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John Hightower is listed as Business Consultant at Meritain Health, an Aetna Company at Meritain Health, an Aetna Company, based in Hickory-Lenoir-Morganton-Marion Area, United States. AeroLeads shows a work email signal at meritain.com and a matched LinkedIn profile for John Hightower.
John Hightower previously worked as Business Consultant at Meritain Health, An Aetna Company and Business Owner at Hightower And Associates, Llc. John Hightower holds Master Of Health Administration, Health Administration from Virginia Commonwealth University School Of Medicine.
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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
Listed skills include Healthcare, Process Improvement, Strategic Planning, Cross Functional Team Leadership, and 46 others.
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Business consultant guiding a talented group of individuals in building and supporting Meritain's primary care and ACO benefit administration capabilities.
Providing management consulting services to health care organizations and conducting assessments of people, processes, and systems to determine opportunities for improvement.
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.
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.
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.
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.
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.
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.
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.
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John Hightower works for Meritain Health, an Aetna Company.
John Hightower is listed as Business Consultant at Meritain Health, an Aetna Company at Meritain Health, an Aetna Company.
AeroLeads has found 1 work email signal at @meritain.com for John Hightower at Meritain Health, an Aetna Company.
John Hightower is based in Hickory-Lenoir-Morganton-Marion Area, United States while working with Meritain Health, an Aetna Company.
John Hightower has worked for Meritain Health, An Aetna Company, Hightower And Associates, Llc, Kaiser Foundation Health Plan, Kaiser Permanente, and Ssm Health Care.
You can use AeroLeads to view verified contact signals for John Hightower at Meritain Health, an Aetna Company, including work email, phone, and LinkedIn data when available.
John Hightower holds Master Of Health Administration, Health Administration from Virginia Commonwealth University School Of Medicine.
John Hightower is listed with skills including Healthcare, Process Improvement, Strategic Planning, Cross Functional Team Leadership, Healthcare Information Technology, Leadership, Strategy, and Performance Improvement.
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