Jim Moore

Jim Moore Email and Phone Number

Healthcare Executive and Operations Leader Open to New Opportunities / M&A Integration / Change Management / Strategy and Transformation Leader @ Columbus, OH, US
Columbus, OH, US
Jim Moore's Location
Columbus, Ohio, United States, United States
Jim Moore's Contact Details

Jim Moore work email

Jim Moore personal email

n/a
About Jim Moore

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.

Jim Moore's Current Company Details
Freelance

Freelance

Healthcare Executive and Operations Leader Open to New Opportunities / M&A Integration / Change Management / Strategy and Transformation Leader
Columbus, OH, US
Jim Moore Work Experience Details
  • Freelance
    Freelance
    Columbus, Oh, Us
  • Freelance
    Independent Consultant
    Freelance Aug 2023 - Present
    Share PBM and healthcare expertise with startup healthcare companies, BPOs, and financial analysts to inform on current trends and strategies.
  • Evernorth
    Vice President, Service Operations
    Evernorth Sep 2021 - Mar 2023
    St. Louis , Us
    Responsible 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.
  • Express Scripts
    Vice President, Coverage Review Operations
    Express Scripts Aug 2016 - Sep 2021
    St. Louis, Mo, Us
    Responsible 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.
  • Express Scripts
    Senior Director, Crd Operations
    Express Scripts Jul 2015 - Aug 2016
    St. Louis, Mo, Us
  • Express Scripts
    Senior Director, Pharmacy Practice Clinical Technology
    Express Scripts Dec 2013 - Jul 2015
    St. Louis, Mo, Us
  • Express Scripts
    Sr Director, Pharmacy Operations, Integration
    Express Scripts May 2012 - Dec 2013
    St. Louis, Mo, Us
    Responsible for leading pharmacy operations integration of drug utilization review (DUR), coverage review, and Therapeutic Resource Centers (TRC) across the enterprise.
  • Medco Health Solutions
    Sr Director, Lead Product Owner For Physician Advocacy Bpr
    Medco Health Solutions Jan 2011 - Apr 2012
    Lead Product Owner responsible for DUR automation and Coverage Review Business Process Re-engineering teams.
  • Medco Health Solutions
    Sr Director Of Operations, Cardiovascular And Women'S Health Trc
    Medco Health Solutions Oct 2008 - Dec 2010
    Responsible for managing day to day operations for the Cardiovascular and Women's Health Therapeutic Resource Center locations in Columbus, Pittsburgh, and Tampa.
  • Medco Health Solutions
    Sr Manager, Clinical Practice And Education
    Medco Health Solutions Sep 2002 - Oct 2008
  • Medco Health Solutions
    Pharmacist Supervisor, Columbus Call Center
    Medco Health Solutions Jul 2000 - Sep 2002
    Responsible for daily operations of Coverage Review Process within the call center
  • Medco Health Solutions
    Staff Pharmacist
    Medco Health Solutions Dec 1999 - Jul 2000
    Managed Care Staff Pharmacist specialized in Prior Authorization and Health Management programs.
  • Mount Carmel Health System
    Staff Pharmacist
    Mount Carmel Health System Jan 1997 - Dec 1999
    Columbus, Ohio, Us
  • Grant Medical Center
    Staff Pharmacist
    Grant Medical Center Mar 1993 - Dec 1996
    Us

Jim Moore Education Details

  • The Ohio State University
    The Ohio State University
    Pharmacy

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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