This document contains a summary of Kevin P. Enterlein's career experience and qualifications. He has over 25 years of experience in senior executive roles in the healthcare industry, with expertise in areas such as profit and loss management, provider network development, value-based contracting, business development, and turnarounds. His professional experience includes roles as President of a healthcare consulting firm and COO of a health plan. He has served on several boards, including those of Physicians United Plan and the Florida Association of Health Plans.

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Kevin P. Enterlein
10747 VersaillesBlvd.
Wellington,FL 33449
Mobile: (561) 374-2136
Home: (561) 795-1332
E-Mail: KPE1313@Yahoo.com
Career Summary
A results driven senior executive with a long track record of success forsignificantly growing enterprise
value while consistently exceeding internal and external expectations. A strategic thinker proficient in
meeting stretch goals while balancing shareholder, customer and employee needs. A strong team builder
who commands respect from line staff through the board of directors. Expertise includes profit and loss
general management, broad geographic provider network development, risk and value based incentive
contracting, business development and geographic expansion, sales distribution channelmanagement,
health services and quality improvement leadership, health plan turnarounds,public speaking, community
and government relations.
 Strategic thought leader with a bias towards action
 Pragmatic, optimistic, high energy and high integrity
 Calculated risk taker with a keen sense ofsituational awareness
 Balanced approach towards consensus building and decisive action
 Coach & mentor.
Professional Experience
U.S. Healthcare Strategies, LLC (United States)
President July 2014 – Present
Founder and Principal of U.S. based healthcare consulting firm partnering with payers,healthcare providers
and the financial industry on operational, tactical and investment based needs.
 Payer and healthcare provider network design, contract negotiations and operational build
 Provider value based contracting and cost containment contract strategies
 ACO & risk based contracting strategy development
 Private equity & venture capital advisement including but not limited to the following firms;
McKinsey & Co., New Mountain Capital, Vernier Capital Partners, Pennant Capital Management,
Raveneur Investment Group LP, Harvest Partners, Summit Partners and Google Capital
Physicians United Plan, Inc. (Orlando, FL)
Executive Vice President & Chief Operating Officer July 2012 – June 2014
Top executive accountable for all outward facing operations including sales & marketing, provider
network, health services, business development and quality management improvement programs.
 Led successfulCMS Service Area Expansion increasing FL footprint into Martin, St. Lucie and
Volusia counties for January 2014 effective membership.
 Led planning and termination process of4 poor performing global risk MSO’s and 2 poor
performing large Primary Care Clinics. Retained ~65% of terminated membership within well
performing strategic MSO partner relationships.
 Issued RFP and negotiated new PBM contract expected to yield $19.75 PMPM or $12 MM
through ingredient cost,administrative expense and manufacturer rebate savings.
 Modified sales distribution by executing reduction in force for employed sales agents while
negotiating a preferred long term FMO contract yielding favorable SG&A exposure, improved
compliance and sales volume requirements, and favorable change in control terms.

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Aetna, Inc. (Plantation, FL)
President, Aetna Florida, Inc. January 2010 – July 2012
Top executive accountable for the profit & loss of the Florida health plan products and services exceeding
$1.5 Billion in annual revenue. Oversight of provider network design and build, operating plans for sales
and service of all medical, group insurance, specialty and Medicare products for individual, small group,
and middle market segments, and regulatory and legislative affairs.
 Executed turn around in net income and underwriting margin of <$6.4 MM> and $73.6 MM
respectively, to $36.7 MM and $112.3 MM through end of year 2011.
 Achieved provider network savings of $34.7 MM for Commercial and Medicare products
throughout a two year period, exceeding targeted savings of $24 MM by 45%.
 Successfully realigned network management division and operating processes between sales and
underwriting units that have driven exceptional employee engagement scoring and best in
company results for manager effectiveness within Aetna’s 2010 & 2011 employee surveys.
 Established platinum broker program and profit variance authority guidelines yielding material
improvement with persistency and underwriting margin expansion.
Aetna, Inc. (Plantation, FL)
Senior Network Vice President Southeast U.S. January 2009 – January 2010
Accountable to oversee and strategically direct medical expense budgets and cost containment plans for 2.7
MM covered health plan members who are serviced by more than 135,000 physicians,hospitals and allied
health professionals in the Carolina’s, Tennessee,Georgia and Florida.
 Thought leader driving strategic planning and contract execution with vice presidents across 5
states amounting to customer savings exceeding $30 MM for 2009.
 Directed and oversaw build out plans which resulted in more than 8,000 new health care provider
contracts and allowing successfulapplications for commercial and Medicare service area
expansion into 65 new counties across the southeast U.S.
WellCare Inc. (Tampa andMiami FL)
Chief Operating Officer December 2006 – April 2008
Top executive accountable for the Tampa and South Florida health plans with combined annualrevenue of
$1.1 B and EBITDA of $175 MM, covering Medicare, Medicaid and SCHIP product lines. Directed and
set operating strategy while overseeing a staff of 260, which exceeded contribution margin by 5% for 2007.
 Restructured Tampa Medicaid sales division including hiring a director and promoting a senior
network director that teamed up to improve agent production by nearly 50% over a 6 month
period.
 Worked closely with corporate sales and marketing to devise broker and general agent bonus
programs that led to exceeding sales targets throughout lock in by 18% and 27% respectively.
 Promoted 2 existing Medicare management staff, one in Tampa from director to vice president and
one in South Florida from manager to senior manager.
 Led product design and development for Medicaid reform in Broward county yielding best in
class membership growth of more than 25,000 new members from September 06' - April 07'.
WellCare Inc. (Tampa,FL)
Vice President and Executive Director June 2005 – November 2006
Assumed South Florida health plan leadership role while maintaining statewide network development
leadership accountability. Restructured, hired and coached South Florida management team towards
successfully meeting membership, SG&A, and network development goals throughout 2005.

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Worked closely with state finance division to develop utilization and unit cost tracking tools for physician,
hospital and ancillary provider monitoring against operating budget. Exceeded the South Florida health
plan EBITDA target of $52 MM by 11% or $5.6 MM during 2006.
 Directed and participated in contract negotiations of hospitals,dental, therapy vendor, and various
physician arrangements yielding $13.7 MM in annualized statewide savings,and $4.7 MM
annualized South Florida savings.
 Terminated 10 poor performing South Florida global Medicare risk provider groups while
strategically restructuring remaining risk based contracts in the market. These terminations
covered more than 12,000 Medicare Advantage members in which we were successful
maintaining more than 80% of the membership at targeted profitable levels.
 Oversaw state network administrative budget yielding savings of $479 K and South Florida health
plan budget yielding savings of more than $262 K, while exceeding targeted membership for
Medicare and Medicaid product lines.
 Worked closely with key risk providers, CMS, and actuaries to devise new Medicare Advantage
filings balancing competitive plan designs with health plan and risk partner profitability goals.
WellCare Inc. (Tampa, FL)
Vice President, Network & Business Development December 2003 – June 2005
Responsible for provider network operations including hospital, physician,and allied health provider
recruitment and contracting throughout the state of Florida. Accountable for new product development and
market expansion of the Florida Kid Care program, Medicare, Medicaid, nursing home diversion, and
Pinellas county indigent care programs.
 Hired and directed a team that strategically planned, contracted,assembled and submitted 10
Florida Medicare county expansion filings with CMS over a 12-month period. This initiative
enabled the company to prospect an additional 1 MM new members and led WellCare to become
one of the nations’fastest growing Medicare Advantage health plans in 2005 & 2006.
 Negotiated and managed unit cost reductions yielding improved medical expense exposure
totaling $16.8 MM in annual savings through various Hospital and large physician group
agreements.
 Planned, developed and hired an outside consulting firm to manage and maintain an industry-
leading suite of electronically distributed financial and analytical monthly reports for physician
groups at risk.
 Managed expansion contracting and strategically directed a successfulFlorida Healthy Kid bid
process resulting in the retention of 3 existing county contracts and winning 6 new counties adding
more than 14,000 new members during October 2004.
Aetna, Inc. (Plantation, FL)
Regional Vice President, Network Management December 2001 – November 2003
Accountable for the healthcare costs associated with more than 1.4 MM covered lives exceeding $3.2 B in
annual expense throughout Florida and Georgia. Directed 85 provider network professionals responsible
for ensuring the availability of cost effective quality health care across more than 220 hospitals,22,000
physicians,and 1,000 ancillary providers.
 Hired, mentored, and re-structured market staff, which exceeded medical loss ratio targets by 3%
and 2% respectively for Jacksonville and South Florida during 2002.
 Strategically developed and directed medical cost containment initiatives resulting in annual
savings of $26 MM.
 Directed request for proposaland implementation of radiological program on target to yield 2003
annual savings of $10 MM and $2.2 MM for Florida and Georgia respectively.
 Managed consolidation of staff and facilities for calendar year 2002 resulting in Sales, General
and Administrative savings of $5.4 MM.

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Aetna U.S. Healthcare (Plantation,FL)
Vice President and General Manager August 1999 – December 2001
Top executive responsible for the profit and loss of 325,000 Commercial and Medicare health plan
members, exceeding $800 MM in annual gross revenue. Recruited seniorstaff members, directed facility
closure and relocation, and reduced sales,general and administrative expenses by 34% resulting from staff
reductions and acquisition synergies. Further responsibilities included targeted revenue growth, healthcare
cost containment, quality improvement, customer persistency,member satisfaction and strategic planning.
 Increased gross revenue by $58.7 MM and net income by $8.22 MM during calendar year 2000 by
adding 58,000 new HMO members. This represented 45% of all net growth within the entire
southeast region.
 Reduced health plan medical loss ratio by 20% from 1998 through 2000 by exceeding premium
income and medical cost reduction targets.
 Chaired quality oversight committee responsible for tracking, trending and delegating quality
Improvement initiatives which led to Aetna and Prudential of South Florida receiving three year
NCQA accreditation status,during 1999 and 2000 respectively.
 Received “Best Overall Health Plan” status for Prudential Healthcare of South Florida from
CareData, Inc. during 2000.
Aetna U.S. Healthcare (East Coast Florida) March 1997 – August 1999
Prudential Healthcare (Fort Lauderdale, FL) July 1994 – March 1997
Physician Corporation of America (Miami, FL) March 1993 – July 1994
Wellington Regional Medical Center (West PalmBeach, FL) July 1990 – March 1993
Education, Professional Affiliations, Interests
Board Director, Physicians United Plan, Inc. 2013 – 2014
Board Director, Aetna Florida, Inc. 2010 – 2013
Board Director, Florida Association of Health Plans, 2010 – 2013
Chair, Executive Committee, Florida Association of Health Plans 2012 – 2013
Board Director, American Heart Association South Florida Chapter, 2011 – 2012
New Hope Charities Youth Mentor, 2008 – 2011
Pace University, Lubin School of Business B.B.A., Pleasantville, New York

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