Josh Cook

Josh Cook Email and Phone Number

Chief Medicare Officer - Arizona and Mountain @ Aetna, a CVS Health Company
Texas, United States
Josh Cook's Location
Dallas-Fort Worth Metroplex, United States
About Josh Cook

Josh Cook is a Chief Medicare Officer - Arizona and Mountain at Aetna, a CVS Health Company.

Josh Cook's Current Company Details
Aetna, a CVS Health Company

Aetna, A Cvs Health Company

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Chief Medicare Officer - Arizona and Mountain
Texas, United States
Josh Cook Work Experience Details
  • Aetna, A Cvs Health Company
    Chief Medicare Officer - Arizona And Mountain
    Aetna, A Cvs Health Company
    Texas, United States
  • Main Street Health
    Regional President
    Main Street Health Dec 2023 - Present
    Regional President of the largest provider (Private Equity backed) of value-based care focused exclusively on serving rural America. Direct daily operations, including business development, sales, contracting, account management, provider engagement and performance, STARs, medical coding, and onsite health navigator staff. Supervise a staff of 130+, including Vice Presidents of Business Development and Account Management, Vice President of Operations, Chief Medical Officer, Market Managers and Health Navigators, supporting 93 Clinics (184 locations) with 106K+ Medicare and Medicare Advantage patients.▪ Provide rural clinics with staff, technology, and opportunities needed to succeed in a value-based delivery model (ACO and Medicare Advantage).▪ Embed a local health navigator in the clinic alongside staff to assist with care coordination, patient education, and value-based care activities.
  • Cigna Healthcare
    Medicare Advantage Market President - Tx/Ok/Az/Nm
    Cigna Healthcare Jul 2021 - Dec 2023
    Dallas, Texas
    Progressive leadership role with oversight of largest region representing 40% of Cigna’s total Medicare Advantage customers. Directed daily operations in a highly matrixed environment. Managed cross-functional teams, including provider performance engagement professionals, contracting, sales and marketing, STARs, medical coding, product, finance, and health services. Lead overall Medicare strategy, operations, and profit & loss (P&L) management generating $3.2B+ in revenue across multiple service areas across Texas, Oklahoma, Arizona, and New Mexico, supporting 215K+ Medicare Advantage customers and 31K+ providers. Developed strategies to grow customer base, improve retention, increase competitive positioning, improve STAR ratings, optimize financial performance, raise brand recognition, and develop strategic partnerships. ▪ Achieved Texas first 5-star Health Maintenance Organization (HMO) H-Plan, 2023, and 4-Star Preferred Provider Organization (PPO) H-Plan, 2022. ▪ Secured largest membership growth in Cigna’s history, 46%+ net membership growth in Texas alone in one year (2023), moving Cigna Texas to #3 in overall market share. ▪ Drove region revenue growth 23% in one year from 2022 to 2023.
  • Cigna Healthcare
    Vice President, Ma Market And Ipa/Physician Management Lead
    Cigna Healthcare Jul 2012 - Jul 2021
    Dallas, Texas
    Served in a dual Vice President role as North Texas Health Plan market lead and CareAllies (Cigna subsidiary) Physician Management Company engagement lead. Directed operations across a broad region covering Dallas-Fort Worth, East Texas, West Texas, and 1 Independent Physician Association (IPA) in Chicago. Supported 21K+ Medicare Advantage customers and 5K+ providers. Designed and implemented strategic market and IPA plans to define direction and drive performance. ▪ As Health Plan VP – Managed $260M in annual revenue; led an expansion initiative across three new markets, generating $33M in revenue in first year of operation; led North Texas market strategies to improve STAR ratings, maximize profitability, optimize network, and improve performance management.▪ As Physician Management Company VP – Created 2 new IPAs in Dallas-Fort Worth and Chicago; served as President of the Board of Directors (BOD) for 3 IPAs (DFW, Chicago, El Paso); recruited and educated high performing providers on Value-Based Care initiatives and maximizing performance and profitability for IPA.
  • Hewlett Packard Enterprise (Healthcare Division)
    Medicaid Account Operations Executive
    Hewlett Packard Enterprise (Healthcare Division) Jan 2010 - Jul 2012
    Oklahoma City, Oklahoma
    Orchestrated and directed daily operations of a delivery organization, including systems implementation, data entry, claims management, processing, customer service, and provider relations. Supervised a team of 250+, supporting 820K+ customers and 29K+ providers. Managed P&L generating $44M in annual revenue.▪ Developed and implemented account operations business plans to define strategic direction and fostered accountability organization wide.▪ Developed and implemented operations dashboard, improving service level agreements (SLAs) to 90%+.▪ Secured 5-year contract renewal with a 1-year extension option valued at $280 million by overseeing request for proposal (RFP) contract renewal.
  • Hewlett Packard Enterprise (Healthcare Division)
    Healthcare Chief Of Staff/Account Executive/Tpa Executive
    Hewlett Packard Enterprise (Healthcare Division) Jun 2006 - Dec 2009
    Oklahoma City, Oklahoma Area
    Selected from a pool of applicants as 1 of 3 enrolled in MBA Leadership Rotation Program. Started in business planning rotation and quickly moved to reporting manager, service desk delivery and traveled internationally. Handpicked to be the Healthcare Division Chief of Staff for exhibiting outstanding performance and leadership skills. Supported healthcare industry president in implementing new RFP for TPA business.
  • Jpmorgan Chase & Co.
    Treasury Services Sales Officer, Product Manager, Ass. Strategy And Collateral Manager
    Jpmorgan Chase & Co. Jan 2001 - Apr 2006

Josh Cook Education Details

Frequently Asked Questions about Josh Cook

What company does Josh Cook work for?

Josh Cook works for Aetna, A Cvs Health Company

What is Josh Cook's role at the current company?

Josh Cook's current role is Chief Medicare Officer - Arizona and Mountain.

What schools did Josh Cook attend?

Josh Cook attended Southern Methodist University - Cox School Of Business, Texas A&m University.

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