Jonathan Murray's Location
Carmel, Indiana, United States, United States
Jonathan Murray's Contact Details
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About Jonathan Murray
Jonathan Murray is a Chief Commercial Officer (CCO) at Radial.
Jonathan Murray's Current Company Details
Jonathan Murray Work Experience Details
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Chief Commercial Officer (Cco)RadialCarmel, In, Us
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Head Of GrowthStealth Mode Startup Company Sep 2024 - PresentUs -
Svp Health Risk Solutions, Strategy And GrowthCarelon Mar 2023 - Jul 2024Indianapolis, Indiana, Us• Lead team responsible for the management and growth of $4.2B in medical risk contracts, with YoY increase of $1.5B. • Role encompassed leading end-to-end Risk solutions including sales, implementation and management of risk programs including sub-capitation, claims category risk, total cost of care, value-based care and alternative payment models, for Elevance Health (Anthem Commercial, Medicare and Medicaid lines of business), Self-Insured employer groups, Providers and external Carelon clients. • Collaborated closely with Carelon and Health Plan’s Underwriting, Actuary, Finance, Legal/Compliance, Provider Network, Analytics/Reporting, Product/Sales, Clinical/Health Outcomes and Market leadership, e.g. Plan Presidents, on the development and execution of Risk programs to reduce Medical Expense and improve Member and Provider experience, quality and outcomes.• Risk activities included: Calculate baseline medical expense and trends, design and configure clinical/UM programs for trend reduction, negotiate Cap Rates, Risk Corridors and management/ reporting of risk program performance, along with payment reconciliation. • Lead and manage multiple cost of care initiatives with Anthem's Commercial, Medicare and Medicaid leadership to generate cost saving or revenue enhancement to achieve financial and quality targets.• These risk programs support Medical Benefit Management solutions including:- Musculoskeletal (e.g. spine and joint surgery, pain management, Physical Therapy/ digital PT and Place of Service- Inpatient, Outpatient and Ambulatory Surgery Centers)- Oncology (Medical Oncology, Radiation Oncology, Genetic Testing, Palliative care)- Radiology, Cardiology, Sleep, Surgical GI- Post-acute care (Home Health, Facility, and Durable Medical Equipment)- Member advocacy to reduce hospital admission / ER visits and steerage to best place of care. -
Chief Growth OfficerPost Acute Analytics Apr 2022 - Jan 2023Lewisville, Texas, Us- Responsible for sales, strategy and marketing of post acute care Utilization Management and care coordination platform supporting health plans, risk-bearing/ value-based care providers, skilled nursing facilities and Home Health agencies.- Sales: Achieved 100% to plan and increased sales by 250% (sales roles included player, player/coach and sales leader) with clients such as Aetna, Humana, Kaiser, Highmark BCBS, and 7 of the 10 largest Medicare Advantage Plans- Pipeline development: Increased pipeline to >$200M ($50M weighted)- Strategy: designed and executed product and sales go-to-market strategy for early stage start-up - Sales team: recruited and on-boarded sales team from 1 inside sales representative to 6 award winning seasoned payer and provider sales representatives- Sales systems: responsible for selection, implementation, integration and execution of Salesforce, Saleloft and ZoomInfo- Sales processes: developed territory/account plans, quotas, compensation models, sales stage criteria, ROI analysis, risk-based pricing methodologies, and reoccurring sales reports for leadership and Board of Directors- Marketing: Developed and executed marketing plan consisting of website redesign, go-to-market messaging, sales collateral including sales presentations, product brochures, webinars, and animated videos -
Vice President, Head Of Health Plan Sales And Partnerships (Business Unit Divested To Cohere Health)Cedar Aug 2021 - Apr 2022New York, New York , Us- Responsible for sales and strategy of new business unit bundling Utilization Management with legacy Fintech solution to deliver integrated prior authorization, patient site of care steerage, price transparency and patient payment processing- Sales: achieved 100% to goal by adding new health plan clients including Highmark BCBS and BCBS South Carolina.(due to change in corporate strategy, all growth activities were suspended and business unit was divested)- Cedar aims to improve the lives of patients through a comprehensive healthcare consumer engagement fintech platform for providers and health plans - Over $350M raised from Tiger Global Management, Andreesen Horowitz & Thrive Capital- CB Insights Top Digital Health Companies 2021, 2020, 2019- Healthcare Tech Outlook's Top Startups 2020 -
Evicore Svp, Growth And Innovation For Digital Health SolutionsCigna Jan 2019 - Apr 2021Bloomfield, Ct, Us -
Svp, Growth And Innovation For Digital Health Solutions (Exited To Expressscripts 2018)Evicore Healthcare Dec 2017 - Apr 2021Bluffton, Sc, Us- Responsible for sales and strategy of strategic medical benefit management digital health solutions (Artificial Intelligence, machine learning, data science, and EHR connectivity) designed to ensure the right evidence-based care is delivered at the right time to the right patient at the right place of care for clinical verticals including; Oncology, post-acute care (skilled nursing facilities, Home Health agencies), radiology, cardiology, musculoskeletal, genetic lab, specialty pharmacy for health plans, health systems and risk-bearing providers in value-based care agreements- Successful private equity backed platform sold to Express Scripts for $3.6 billion in 2018- eviCore’s clients include Aetna, Cigna, UHC, leading BCBS health plans, plus over 100 regional and local plans, managing over 100M lives -
Vice President, Strategic Business Development, Medicare Advantage Strategic GrowthEvicore Healthcare Apr 2016 - Apr 2021Bluffton, Sc, Us- Overall executive business owner of Aetna relationship, focusing on new sales, delivery and execution of current solutions - Sales: Achieved 100% of sales goal by negotiating and executing multi-year contract with Aetna valued for strategic medical management programs- Strategic Relationships: Led quarterly reviews of utilization and cost trends with Aetna senior management including Chief Medical Officer, Business and Market Presidents, Utilization/Care Management and Provider Network executives - Delivered national consumer decision support solutions for over 15 million Aetna members, built on coordination of services, navigation of benefits, finances, care management, wellness and member engagement
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Chief Revenue Officer (Exited To Centene Corporation)Apixio Jan 2013 - Apr 2016San Mateo, California, UsApixio is a pioneer in applying AI, big data technology to extract and analyze clinical unstructured and coded data using natural language processing and machine learning to derive outcomes and cost-related insights. Based in Silicon Valley, Apixio offers solutions that enable health plans and risk-bearing/ value -based care provider groups to more accurately and efficiently determine risk scores and receive appropriate value-based reimbursement.- One of the first 40 employees (early stage start-up)- Led Apixio’s entry into Medicare Advantage and Commercial health plan risk markets with no existing footprint: developed and presented original business plan and go-to-market strategy to Apixio's Board, succesfully executed market entry and sustained growth - Over-achieved sales goals by winning 34 new clients in three years with industry leaders including; Centene (WellCare, HealthNet), UHC, Anthem, Aetna, Highmark, Universal American, Kelsey-Seybold, Scripps Health System, Group Health Coop and HealthCare Partners- Redesigned, recruited, trained sales team and implemented a selling strategy, along with selecting and driving adoption of Salesforce.com sales tool- Signed partnership with Dell to jointly offer Big Data analytic solutions to transform healthcare - Drove product marketing initiatives including product positioning, planning/launch, messaging and pricing- Established Apixio as the thought leader in Big Data risk analytics solutions for the Medicare and commercial risk markets through numerous speaking engagements for a variety of audiences such as health plan panels, provider forums and industry webinars- Participated in Apixio’s raising of $13.5M Series C and $19.3M Series D Round of finance led by Bain Capital Ventures and SSM Partners, respectively. -
Market President Business Development Mid-America, Accountable Care SolutionsAetna Nov 2011 - Dec 2012Hartford, Connecticut, Us- Responsible for selling and implementing Joint Ventures, Value-Based Care /ACO and strategic partnerships between Aetna and leading health systems which included development and marketing of joint insurance products, coordinated care delivery, utilization and care management, for the overall improvement in the efficiency and effectiveness of the healthcare system- Led strategic partnership with Tenet’s Baptist Health System and HealthTexas Medical Group resulting in an accountable care collaboration and introduction of the Aetna Whole Health product in the San Antonio, TX area, which included a narrow network of 5 hospitals, 42 primary care offices and more than 900 physicians -
Vp Of Sales And Business Development (Exited To Humana 2011)Anvita Health May 2008 - Nov 2011San Diego, California, Us- One of the first 40 employees (early stage start-up)- Responsible for sales and go-to-market strategy from an early stage startup to acquisition by Humana in 2011- Sales: over-achieved sales targets by growing annual revenue from <$1M to over $15M in three years through wins with by health plan and provider organizations including; Humana, leading Blue Cross Blue Shield insurers (including WellPoint), Express Scripts Inc., and Kaiser Permanente- Negotiated partnerships with Google (Google Health), Quest, Labcorp, Emdeon, and PricewaterhouseCoopers- Managed sales and client success teams supporting all new sales, current clients and strategic partnerships -
Director Of Business Development (Exited To Anthem 2008)Resolution Health, Inc. (Rhi) Jul 2005 - May 2008- One of the first 40 employees - Contributed to Resolution Health’s revenue and established market presence from an early stage start up to acquisition by Elevance (Anthem/WellPoint) in 2008- Led health plan, third party administrator and employer sales of RHI’s health and wealth consumerism and physician clinical analysis solutions resulting in significant wins with companies including IBM, Disney, Fidelity, Avidyn/Fiserv and several Blue Cross Blue Shield organizations, and WebMD• Managed executive relationships with leading HR consulting organizations including Deloitte, AON Hewitt, Mercer, etc.
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Principal/Client Solutions Exec, Business Consulting Services- Healthcare PracticeIbm Jun 2002 - Jul 2005Armonk, New York, Ny, UsResponsible for selling one-of-a-kind complex business relationships, where business transformation outsourcing (e.g. Customer Relationship Management Outsourcing) is a major component. Typical engagements included multidisciplinary solutions such as technical, financial, human resources and change management that usually included global solutions and mandated negotiations at the highest corporate levels
Jonathan Murray Education Details
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St. Mary'S UniversityBusiness/Managerial Economics
Frequently Asked Questions about Jonathan Murray
What company does Jonathan Murray work for?
Jonathan Murray works for Radial
What is Jonathan Murray's role at the current company?
Jonathan Murray's current role is Chief Commercial Officer (CCO).
What is Jonathan Murray's email address?
Jonathan Murray's email address is jo****@****ore.com
What is Jonathan Murray's direct phone number?
Jonathan Murray's direct phone number is +193160*****
What schools did Jonathan Murray attend?
Jonathan Murray attended St. Mary's University.
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