Jeff Mclaughlin Email & Phone Number

Draper, Ut, Us

HealthEquity empowers Americans to gain more choice and control over their healthcare and financial future by combining innovative products, best-in-class technology, and remarkable service.I will serve as the strategic business partner to health plan partners bringing value to the partner at all levels of the organization with emphasis on creating value for our mutual customers including growth, retention, and loyalty.

Pittsburgh, Pennsylvania, Us

Responsible for managing all facets of select strategic partnerships (delivery partners, technology/innovation partners, branded partners and other designated business partners from industry and government) as they interface with Highmark BCBS and Allegheny Health Network.Immediate efforts involve the continued execution and expansion of our virtual ICU program with strategic partner, Mercy Virtual. Presently, virtual ICU services are available at five of our AHN hospitals with expansion expected to include two additional AHN sites by Q4 2021. By EOY, virtual ICU services will be available in as many as one hundred eighty (180) ICU and ICU overflow rooms across seven AHN hospitals.Original initiative launched and deployed prior to Covid. Emphasis to create a higher standard of care in our AHN community hospitals while allowing patients to receive the required care close to home.

Pittsburgh, Pennsylvania, Us

Responsible for the overall relationship management of strategic partners (delivery partners, technology/innovation partners, branded partners and other designated business partners from industry and government) as they interface with the Enterprise.Support Enterprise and business unit management throughout the strategic partnering lifecycle, which includes: identifying the need for partnering; identifying potential partners; evaluation of potential partners; selection of the preferred partner; negotiation; execution; implementation of the partnership; and management and evaluation of the partnership;Utilize economic, financial, market and industry segment data to accurately diagnose business strengths and weaknesses, identify key issues and implications for potential strategies and partners.Manage coordinated prioritization and review processes for new and existing strategic partnering opportunities.

Pittsburgh, Pennsylvania, Us

Responsible for the creation, development and execution of partnership plans with other consumer-facing brands which align with Highmark's strategic approach around new product development.Responsible for prospecting, development, contracting, implementation, account management and communications for all partnership activity.Develop and enhance partner relationships and identify marketing, distribution and product development opportunities simultaneously.Utilize strong business acumen to understand the needs/business/brand of potential consumer-facing partners (New and Existing).Create business plans for new opportunities and develop and execute project plans.Conduct financial analysis of business opportunities while tracking and analyzing partner performance.

Pittsburgh, Pa, Us

Responsible for managing numerous partner relationships for a wide array of coverages (Worksite/Voluntary -- Continental American Insurance Company, Texas Non-Subscription and Texas WC -- Anchor Claims Management, LTD/STD -- Aetna/DRMS/Fort Dearborn).Responsible for managing all daily activity including reporting, appeal decisions, auditing, trending and risk.Coordinated all legal activity on claims being managed by our partners and actively represented HM Insurance Group in all settlement hearings, mediations and arbitrations.Supported the insourcing of Voluntary/Worksite LOB from our partner and established and managed an 8 person team to operationally support the business (Claims/Enrollment).

Pittsburgh, Pa, Us

Responsible for the creation and analysis of benchmarking reports for internal monitoring, comparison to industry standards, as well as presentation.Assisted in the testing of internal business applications to ensure that all specifications outlined in design documents worked properly in production.Successfully managed HM Insurance Group's SSDI program with our vendor (Allsup) and our internal Long-Term Disability unit.Demonstrated the ability to work effectively with all levels of management and staff.

Master Of Business Administration (Mba)

Bachelor Of Science (Bs), Mathematics And Computer Science