Juan Borrego

Vice President of Texas Market

There are numerous approaches to a solution. Sometimes you need to go down many paths to reach that juncture of insight that sparks innovation.

Industry Expertise

High Degree of Quality Assurance

Industry experience in network development and provider relations

Strategic Planning in Executing Premium Maximization and HEDIS

Leadership

Data-Driven Insights within the Healthcare Context

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Juan A. Borrego serves as the Chief Revenue Officer (CRO) at Provider Network Solutions of Puerto Rico (PNS of PR), bringing with him an extensive background of over 30 years in various facets of the healthcare industry, encompassing Health Insurance Companies and Providers.

 In his role as CRO at PNS of Puerto Rico, Borrego assumes executive responsibility for ensuring the efficient governance of significant risks and related opportunities, with a particular focus on the Medicare Advantage unit. Under his leadership, the unit currently manages 37,500 Medicare lives through contracts with MCS and Humana, operating in both lines of business at a high degree of quality (HEDIS / 5 stars).

 Additionally, Borrego plays a crucial role in overseeing the premium maximization department and the HEDIS unit. He provides valuable guidance in executing the strategic plan for these units, contributing to their overall success.

 Borrego’s formal education is rooted in Data Analysis and Network Administration. Prior to his role at PNS of PR, he served as a managing partner for a Management Service Organization (MSO’s) in both South Florida and Puerto Rico. His diverse experience and leadership underscore his commitment to driving excellence within the healthcare sector.