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Paul Marchetti is listed as Dynamic Senior Healthcare Executive with a proven history of Driving Profitable Growth focused on Culture, Talent, Strategy & Execution. based in New York City Metropolitan Area, United States, United States. AeroLeads shows a matched LinkedIn profile for Paul Marchetti.
Paul Marchetti previously worked as President, CarelonRx at Elevance Health and SVP, Health Care Management at Anthem, Inc.. Paul Marchetti holds Bachelor Of Applied Science (B.A.Sc.), Health/Health Care Administration/Management from Springfield College.
A driven and highly accomplished Senior Healthcare Executive, with comprehensive expertise in strategic planning, change management, product development, P&L management, operational excellence, and contract reimbursement. Leverages technology to drive operating efficiencies. Develops and fosters a results-driven culture, emphasizing accountability, trust, compliance, and transparency. Takes a business to the next level of performance through the development of a clear strategy. Works with a team in fully stating and achieving clear goals across the short and long term. Proven success in driving both top- and bottom-line growth via dynamic leadership.Key Strengths P&L Management • M&A / Integration • Board Advisor • Health Technology • Talent DevelopmentHealth Plan • Culture Change • Strategy • Business Transformation • Population Health • Value-Based Care
A career timeline built from the work history available for this profile.
Indianapolis, Indiana, US
P&L leader for Elevance Health's pharmacy business with $35+B in annual revenue representing over 20% of Elevance Health's earnings serving 17+ million members. Developed long-term growth strategy for the business, including core PBM growth, as well as acquiring necessary capabilities to diversify earnings while creating a differentiated member experience..
Indianapolis, Indiana, US
Fostered strategy and oversight of Anthem Provider networks for all markets and lines of business, including risk and ACO VB contracting and joint venture relationships, as well as all provider services and operations. Proved accountable for all of Anthem’s clinical operations and medical cost analytics. Facilitated strategy and execution of new care.
Brea, CA, US
Acted as chief growth officer of a specialty care management company, with responsibility for all top-line revenue growth alongside strategic planning and execution of the organization’s sales, marketing, account management, communications, and product development initiatives. Crafted new sales tools, processes, and discipline regarding targeting.
Hartford, Connecticut, US
Selected by the CEO to perform due diligence of Humana for both network and clinical services while leading a clinical services integration effort for both companies. Designed a detailed integration plan for the Clinical Services organizations, including day-one readiness and communications, clean-room validation, synergy execution, and organizational.
Hartford, Connecticut, US
Facilitated overall strategy, clinical product development, and execution of Commercial and Medicare Clinical Operations, including utilization management, case management, disease management, behavioral health, wellness, and population health solutions and programs (i.e., ActiveHealth Management). Maintained the operational scale of 7,000-plus clinical.
Hartford, Connecticut, US
Oversaw contracting strategy, operations, execution, and unit cost budget ($40 billion-plus) for provider networks, consisting of 1,000-plus hospitals and 1 million physicians and ancillary providers. Managed provider e-solutions, national contracting, provider quality performance, and special investigations unit. Developed new contracting infrastructure.
US
Facilitated the overall network (350-plus hospitals and 100,000-plus providers) and medical cost management for the Northeast Region (New York, New Jersey, and Connecticut), including all unit price and utilization operations, consisting of a medical cost budget of $30 billion. Managed and achieved medical cost budget trends during a period of membership.
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Paul Marchetti is listed as Dynamic Senior Healthcare Executive with a proven history of Driving Profitable Growth focused on Culture, Talent, Strategy & Execution..
Paul Marchetti is based in New York City Metropolitan Area, United States, United States.
Paul Marchetti has worked for Elevance Health, Anthem, Inc., New Century Health (Now Evolent), Aetna, A Cvs Health Company, and Unitedhealth Group.
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Paul Marchetti holds Bachelor Of Applied Science (B.A.Sc.), Health/Health Care Administration/Management from Springfield College.
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