Jonathan Murray Email & Phone Number

Carmel, IN, US

US

Indianapolis, 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.
• 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.
• 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.
• 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.

Lewisville, 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.

New 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.

Bloomfield, CT, US

Bluffton, 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.

Bluffton, 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.

San Mateo, California, US

Apixio 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.

Hartford, 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.

San 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.

• 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.
• Managed executive relationships with leading HR consulting organizations including Deloitte, AON Hewitt, Mercer, etc.

Armonk, New York, NY, US

Responsible 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.