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As a strategic leader with over twenty years of experience in managed healthcare across all product segments (Medicaid/Medicare, individual/ACA, commercial), I have a track record of success on leading enterprise growth, affordability, and transformation initiatives.Key competencies include:• Strategic Planning and Growth including new product, market & network expansion• Value-Based Purchasing including advanced/risk payment models• Managed Care/Provider Contracting including large complex, multi-product/state negotiations• Transformation Leadership• Performance Turnarounds including network, financial & operations
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Senior Vice President, Network Strategy & ServicesMolina Healthcare Dec 2021 - Jan 2024Long Beach, California, UsResponsible for leading corporate network management team focused on network development & expansion, national contracts, network strategy & performance, payment innovation, provider engagement & operations, and contract standards. -
Corporate Vice President For Network StrategyCentene Corporation 2018 - 2021Saint Louis, Mo, UsEnhanced performance and activity across $19 billion WellCare acquisition and divestiture transactions. Supported financial and operational turnaround of multi-billion dollar business as interim leader of Illinois market provider (15,000 providers). Led departmental restructuring, developed roadmap for expansion, value-based purchasing, and cost of care goals. Mitigated network disruption and compliance risks by renegotiating key provider system agreements. -
Vice President And Head Of Corporate Contracting And Network Development, InterimCentene Corporation 2015 - 2018Saint Louis, Mo, UsPropelled performance of 100+ staff across network expansion, national contracting, provider engagement, value-based purchasing (VBP), contract management, and unit cost planning. Administered $12 million annual budget and oversaw $1 billion in medical service spend. Established corporate VBP strategy and operating model enterprise-wide in collaboration with senior management to ensure alignment with policy changes and Medicare Access and CHIP Reauthorization Act (MACRA).
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Corporate Vice President For Network Strategy And ManagementCentene Corporation 2008 - 2015Saint Louis, Mo, UsAugmented performance of Health Insurance Marketplace (HIM) products in alignment with Affordable Care Act (ACA) spanning 22 states and $1+ billion margin. Expanded enterprise activity by supporting provider engagement, communications, network strategy, and development for HIM, Medicare, and Complex Care products.
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Vice President For Network Management - Health Net Of The NortheastHealth Net 2005 - 2008Woodland Hills, California, UsEnabled strategic planning and implementation of regional initiatives aimed at network expansion (New York and New Jersey), medical cost containment programs, provider satisfaction improvement, and provider data management. Oversaw $250+ million in out-of-network claim spend. -
Assistant Vice President For Network Development And Vendor ManagementCigna 2001 - 2005Bloomfield, Ct, UsFacilitated the development and execution of a national strategy directed at improving the organization’s provider and leased networks (impacting 50,000 providers). Executed a new operational plan to evaluate network position and align business segment and customer needs. Performed competitor analysis and establishing a roadmap to close the gaps in service. Drove new product and program implementation across national, health, proprietary, and leased networks. -
Provider Network Lead - Choice Care/HumanaHumana 1998 - 1999Louisville, Kentucky, Us -
Executive Director - Humana Health Plan Of Ohio, Inc.Humana 1995 - 1998Louisville, Kentucky, UsHumana acquired Choice Care Health Plan in 1998
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Vice President – Health Plan Manager - Cigna Health Care Of OhioCigna 1992 - 1995Bloomfield, Ct, Us
Jim Messina Skills
Jim Messina Education Details
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Weatherhead School Of Management At Case Western Reserve UniversityGeneral -
Bowling Green State UniversityAccounting
Frequently Asked Questions about Jim Messina
What is Jim Messina's role at the current company?
Jim Messina's current role is Network Strategy & Development.
What is Jim Messina's email address?
Jim Messina's email address is ji****@****net.com
What is Jim Messina's direct phone number?
Jim Messina's direct phone number is (973) 694*****
What schools did Jim Messina attend?
Jim Messina attended Weatherhead School Of Management At Case Western Reserve University, Bowling Green State University.
What skills is Jim Messina known for?
Jim Messina has skills like Medicaid, Managed Care, Medicare, Healthcare, Provider Relations, Healthcare Management, Health Insurance, Process Improvement, Healthcare Information Technology, Network Development, Hipaa, Healthcare Consulting.
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