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Senior executive at MediGold, a Medicare Advantage Plan in central Ohio that provides best in class service to approximately 50,000 members. Built and maintained successful business relationships through effective planning, attention to detail and thorough execution. Oversaw all major components of MA plan leading to current position charged with growing membership outside existing service area.
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Medicare Market President-MidwestCigna May 2022 - PresentBloomfield, Ct, Us -
Medicare Market President-OhioCigna Mar 2021 - May 2022Bloomfield, Ct, Us
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Chief Strategic Growth OfficerMedigold Sep 2017 - Mar 2021• Led organization through $50M turnaround.• Led 5-year strategic growth plan including multiple out of state market entries.• Restructured internal sales team, goals and commission model to increase performance and accountability.• Enhanced broker channel by onboarding 400 agents, conducted broker surveys, implemented a broker portal and advanced commission payment process.• Increased SEP leads by 25% by establishing year-round marketing and brand awareness campaigns.• Oversaw product competitive analysis and CMS bid development and implementation.• Represented executive team presenting to the MediGold board. -
Senior Director, Medical Delivery SystemsMedigold Jan 2016 - Sep 2017• Identified the need and successfully drove business case for creation of Risk Adjustment department resulting in improved compliance and outcomes.• Led Risk Adjustment strategy driving revenue $47M beyond revenue target.• Developed and maintained key relationships driving 70% of membership into value-based arrangements.• Oversaw provider contracting, network adequacy, service area expansions and contract compliance.• Implemented contract approval software for improved documentation and storage.
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Director, Support ServicesMedigold Dec 2013 - Jan 2016• Responsible for operational and financial components of risk adjustment initiatives, vendors and audits achieving $25M beyond revenue target.• Served in leadership role to ensure coordination of operations and compliance with CMS regulations across all departments.• Developed and implemented new quality and risk models to increase member and provider engagement.• Conducted RFPs, negotiated vendor contracts, oversaw implementations and managed associated operations. • Achieved $13M in savings through Pharmacy Benefit Manager RFP and subsequent contract negotiations. • Strategized with Star improvement committee and senior leaders to drive Plan rating of 4.5.• Assisted with Medicare Advantage bid strategy and made recommendations to improve benefit set up and remove barriers for member compliance of wellness and preventive services while achieving financial targets.
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Manager, Operations And Quality ControlMedigold Sep 2012 - Dec 2013• Led joint operating committee for multicounty expansion in collaboration with two major health systems.• Managed vendor contracts, performance and relationships.• Served on Star improvement committee and contributed to Plan rating of 4.0.• Responsible for risk adjustment programs, vendors and ROI improvement.• Oversaw Part D Pharmacy Benefit Manager.• Led and served on Plan Operations committee and subcommittees.• Managed financial, bid and risk adjustment data validation audits.
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Medical Data AnalystMedigold Dec 2009 - Aug 2012• Led team for CMS mandated Chronic Care Improvement Program and Quality Improvement Project.• Streamlined handoff of high-risk members between care management and risk adjustment programs.• Developed benchmarks, tracked progress, and communicated outcomes for Accountable Care Payments, Patient-Centered Medical Homes, and other quality projects. • Provided data analysis and recommendations to Medical Director, CEO, COO, and Senior Director of Medical Management.
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Surgery Scheduler And Human Resources RepresentativeMount Carmel New Albany Surgical Hospital Sep 2006 - Dec 2009Columbus, Ohio, Us• Schedule radiology and surgical procedures• Liaison between physicians, offices, staff and patients• New hire correspondence and file maintenance• Invoice reconciliation• Assist HR Generalist with projects, wage surveys, and quarterly reports -
Office Assistant/InternSoutheast Ohio Sports Medicine And Physical Therapy Jan 2006 - Jun 2006• Schedule patient appointments• Billing/financials• Assist office manager
Jamie Benedict Skills
Jamie Benedict Education Details
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Ohio UniversityHealth Care Administration
Frequently Asked Questions about Jamie Benedict
What company does Jamie Benedict work for?
Jamie Benedict works for Cigna
What is Jamie Benedict's role at the current company?
Jamie Benedict's current role is Medicare Market President at Cigna.
What is Jamie Benedict's email address?
Jamie Benedict's email address is ja****@****lth.com
What is Jamie Benedict's direct phone number?
Jamie Benedict's direct phone number is (614) 234*****
What schools did Jamie Benedict attend?
Jamie Benedict attended Ohio University.
What are some of Jamie Benedict's interests?
Jamie Benedict has interest in Environment, Children, Education, Health.
What skills is Jamie Benedict known for?
Jamie Benedict has skills like Healthcare, Healthcare Management, Management, Leadership, Hospitals, Data Analysis, Hipaa, Medicare, Customer Service, Healthcare Information Technology, Strategic Planning, Public Speaking.
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