Greg Lipson Email and Phone Number
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Greg Lipson personal email
Seasoned healthcare professional with over 20 years’ healthplan experience. Proven leadership in Provider Network Management within regional and national healthplans offering commercial, government (Medicare Advantage and Medicaid) and ASO products. Demonstrated success in:- Delivery system strategy- Value based programs- Healthplan operations- Provider network development & performance optimization- Building and leading successful teams- Negotiating and managing various reimbursement models, including pay-for-performance and risk-based- Integrations and implementations- Leading crossfunctional projects and mission critical initiatives
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Rvp, Provider Network, Ne Region, Cigna MaCigna Healthcare Sep 2024 - PresentBloomfield, Ct, UsLead team of contractors negotiating risk, value-based and FFS contracting across several states from Carolinas to New England
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Svp Strategic Initiatives And Provider ContractingCigna Healthcare Sep 2021 - Sep 2024Bloomfield, Ct, UsLead department responsible for developing and maintaining provider delivery system across AZ for commercial, Medicare and Marketplace products. Manage evaluation and execution of multiple, complex initiatives to improved affordability, quality and satisfaction for customers and providers.
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Market PresidentTroy Medicare Nov 2020 - Oct 2021Charlotte, North Carolina, UsAccountable for profitability, network contracting and quality for unique Medicare Advantage plan that partners with independent pharmacies in the Tar Heel State. -
Chief Strategy OfficerPlanted Recovery, Inc Oct 2020 - Oct 2021Supporting CEO and leadership team by developing and implementing company strategic plans that include business development, network development, marketing and operations.
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Vice President Network ManagementMolina Healthcare Florida Nov 2018 - Oct 2020Develop and implement provider network strategy, including move to value based care and network reshaping for health plan with Medicaid, Medicare and ACA products.
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Vp, Network Development And StrategyFresenius Medical Care North America Oct 2014 - Sep 2018Bad Homburg, Frankfurt, DeLead provider network development and strategy for Fresenius Health Partners to file Medicare Advantage CSNP (ESRD) plans in multiple major US markets. -
National Vp, Network Strategy And ContractingValueoptions, Inc.® Feb 2014 - Jun 2014Norfolk, Va, UsLeading national network strategy for ASO and risk clients seeking innovative solutions to behavioral health. Clients include national employers, health plans and public sector programs (Medicare/Medicaid/Duals/MMP/FIDA). Supervise national team charged with behavioral provider network development and implementation; helping lead enterprise initiatives to develop and deploy quality and payment innovation as they apply to behavioral space. -
Vp, Corporate Provider Network ManagementAmerihealth Caritas Partnership Sep 2013 - Feb 2014Philadelphia, Pennsylvania, Us- Enterprise accountability for network strategy and development in Medicaid and Medicare expansions. - Manage national contracting strategy and key provider relationships. Oversee contracting process, policies and operations. - Support design and implementation of payment innovation and provider engagement programs. -
Vp, Network Operations, Md/Dc/DeHealthspring, A Cigna Company Dec 2010 - Jun 2013Moved to market role after Bravo was acquired by HealthSpring. Lead provider network department for HealthSpring's Mid-Atlantic market, comprised of three states (MD, DC, DE) with over 25,000 Medicare Advantage members and annual revenue exceeding $300M. Manage market team consisting of 22 FTE’s including contract negotiators, network administrators, and operations analysts. Ensure compliance with CMS and NCQA standards. Implementing physician engagement model to include STARs, HEDIS and risk adjustment components, Oversee key hospital and provider system relationships.
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Vp, Corporate ContractingBravo Health Apr 2008 - Dec 2010Baltimore, Md, UsBuilt and led enterprise-wide provider network function. Worked with executive management, functional areas and regions/markets to standardize and centralize processes for contracting, provider data management, reporting, audit readiness, reprting and delegation oversight. Contracted and implemented several company-wide vendors for services including dental, vision, behavioral, transportation, fitness. -
Avp, ContractingCigna Healthcare Mar 2007 - Apr 2008Bloomfield, Ct, UsMarket lead for all provider contract negotiations for Colorado and parts of NM and WY. Successfully balanced unit cost management and trend mitigation while maintaining competitive network access and ensuring high provider and client satisfaction. Managed department with four contractors plus support staff.
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Manager, Project And Performance ManagementUnited Health Care Aug 2004 - Feb 2007UsFormerly with PacifiCare, this position in Provider Network Management focused on managing multipe projects, provider communication activities, and producing and presenting monthly reporting of network performance in areas such as unit cost and non-par to par conversion. -
Contract ManagerHealth Net Jun 2002 - Apr 2004Negotiated and managed contracts for health systems, hospitals, physicians, and ancillaries on the metro Phoenix area for a health plan with Medicare Advantage and commercial lives.
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Network ManagerPacificare 1999 - 2002Managed global risk networks. Negotiated fee-for-service provider contracts for all types of services for both Medicare and commercial product lines. Developed and implemented network of contracted hospitalist providers.
Greg Lipson Skills
Greg Lipson Education Details
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University Of Pittsburgh Katz Graduate School Of BusinessHealth Admin -
University Of Pittsburgh - School Of Public HealthHealth Administration
Frequently Asked Questions about Greg Lipson
What company does Greg Lipson work for?
Greg Lipson works for Cigna Healthcare
What is Greg Lipson's role at the current company?
Greg Lipson's current role is Seasoned Exec - Provider Network and Contracting Strategy.
What is Greg Lipson's email address?
Greg Lipson's email address is gr****@****lth.com
What schools did Greg Lipson attend?
Greg Lipson attended University Of Pittsburgh Katz Graduate School Of Business, University Of Pittsburgh - School Of Public Health.
What are some of Greg Lipson's interests?
Greg Lipson has interest in Health.
What skills is Greg Lipson known for?
Greg Lipson has skills like Medicare, Medicaid, Managed Care, Healthcare Management, Health Policy, Healthcare, Project Management, Provider Relations, Hipaa, Leadership, Healthcare Industry, Hospitals.
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