Jim Moore work email
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Jim Moore personal email
With over 29 years of experience in the healthcare industry, I am a seasoned operations leader with a proven track record of driving transformational change and improving operational efficiency. I have extensive expertise in pharmacy benefit management (PBM) operations, including contact center, utilization management, and third party offshore vendor management. I have successfully led business teams through mergers and acquisitions integrations, business process re-engineering, and clinical product development programs. My mission is to deliver high-quality, cost-effective, and customer-centric healthcare solutions that meet the needs and expectations of clients and members.As the Vice President of Service Operations at Evernorth, the health services segment of Cigna, I was responsible for leading the coverage review operations and the PBM communications experience delivery team, handling over 7 million coverage review requests and over 400 million customer communications annually for both Cigna and Express Scripts delegated clients. I also successfully led business teams through mergers and acquisitions integrations, business process re-engineering, and development of clinical programs. My mission is to deliver high-quality, cost-effective, and customer-centric healthcare solutions that meet the needs and expectations of clients and members.
Freelance
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FreelanceColumbus, Oh, Us
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Independent ConsultantFreelance Aug 2023 - PresentShare PBM and healthcare expertise with startup healthcare companies, BPOs, and financial analysts to inform on current trends and strategies.
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Vice President, Service OperationsEvernorth Sep 2021 - Mar 2023St. Louis , UsResponsible for Coverage Review Operations for both Cigna and Express Scripts delegated clients handling over 5M coverage review requests per year. Also responsible for PBM Communications Experience Delivery team handling over 400M customer communications annually. -
Vice President, Coverage Review OperationsExpress Scripts Aug 2016 - Sep 2021St. Louis, Mo, UsResponsible for leading Coverage Review Operations for both Cigna and Express Scripts clients, processing over 5M reviews annually. Also responsible for Express Scripts PBM communications delivery team, handling over 300M print and digital communications each year to members and providers. -
Senior Director, Crd OperationsExpress Scripts Jul 2015 - Aug 2016St. Louis, Mo, Us -
Senior Director, Pharmacy Practice Clinical TechnologyExpress Scripts Dec 2013 - Jul 2015St. Louis, Mo, Us -
Sr Director, Pharmacy Operations, IntegrationExpress Scripts May 2012 - Dec 2013St. Louis, Mo, UsResponsible for leading pharmacy operations integration of drug utilization review (DUR), coverage review, and Therapeutic Resource Centers (TRC) across the enterprise. -
Sr Director, Lead Product Owner For Physician Advocacy BprMedco Health Solutions Jan 2011 - Apr 2012Lead Product Owner responsible for DUR automation and Coverage Review Business Process Re-engineering teams.
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Sr Director Of Operations, Cardiovascular And Women'S Health TrcMedco Health Solutions Oct 2008 - Dec 2010Responsible for managing day to day operations for the Cardiovascular and Women's Health Therapeutic Resource Center locations in Columbus, Pittsburgh, and Tampa.
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Sr Manager, Clinical Practice And EducationMedco Health Solutions Sep 2002 - Oct 2008
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Pharmacist Supervisor, Columbus Call CenterMedco Health Solutions Jul 2000 - Sep 2002Responsible for daily operations of Coverage Review Process within the call center
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Staff PharmacistMedco Health Solutions Dec 1999 - Jul 2000Managed Care Staff Pharmacist specialized in Prior Authorization and Health Management programs.
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Staff PharmacistMount Carmel Health System Jan 1997 - Dec 1999Columbus, Ohio, Us -
Staff PharmacistGrant Medical Center Mar 1993 - Dec 1996Us
Jim Moore Education Details
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The Ohio State UniversityPharmacy
Frequently Asked Questions about Jim Moore
What company does Jim Moore work for?
Jim Moore works for Freelance
What is Jim Moore's role at the current company?
Jim Moore's current role is Healthcare Executive and Operations Leader Open to New Opportunities / M&A Integration / Change Management / Strategy and Transformation Leader.
What is Jim Moore's email address?
Jim Moore's email address is ji****@****rth.com
What schools did Jim Moore attend?
Jim Moore attended The Ohio State University.
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