driven decision-making.
- Conducted business analysis and developed benchmark metrics to support growth strategies and continuous improvement.
- Advised leadership teams on budgeting, resource allocation, and organizational development.
Medical Management Executive
Broadspire Claims Services
10.2018 - 03.2020
- Managed top client initiatives within bundled and unbundled medical management programs.
- Served as primary liaison between clients and claims operations, supporting service expansion and client satisfaction.
- Supported business development efforts through performance reporting, benchmarking, and program optimization across PPO, bill review, FCM, TCM, and PBM services.
Vice President, Property & Casualty Network
MultiPlan
03.2013 - 09.2017
- Owned P&L responsibility for $26.8M in Workers’ Compensation and Auto revenue, driving account growth and profitability.
- Developed sales and account expansion strategies within national carrier and TPA relationships.
- Led deployment of payment integrity and network solutions supporting revenue growth.
- Managed national PPO partnerships and ensured regulatory compliance across jurisdictions.
Vice President, Managed Care / Vice President, Network Operations & Strategy
Sedgwick CMS
03.2008 - 03.2013
- Expanded managed care services across 200+ retail clients, increasing revenue 30% within one year.
- Spearheaded national PPO benchmarking and utilization strategies, generating $2.8M EBITDA improvement within 12 months.
- Created new revenue streams through development of Texas HCN and California MPN networks.
- Increased client savings by $3.8M through strategic network utilization.
National PPO Network Leadership
FOCUS Healthcare / Concentra Managed Care / Coventry Healthcare
01.1998 - 01.2009
- Progressive leadership roles supporting national PPO network development and managed care growth for Workers’ Compensation and Auto markets.
Education
Mass Communication -
Middle Tennessee State University
Skills
- Portfolio optimization
- Forecasting
- Targeted marketing
- Corporate branding
- Business development
- Data analysis
- Business growth and marketing strategies
- OKRs and kpis
Timeline
Vice President, Network Programs
EK Health Services, Inc.
07.2025 - 01.2026
Vice President, Network Services
Conduent / StrataCare
09.2023 - 03.2025
Vice President, Provider Program Management
One Call
09.2021 - 09.2023
Senior Vice President / Principal – Healthcare Consulting
Pericon Consulting
03.2020 - 09.2021
Medical Management Executive
Broadspire Claims Services
10.2018 - 03.2020
Vice President, Property & Casualty Network
MultiPlan
03.2013 - 09.2017
Vice President, Managed Care / Vice President, Network Operations & Strategy
Sedgwick CMS
03.2008 - 03.2013
National PPO Network Leadership
FOCUS Healthcare / Concentra Managed Care / Coventry Healthcare
01.1998 - 01.2009
Mass Communication -
Middle Tennessee State University