Jeff Rust Email & Phone Number

Florida, United States

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.

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.

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.

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.

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

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

Jacksonville, Florida, Us

Developed, negotiated and implemented Value Based payment methodologies

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

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

Jacksonville, Florida, Us

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

Attended, Marketing Management

Education record