Healthcare Growth, Strategy and Business Development Professional

Rami Rafeh

Scaled growth strategies, engineered M&A integrations, directed capital deployment — across payers, providers, pharma, and the boardroom.

Rami Rafeh

400K+

Members Managed

Across Value-Based Care models

$250M+

Capital Directed

Strategic investments and M&A

700+

Companies Evaluated

Digital health sector

200%

Scalable Growth

YoY expansion in behavioral health

Growth strategy, M&A integration, and value-based care operations — across providers, payers, and digital health.

Scaled non-linear growth at Healthfirst and Premera. Directed post-merger integrations at Pfizer and McKesson. Engineered value-based care operations across payer-provider complexity.

Optimized provider networks, managed 400K+ members in VBC models, and evaluated 700+ digital health companies. Each role deepened operational expertise in growth strategy, M&A, and behavioral health scaling.

Twenty years across payers, providers, pharma, and corporate strategy. Open to consulting, executive roles, and keynote speaking on VBC and Healthcare M&A.

Cross-Sector Experience

Hospital Systems21+ hospitals, C-suite engagement, payer-provider strategy
Community Providers40,000+ provider network across primary care & specialty practices
PayersPremera Blue Cross, Healthfirst
PharmaPfizer, Express Scripts
Corporate StrategyMcKesson, CoverMyMeds
Startupsspott3r, Fitmigo (Founder)
BoardsFirstWA, Sound Behavioral Health
AcademiaColumbia University Faculty

Scaled. Engineered. Directed.

Quantified outcomes across growth strategy, M&A, and value-based care operations.

0+
Years in Healthcare
Across pharma, payer, provider, and corporate strategy
$0B
Revenue Scaled
Growth roadmap at Healthfirst — $8.4B to $12B
0+
Provider Network
Hospitals and community practices managed at Premera Blue Cross across the Pacific Northwest
0
Digital Health Companies
Partnership funnel built at Pfizer for connected health
Experience

20+ years of healthcare leadership.

Scaled provider networks, directed M&A pipelines, and optimized value-based care operations.

McKesson

Sr. Director, Corporate Strategy & Business Development

CoverMyMeds Business Unit

2024 — Present · Seattle, WA
  • Manage a pipeline of growth opportunities through partnerships and M&A within CoverMyMeds ($500M+ revenue business unit)
  • Shape long-term digital health strategy across provider, payer, and biopharma stakeholders — reporting to SVP of Strategy
  • Develop economic models for evaluating acquisitions, new business models, and market dynamics across the McKesson enterprise

Premera Blue Cross

VP, Provider Network Strategy & Collaboration

2019 — 2024 · Seattle, WA
  • Created provider network strategy for the Pacific Northwest's largest health plan (2M+ members), spanning hospital systems and community-based practices
  • Implemented the nation's first payer/provider clinical data transfer program in partnership with Providence and MultiCare health systems
  • Launched a behavioral health product that reached 400K members with 200% YoY growth in year one
  • Managed relationships across 40,000+ providers — from large hospital systems to independent primary care and specialty practices across Washington and Alaska

Healthfirst

Regional Director, Network Management & Growth Strategy

2016 — 2019 · New York, NY
  • Grew membership from 1.2M to 1.7M and created a roadmap scaling revenue from $8.4B toward $12B
  • Managed a network of 21+ hospitals and community provider groups, working directly with hospital C-suite and practice leadership
  • Led hospital and community provider engagement strategy to optimize payer-provider relationships and advance value-based care

Pfizer

Sr. Manager & Innovation Fellow

Worldwide Business Development & Innovation

2006 — 2016 · New York, NY
  • Ten years spanning Drug Safety, Regulatory Compliance, and Innovation — progressive leadership across functions
  • Led the post-merger integration with Wyeth Pharmaceuticals with no regulatory findings
  • Built a systematized partnership funnel evaluating 700 digital health companies for connected health initiatives
  • Founded an internal Predictive Analytics group and Connected Health database
Board & Advisory

Board governance & healthcare advisory.

Board Director at FirstWA and Sound Behavioral Health. Strategy Chair. Advisory roles in health tech.

Board

FirstWA

Board of Directors & Vice Chair

2022 — Present

Washington's most comprehensive STEAM education program, designed to inspire the next generation of leaders in science, technology, engineering, arts, and math.

Board

Sound

Board of Directors & Strategy Chair

2021 — Present

Behavioral health organization providing mental health and addiction treatment services across Washington State. Quality Committee member for transformative care solutions.

Advisory

Opala

Board Observer & Advisor

2019 — 2021

Health interoperability startup building infrastructure to connect health plans and providers, aiming to reduce administrative waste for patients, doctors, and payers.

Entrepreneurial & Teaching

spott3r
Founder
2012 — 2016
Engagement program maximizing fitness potential through measurement, incubated at Columbia Ventures
Fitmigo
Founder
2015 — 2019
iOS app using geolocation to reward members for their workouts
Blueprint Health
Limited Partner
2012 — 2016
The largest network of healthcare mentors — an accelerator connecting founders with experienced operators and VCs
Columbia University
Adjunct Faculty, Bioinformatics
2011 — 2012
Taught in the HHS Office of the National Coordinator's HiTECH Act program for Health IT professionals

Free Course

Claude Code Mastery

50 interactive lessons that take you from zero to expert in Claude Code. Built with the Socratic method — learn by discovering, not by reading.

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Weekly Intelligence

The Briefing

A curated stream of what matters in AI, healthcare, technology, and strategy — updated weekly, filterable by topic, archived for reference.

AI Tools · Healthcare · M&A · Strategy · Biopharma · Cars

Let's connect.

I'm always open to meaningful conversations — whether it's a senior leadership opportunity in healthcare, a board position, strategic consulting, or an early-stage venture in health tech. If you're an executive recruiter, search firm, or industry leader exploring a fit, I'd welcome the dialogue.

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MPH, Columbia
Health Policy & Management
MBS, UMDNJ
Biomedical Sciences
Product Mgmt
Columbia Engineering
SLP Fellow
Startup Leadership