Randi Escobedo

I started my career in public health and really fell in love with the community-based approach, thinking I would spend most of my career there. However, early on I hit a ceiling pretty quickly, so I moved over into process improvement and project management, getting certified in project management and earning my Lean Six Sigma yellow and green belts. Recognizing the challenges of healthcare, I saw an opportunity to combine those two skill sets. I moved to a national healthcare company, working directly with providers in their offices, teaching and working with them on proper clinical documentation, coding, workflows, and support. I then moved to a sister company within this national company and served the West region covering about 2 million Medicare Advantage members, from Minnesota down to Hawaii. I worked on various aspects of Medicare Advantage, including quality, member experience, growth, benefits design, engagement, and worked with local networks and provider groups. I then moved over to Providence Health Plan, where I've been for about 5 years in a variety of roles. Currently, as Chief Healthcare Experience and Population Health Officer, my division focuses on quality and experience for our 450,000 members in the Northwest market. We work with members, providers, and the healthcare community to ensure members are getting screenings like breast cancer screenings, that our diabetic members are taken care of appropriately with all their screenings and medications. My team is also responsible for provider credentialing and patient safety, ensuring doctors have been vetted and are up to standard for high-quality care. I also oversee risk adjustment, which contributes to close to a billion dollars for the health plan, as well as member experience, looking at end-to-end aspects of healthcare member experience. Finally, I have a Strategic Accounts team that works boots on the ground directly inside provider offices on things like increased workflows to drive performance.