Karen Lee

Finance and Value-Based Care

Karen Lee is a transformational healthcare leader with a proven track record in executive leadership, finance, operations, and strategy. With deep expertise in value-based care, managed care, and innovative healthcare financing models, she has successfully led initiatives that improve health outcomes, financial performance, and operational efficiency. Her experience spans commercial value-based care, Medicare and Medicaid programs, and large-scale healthcare transformation efforts. She excels at building collaborative partnerships across payors, providers, and community organizations to drive systemic improvements in care delivery and payment structures.

Karen’s strategic acumen and ability to assess complex challenges enable her to lead high-impact initiatives, including risk-based contracting, network development, care management programs, and accountable health communities. She has a strong track record in turning around struggling health plans, negotiating high-value contracts, and developing innovative models for integrated care. Her leadership fosters alignment between clinical and financial goals, creating sustainable solutions for healthcare organizations navigating an evolving landscape.

Areas of Expertise

Accountable Care Organization Development

Change Leadership and Transformation

Contracting and Negotiations

Employee Engagement

Financial Consulting

Innovation and Entrepreneurship

Insurance and Payer Consulting

Managed Care Strategy

Network Development and Management

Population Health Management

Quality Performance Improvement

Risk Adjustment and Care Management

Strategic Planning and Execution

Value-Based Care and Alternative Payment Models

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