Jeff Rust

Jeff Rust Email and Phone Number

Vice President, Health Plan Contracting and Operations @ Integrated Home Care Services, Inc.
Florida, United States
Jeff Rust's Location
Miami-Fort Lauderdale Area, United States, United States
Jeff Rust's Contact Details
About Jeff Rust

An innovative executive with a diverse knowledge of the health insurance industry via 30+ years experience. Proven success in developing, analyzing and managing provider networks from various perspectives as well as developing and leading exceptional teams. Always seeking to achieve established goals, seek new opportunities for development and empowering others to do the same.

Jeff Rust's Current Company Details
Integrated Home Care Services, Inc.

Integrated Home Care Services, Inc.

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Vice President, Health Plan Contracting and Operations
Florida, United States
Website:
ihcscorp.com
Employees:
186
Jeff Rust Work Experience Details
  • Integrated Home Care Services, Inc.
    Vice President, Health Plan Contracting And Operations
    Integrated Home Care Services, Inc.
    Florida, United States
    View
  • Devoted Health
    Vp National Vendor Relationship Management / Network Development
    Devoted Health Apr 2023 - Present
    Waltham, Ma, Us
    Responsible for organizing, driving and managing the full national vendor life-cycle for the entire organization from contracting to ongoing relationship management and leading the supporting team.
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  • Devoted Health
    Vp Network Development Fl
    Devoted Health Jun 2017 - Apr 2023
    Waltham, Ma, Us
    Responsible for the leadership of provider network development and management for the State of FL along with a very experienced team of professionals. After hiring an exceptional group of talent for the start up health plan, the team and I successfully developed a CMS adequate network in less than six months prior to Devoted Health launching it's initial offerings in eight counties in FL. Devoted Health is now offered in 26 counties in FL and continues to grow in FL and nationally.
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  • Aetna
    Director, Network Management
    Aetna Apr 2015 - Jun 2017
    Hartford, Connecticut, Us
    Responsible for leading a team responsible for maintaining, and when necessary, developing a provider network that would meet adequacy standards and was marketable in contracted market areas. Internal consultant on value based contracting and financial reconciliation tool development. Worked extensively with other areas in the organization including, but not limited to, Quality, Clinical, Compliance and Provider Services to achieve an overarching successful experience for providers and members.
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  • Unitedhealth Group
    Sr. Network Account Manager
    Unitedhealth Group Mar 2014 - Mar 2015
    Us
    Developed and maintained strategic relationships and negotiated complex contractual terms with large health systems and facilities in order to achieve financial goals and enhance corporate growth objectives.
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  • Magellan Pharmacy Solutions - Icore
    Director, Network Development
    Magellan Pharmacy Solutions - Icore Dec 2011 - Feb 2014
    Us
    Responsible for developing framework to support creation of a medical provider network to support strategic business growthProvided consulting services to major healthcare clients nationwide regarding network management strategies to maximize medical cost savings via implementation of medical pharmacy management programs for chronic conditions
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  • Femwell Group Health
    Sr. Manager, Business Development
    Femwell Group Health Apr 2011 - Dec 2011
    Miami, Fl, Us
    Developed new business strategies to expand large physician group from OB/GYN specialty only to statewide multi-specialty group Analyzed geographic specialty needs and recruited physicians as necessaryWorked closely with member physicians to recruit/educate new physicians
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  • Florida Blue
    Sr. Manager, Value Based Contracting
    Florida Blue Dec 2010 - Mar 2011
    Jacksonville, Florida, Us
    Developed, negotiated and implemented Value Based payment methodologies
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  • Florida Blue
    Sr. Manager, Provider Contracting
    Florida Blue Oct 2005 - Nov 2010
    Jacksonville, Florida, Us
    Responsible for North and South FL office based physician network contracting and management to support all Florida Blue productsResponsible for the financial performance of over $1.5B in allowable charges annuallyEffectively implemented multiple medical cost management and utilization management programsManaged an administrative budget in excess of $2.5M annuallyDeveloped, motivated and lead a team of up to 35 FTE’s, in multiple office locations
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  • Florida Blue
    Program Manager
    Florida Blue Apr 2004 - Oct 2005
    Jacksonville, Florida, Us
    Designed, enhanced and implemented network management processes to improve administrative efficiency and provided leadership, coordination and vision to support objectives of proposed initiatives
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  • Florida Blue
    Provider Contracting Representative Ii
    Florida Blue Jul 2002 - Apr 2004
    Jacksonville, Florida, Us
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  • Gustafson'S Dairy, Inc.
    Benefits Coordinator/Human Resources Manager /Risk Manager
    Gustafson'S Dairy, Inc. Mar 1994 - Jun 2002
    Hands-on human resource practitioner responsible for policy development and employment execution functions for 3000+ employees in a corporate office, production facility, and regional distribution centersDeveloped statewide worker’s compensation provider network for self-insured program. This included negotiating payment rates/terms with physicians, labs, urgent care centers and hospitalsResponsible for complete benefits administration responsibilities including negotiation, procurement and coordination of health, dental, life and 401K benefit plans

Jeff Rust Skills

Managed Care Healthcare Health Insurance Network Development Provider Relations Hipaa Medicare Ppo Healthcare Management Medicaid Hmo Healthcare Consulting Leadership Strategic Planning Healthcare Industry Pharmacy Benefit Management Health Policy Management Physicians Medical Billing Hospitals Healthcare Information Technology Physician Relations Data Analysis Process Improvement U.s. Health Insurance Portability And Accountability Act Quality Improvement Working With Physicians Credentialing Employee Benefits Practice Management Revenue Cycle Revenue Cycle Management Healthcare Information Technology Disease Management Policy Training Clinical Research Utilization Management Ehr Health Information Exchange Medical Coding Emr

Jeff Rust Education Details

  • Western Governors University
    Western Governors University
    Marketing Management
  • St. Johns River State College
    St. Johns River State College

Frequently Asked Questions about Jeff Rust

What company does Jeff Rust work for?

Jeff Rust works for Integrated Home Care Services, Inc.

What is Jeff Rust's role at the current company?

Jeff Rust's current role is Vice President, Health Plan Contracting and Operations.

What is Jeff Rust's email address?

Jeff Rust's email address is le****@****ail.com

What schools did Jeff Rust attend?

Jeff Rust attended Western Governors University, St. Johns River State College.

What are some of Jeff Rust's interests?

Jeff Rust has interest in Exercise, Nascar, Home Improvement, Reading, Sports, Fishing, Home Decoration, Health, Cooking, Electronics.

What skills is Jeff Rust known for?

Jeff Rust has skills like Managed Care, Healthcare, Health Insurance, Network Development, Provider Relations, Hipaa, Medicare, Ppo, Healthcare Management, Medicaid, Hmo, Healthcare Consulting.

Who are Jeff Rust's colleagues?

Jeff Rust's colleagues are Milienne Bonenfant, Gustavo Coo, Ana Richard, Jason Palmer, Shakria Howard, Ruben Martorell, Licette Salazar.

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