Nancy Martin

Senior Associate


Gettysburg, Pennsylvania


Nancy Martin brings 25 years of experience in the behavioral health field to OPEN MINDS.  Ms. Martin currently serves as a Senior Associate on the OPEN MINDS Consulting team.

Previously, Ms. Martin was the AVP, Risk Adjustment for Molina Healthcare, Inc, where she was responsible for establishing strategy and managing operations for the company’s risk adjustment operations across 18 states. This included developing and implementing strategies for member engagement, provider engagement, value-based contracting models and population health, that served to optimize the quality of care delivered to Molina Healthcare members in Medicaid, Medicare and ACA products.

Prior to her work at Molina, Ms. Martin served as the Senior Corporate Advisor for Population Health Strategy and Solutions at EVI-BASE, LLC, an organization that offers evidence-based programs to people with chronic disease that improves their health and quality of life.

Ms. Martin also served as the Senior Director, Value-Based Contracting and Network Development for Lumeris, where she was responsible for value-based contracting and network development for Lumeris clients’ Medicare markets.

As the Vice President, Quality and Population Health for Medical Mutual of Ohio, Ms. Martin was responsible for Medicare Stars, risk adjustment, quality, disease management, and population health for all lines of business at Ohio’s largest mutual health insurance company. She had oversight of all aspects of Quality for the organization including HEDIS, Medicare Stars, CAHPS, Accreditation and value-based networks. She managed risk adjustment programs for both Medicare and ACA lines of business, including data analytics, vendor management, clinical care home visits, provider programs, member incentives, coding and all aspects related to revenue enhancement for the government’s risk adjustment programs. In addition, she was responsible for value-based network strategy including mapping data analytics to contract methodology, negotiation strategy and tactics, and staff oversight.

Prior to her role at Medical Mutual of Ohio, Ms. Martin served as Senior Vice President, Network Services for ValueOptions, the nation’s largest independent behavioral health care and wellness company. In this role, she oversaw national network strategy and services to a network of 70,000 providers to incorporate progressive contracting models such as Centers of Excellence, telehealth, and value-based contracting.

Ms. Martin received her Bachelor of Arts in French from the University of Kansas and her Masters’ Degree in International Management/MBA with an emphasis in Finance and Accounting from the American Graduate School of International Management.

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