John Hightower

John Hightower Email and Phone Number

Business Consultant at Meritain Health, an Aetna Company @
John Hightower's Location
Hickory-Lenoir-Morganton-Marion Area, United States, United States
John Hightower's Contact Details

John Hightower work email

John Hightower personal email

About John Hightower

Results oriented professional with experience across a wide variety of health care settings. A collaborative leader experienced in creating innovative solutions to complex problems in the areas of strategy, operations and business analysis. A team builder recognized for managing complex projects, guiding process improvement initiatives, containing costs and creating positive customer experiences that enable business growth. Specialties • Strategic Planning / Business Analysis• Performance Improvement• Provider Relations• Large Project Management• Product Line Management• Process Integration• Multi-Specialty Physician Groups • Medicare Operations with Managed Care Contracting• Physician Practices / Revenue Cycle

John Hightower's Current Company Details
Meritain Health, an Aetna Company

Meritain Health, An Aetna Company

Business Consultant at Meritain Health, an Aetna Company
John Hightower Work Experience Details
  • Meritain Health, An Aetna Company
    Business Consultant
    Meritain Health, An Aetna Company May 2015 - Present
    Business consultant guiding a talented group of individuals in building and supporting Meritain's primary care and ACO benefit administration capabilities.
  • Hightower And Associates, Llc
    Business Owner
    Hightower And Associates, Llc Jan 2014 - May 2015
    Providing management consulting services to health care organizations and conducting assessments of people, processes, and systems to determine opportunities for improvement.
  • Kaiser Foundation Health Plan
    Manager, Organizational Excellence
    Kaiser Foundation Health Plan 2009 - 2012
    Oakland, California, Us
    Led a region-wide initiative to create a performance-based culture focused on improving the member experience, increasing employee engagement and achieving region-wide performance targets.- Created a goal alignment, cascading and monitoring process that aligned individual performance goals with organization-wide performance metrics.- Led a 4-person service improvement team that helped increase the region’s patient satisfaction scores.- Established the Leadership Development Institute to address identified management skill gaps.
  • Kaiser Foundation Health Plan
    Manager, Government Programs
    Kaiser Foundation Health Plan 2007 - 2009
    Oakland, California, Us
    Established the Government Programs department and led the Medicare Business Line with accountability for creating a multi-year strategic plan, translating new government regulations into compliant business practices, filing the annual Medicare benefits and streamlining operational processes. - Integrated competitor profiles, emerging market trend data and Medicare enrollment information into a multi-year plan that guided the development of new benefit options. - Increased the Medicare business line revenue by 52% over 2 years by improving revenue capture, introducing new products, targeted marketing and proper clinical coding/documentation.
  • Kaiser Foundation Health Plan
    Team Lead, Revenue Cycle Project
    Kaiser Foundation Health Plan 2006 - 2007
    Oakland, California, Us
    Led the Revenue Cycle remediation project with accountability for five local remediation teams and ensuring all operational improvement efforts met regulatory requirements. - Developed the Ohio Coding Education Program in partnership with Ohio Permanente Medical Group.- Worked cross-functionally with department managers and the Compliance Officer to correct operational issues and establish performance standards.- Created and used an end-to-end diagram of clinical documentation and billing processes to identify areas for revenue cycle improvement.
  • Kaiser Permanente
    Senior Project Manager – Information Technology
    Kaiser Permanente 2004 - 2005
    Oakland, California, Us
    Managed the development and implementation of projects to enhance business capabilities and streamline workflows. Worked collaboratively with business partners and IT experts to establish requirements and deliver projects on time and budget. - Led the Medicare Modernization Act System Readiness Project and oversaw the system configuration work associated with a new pharmacy benefit package.- Implemented a new data submission process that ensured the timely and accurate submission of information to Medicare.
  • Ssm Health Care
    Regional Director, Strategy And Business Development
    Ssm Health Care 1998 - 2003
    St Louis, Missouri, Us
    Managed a business analytic team supporting the seven St. Louis hospitals. Provided consulting services to hospital presidents for the development of strategies, business cases and implementation plans to enhance the market position of SSM Health Care. - Developed the business plan, capital plan and a portion of the Certificate of Need application for the construction of a $48 million addition to SSM Cardinal Glennon Children’s Hospital. - Enhanced the health care service forecasting methodology used in creating strategic plans, capital requests and annual operating budgets. - Provided strategic consulting support to a hospital turnaround initiative that rapidly improved the network’s operating margin.
  • Bjc Healthcare
    Manager, Strategic Intelligence
    Bjc Healthcare 1997 - 1998
    St. Louis, Mo, Us
    Managed, in partnership with clinical chiefs, academic department heads, community physicians, executives and front line staff, a service line planning process focused on optimizing patient care workflows, increasing patient satisfaction and identifying new locations for satellite clinics. - Created a competitive intelligence system that integrated multiple market data sources and supported the development of business growth opportunities. - Developed a performance management system to monitor progress on key initiatives and metrics.- Created an ambulatory strategy for Washington University School of Medicine that resulted in the construction of two new outpatient centers.
  • Daughters Of Charity National Health System (Ascension Health)
    Senior Associate Planner
    Daughters Of Charity National Health System (Ascension Health) 1993 - 1997
    St. Louis, Mo, Us
    Provided strategic planning and analytic consulting support to hospital planning staff and senior executives as part of a system-wide internal consulting practice. - Developed population-based demand forecasting models for health care services. - Created a market profiling application that quickly integrated multiple data sources and enhanced client request turnaround time.- Authored the white paper on “Information Exchange as a Core Competency” that guided the development of a new system-wide strategic plan.

John Hightower Skills

Healthcare Process Improvement Strategic Planning Cross Functional Team Leadership Healthcare Information Technology Leadership Strategy Performance Improvement Healthcare Management Managed Care Project Management Management Change Management Revenue Cycle Healthcare Consulting Medicare Business Process Improvement Business Analysis Hospitals Program Management Leadership Development Ehr Business Strategy Sharepoint Analytics Healthcare Industry Ambulatory Hipaa Organizational Development Epic Systems Strategic Planning And Competitor Profiling Cross Functional Team Building Team Leadership Performance Management Project Planning Business Development Informatics Emr Revenue Cycle Management Medicaid Cpoe Business Analysis And Market Segmentation Medical Staff Relations Large Project Management Business Management Segmentation Coaching Planning Management Consulting Business Process

John Hightower Education Details

  • Virginia Commonwealth University School Of Medicine
    Virginia Commonwealth University School Of Medicine
    Health Administration
  • Randolph-Macon College
    Randolph-Macon College
    Biology And Chemistry
  • Harvard Business School
    Harvard Business School
    Kp Executive Leadership / Mba Program

Frequently Asked Questions about John Hightower

What company does John Hightower work for?

John Hightower works for Meritain Health, An Aetna Company

What is John Hightower's role at the current company?

John Hightower's current role is Business Consultant at Meritain Health, an Aetna Company.

What is John Hightower's email address?

John Hightower's email address is jh****@****ail.com

What schools did John Hightower attend?

John Hightower attended Virginia Commonwealth University School Of Medicine, Randolph-Macon College, Harvard Business School.

What are some of John Hightower's interests?

John Hightower has interest in Makes Order Out Of Chaos, Restoring Cars, Cooking, See 1, Health Care Technology, Process Innovation, Boy Scout Of America, Politics, Education, Environment.

What skills is John Hightower known for?

John Hightower has skills like Healthcare, Process Improvement, Strategic Planning, Cross Functional Team Leadership, Healthcare Information Technology, Leadership, Strategy, Performance Improvement, Healthcare Management, Managed Care, Project Management, Management.

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