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Jamie is a highly accomplished, results-driven, and team-oriented executive with a successful growth and business transformation track record in high growth start-ups and Fortune 50 healthcare organizations. As the VP of Operations for Sun Life's Health and Risk Solutions, Jamie leads the strategic direction of business operations to ensure successful execution of priorities, which includes the successful integration of PinnacleCare, a leading health advocacy and care navigation company.Jamie joined Sun Life from Elevance Health, formerly Anthem, where he led overall strategy and execution of the company’s Health Utilization Management function, including operational oversight, performance, clinical adherence and licensure, training, and quality. Prior to Elevance, he held positions at Oscar Health, WellCare and Aetna. Jamie is extremely passionate about creating access to care and facilitating the best health outcomes for ALL humans. He also serves as an advisor for MyLÚA Health, a digital maternal care platform that predicts and manages the risk of maternal complications. He holds a MS in Accounting from the University of Connecticut and BS in Accounting from Central Connecticut State University. He also holds Six Sigma Black Belt and Lean Certifications.
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Head Of PinnaclecareSun LifeTampa, Fl, Us -
Vice President - Operations (Health And Risk Solutions)Sun Life Dec 2022 - PresentOoResponsible for the overall strategic direction of the Operations function for Sun Life’s Health and Risk Solutions to ensure successful execution of the business unit’s priorities, including the integration of PinnacleCare (a leading health advocacy and care navigation company). -
AdvisorMylúa Health Aug 2022 - Present -
Vice President - Healthcare Management (Health Solutions)Elevance Health Feb 2022 - Oct 2022Indianapolis, Indiana, UsResponsible for the overall strategy and execution of Elevance Health’s Utilization Management (UM) function including operational oversight, KPI performance, clinical adherence, clinical licensure, training, and quality. -
Vice President - Strategy And Planning (Health Solutions)Elevance Health Aug 2021 - Feb 2022Indianapolis, Indiana, UsResponsible for Elevance Health's Utilization Management (UM) process performance, modernization, and digitization.
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Head Of Clinical Operations And Payment IntegrityOscar Health May 2020 - Jul 2021New York, New York, Us -
Head Of Clinical Strategy And OperationsOscar Health 2019 - May 2020New York, New York, UsResponsible for end to end strategy and operations of utilization review, grievances, and appeals ensuring clinical quality, operational excellence, and regulatory compliance.
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Senior Director, Strategic Initiatives (Population Health Solutions)Wellcare Health Plans 2017 - 2019Tampa, Florida, UsResponsible for leading Healthcare Quality and Affordability Initiatives department focused on driving medical cost savings to support enterprise profitability, deliver better member outcomes, and enhance the provider experience. -
Senior Director - Strategy, Clinical Services IntegrationAetna Apr 2016 - May 2017Hartford, Connecticut, UsResponsible for leading integration work stream related to the merger of Aetna and Humana’s clinical services. -
Director Of Business Transformation, Aetna Business ExcellenceAetna Dec 2014 - Apr 2016Hartford, Connecticut, UsKey leader in the development, initial rollout, and execution of Aetna’s business optimization strategy for Consumer Health Services and Specialty Products segments.
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Enterprise Leadership Development AssociateAetna Jan 2013 - Dec 2014Hartford, Connecticut, UsThe Enterprise Leadership Development Program (ELDP) was a competitive two-year rotational program that built a pipeline of future Aetna leaders. We were steeped in an environment of continual change that provided a broad enterprise view to enhance our breadth of business and leadership experience and increase the diversity of our thinking.4th Rotation: Senior Network Manager, Network Management - Medicaid3rd Rotation: Associate, General Management - Southeast Region Medicare 2nd Rotation: Associate, Chief of Staff to CEO - Healthagen 1st Rotation: Senior Program Manager, Strategy - Office of Consumer Engagement
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Business Program Senior Manager, National Care ManagementAetna Jul 2011 - Jan 2013Hartford, Connecticut, UsKey change agent in leading the development of a continuous improvement program for National Care Management (an organization with over 4000 provider and member facing clinicians focused on improving the cost and quality of healthcare).
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Senior Business Consultant, Operational Excellence GroupAetna May 2009 - Jul 2011Hartford, Connecticut, UsLed and supported key consulting and process improvement projects for Breakthough for Growth, Low Cost Model and other special initiatives directly related to Aetna’s strategic business objectives, organizational effectiveness, and profitable growth.
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Audit ManagerAetna Jul 2005 - May 2009Hartford, Connecticut, UsManaged audit projects in accordance with professional standards (e.g., IIA, ISACA, GAAS, GAAP, etc.). Responsibilities included day-to-day performance and oversight of the audit (e.g., utilizing research tools and analysis, assessing risks, defining scope of audits, managing time/expense budgets, and resolving issues.), design of solutions to address business area improvement opportunities and problem remediation, and presentation of the audit report to the Chief Audit Executive and Senior Management.
Jamie Smith Skills
Jamie Smith Education Details
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Cornell UniversitySun Life Executive Development Program -
University Of Connecticut School Of BusinessAccounting
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Central Connecticut State UniversityAccounting
Frequently Asked Questions about Jamie Smith
What company does Jamie Smith work for?
Jamie Smith works for Sun Life
What is Jamie Smith's role at the current company?
Jamie Smith's current role is Head of PinnacleCare.
What is Jamie Smith's email address?
Jamie Smith's email address is ja****@****hem.com
What is Jamie Smith's direct phone number?
Jamie Smith's direct phone number is +186027*****
What schools did Jamie Smith attend?
Jamie Smith attended Cornell University, University Of Connecticut School Of Business, Central Connecticut State University.
What skills is Jamie Smith known for?
Jamie Smith has skills like Leadership, Strategy, Change Management, Strategic Planning, Process Improvement, Risk Management, Insurance, Health Insurance, Analysis, Six Sigma, Program Management, Business Process Improvement.
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