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Senior healthcare strategic expert for leading go-to-market revenue growth. Focused on accelerating health plans and providers towards goal to simplify healthcare for members and innovate / integrate to improve overall cost-of-care, quality-of-care and close gaps-in-care. Previously, (a) led Kentucky's State healthcare exchange and healthcare information exchange programs, (b) led business development and strategic revenue growth and management within the claims analysis and analytics environment of fraud, waste and abuse payment integrity SAAS and service efforts, and (c) served in a variety of healthcare, finance and legal positions.Additional expertise: Real estate, banking, finance, and law.Markets Focus: Innovation opportunities to improve healthcare delivery and administration.Management and team leading philosophy: Transparent communications within an inverted pyramid management-style, i.e., the leader serves his people, not the other way around.Growing revenue philosophy: Focus on providing value-added insights to: (a) leverage & expand existing relationships, and (b) develop & grow new relationships.Excellent coach, team leader, and communicator focused on leading teams to deliver innovative, insight-driven improved and measurable results. A Miller Heiman strategic selling disciple - Conceptual, Strategic, and Large Account Management (LAMP) specialist - combined with using Salesforce-driven sales analytics.Specialties: Sales and National Client Management/Leadership, revenue growth development and execution with all types of large national payers in a complex decision-making organizational culture, complex contract negotiations, and C-level presentation / selling primarily focused on delivering new insights and perspectives to senior decision makers.Track record of exceptional performance and leadership in a team environment, primarily focused on: (1) go-to-market experience with payers, providers, and employers. (2) physician owned clinics, (3) consumer-driven health, and (4) direct Congressional healthcare lobbying.
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Client Partnerships And Strategy DirectorCarelon Jun 2022 - PresentIndianapolis, Indiana, Us
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Client Partnerships Director, Diversified Business GroupDiversified Business Group 2021 - Present
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FounderWatkins Realty Group, Llc Aug 2020 - PresentRepresenting real estate investors and developers for ongoing real estate investment opportunities from A-Z, including: land acquisition and due diligence, financial analysis, etc.
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Vice President - Payment IntegrityMultiplan 2018 - 2021Saving healthcare payers over $15 billion annually with over $1 billion annually from payment integrity, MultiPlan is a long-standing and expanding comprehensive provider of healthcare cost containment and management solutions, including payment accuracy and integrity, to commercial, self-insured administered, and government payers. Covers both medical and dental claims solutions.With over 1+million providers in our network nationwide, and over 700 clients sending over 40 million claims annually, our resources, experience and analytics provide a unique perspective and solutions for enhancing downward pressure on increasing healthcare costs for all types of payers.
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Executive Director (Acting)Kentucky Office Of Health Benefit Exchange 2017 - 2018Executive leader developing and executing strategic plan with improved operations and innovative solutions. Link to Results: http://weku.fm/post/kentucky-health-exchange-defied-dire-predictionsResponsibilities include: (a) developing the strategic plan and budget in coordination with the Gov's office and Cabinet Secretary; (b) executing the plan with staff and through State and Federal government stakeholders; (c) developing, leading, innovating and executing the plan through creative solutions to accomplish and exceed objectives.
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Deputy Executive DirectorKentucky Office Of Health Benefit And Information Exchange 2016 - 2017Directing activities for Kentucky's State Exchange Marketplace and Health Information Exchange.Additionally, providing support to KY's Medicaid Waiver Demonstration Project for implementation. Actively participated as a Leader or Member of several Committees, operational metrics oversight and consumer-directed solutions.
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Vice President - Client Engagement Leader And Strategic ManagementConnolly (Now "Cotiviti") 2014 - 2016Client Strategist and Leader, developing and executing business plans, sales strategy, revenue growth, key relationship development and management. Significant coordination and collaboration with both internal and external teams. Innovation successes: (a) new product development and initial institutional sales to Blues, and (b) developed new senior client relationships in cross-selling pre-payment solutions.Connolly (now "Cotiviti") is a leading health-cost management company specializing in pre- and post-payment healthcare audit services ("Payment Integrity" services) resulting in cost savings and cost avoidance to $1B+ annual health claims payers in commercial, Medicare, Medicaid and self-insured businesses nationwide. These services include: data mining, contract compliance, coordination of benefits, complex medical chart review, bill negotiation, contract compliance, DME, payment policy management on not only a post-payment/audit but also on a prepayment basis for some services.
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Vice President - Special WorkoutsPnc Real Estate - Multifamily Tax Credit 2010 - 2014Pittsburgh, Pennsylvania, UsResponsible for creating complex partnership and financial solutions to solve financial and operational issues with tax credit multifamily housing developments. Innovative solutions include developing relationship opportunities for new general partners and operational partners to avoid foreclosure, finding creative financing to turnaround negative financial operations, resolving regulatory hurdles with State Agencies, and negotiating those contracts for sustainable financial returns to institutional investor clients. -
Vice Chairman - Healthcare CouncilAmerican Bankers Association 2007 - 2009Washington, District Of Columbia, UsExecutive Board member. Council purpose was to directly educate, lobby, and prepare legislation for Congress focused on financial aspects of innovating consumer-driven healthcare programs and policy. -
Vice President - National Business Development DirectorUs Bank - Healthcare 2005 - 2009Healthcare business development leader to incubate a growing healthcare banking business by: - Developing, leading, and executing annual go-to-market sales and client servicing plans, - Identifying and developing new business and distribution channels with payers including Blues, Commercial, TPAs, Fortune 200 employers, and Taft-Hartley plans, and - Developing key relationships within the healthcare industry.Innovations include: - Developing and implementing the industry's first SLA metrics for clients and customers; - Developing revenue streams through our largest competitor
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FounderThe Watkins Group Pllc 2005 - 2009Originally created to deliver payment integrity solutions directly to self-insured employer plans as a claims audit on their ASO / TPA. Evolved to delivering business consulting and legal services to healthcare providers creating new and expanding existing clinical services.Continuing services delivered through 2017.
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Vice President - National Healthcare Sales DirectorTrover (Now Optum) 1990 - 2005Progressively increasing responsibilities in sales and sales/strategic client management in developing the industry leader for delivering premium priced healthcare financial services and software solutions to the top 50 healthcare payers. Institutional sales to C-level contacts with extended sales cycles.
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Co-Founder / DeveloperBwt Development Llc 2001 - 2004Co-founded start-up residential real estate development company. Development operations continued through 2015. -
Various Positions As Healthcare And Corporate LawyerLegal - Corporate And Law Firms 1985 - 1990Subesquently a continuing minor practice focusing on closely held corporate, medical clinic practitioners, and real estate legal matters through to present.Specialty areas: litigation, healthcare, employee benefits, closely held corporate matters, acquisitions and real estate.
John Watkins Skills
John Watkins Education Details
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Indiana University - Kelley School Of BusinessFinance -
Vanderbilt University Law SchoolLaw
Frequently Asked Questions about John Watkins
What company does John Watkins work for?
John Watkins works for Carelon
What is John Watkins's role at the current company?
John Watkins's current role is Strategic Partnerships Growth Leader , Carelon, a division of Elevance Health (Anthem).
What is John Watkins's email address?
John Watkins's email address is jo****@****lly.com
What is John Watkins's direct phone number?
John Watkins's direct phone number is +150289*****
What schools did John Watkins attend?
John Watkins attended Indiana University - Kelley School Of Business, Vanderbilt University Law School.
What are some of John Watkins's interests?
John Watkins has interest in Exercise, Home Improvement, Reading, Shooting, Gourmet Cooking, Sports, Golf, Home Decoration, Health, Cooking.
What skills is John Watkins known for?
John Watkins has skills like Leadership, Management, Sales, Strategic Planning, Business Development, Salesforce.com, Sales Management, New Business Development, Customer Service, Team Building, Real Estate Financing, Real Estate Transactions.
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