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Ryan J Email & Phone Number
Market President, PA Community HealthChoices (CHC)
at
AmeriHealth Caritas
1 work email found
@uhc.com
LinkedIn matched
✓ Verified Jun 2026
4 data sources
Profile completeness 86%
Current company
Role
Market President, PA Community HealthChoices (CHC)
Location
United States, United States, United States
Company size
Who is Ryan J? Overview
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Quick answer
Ryan J is listed as Market President, PA Community HealthChoices (CHC) at AmeriHealth Caritas, a company with 6166 employees, based in United States, United States, United States. AeroLeads shows a work email signal at uhc.com and a matched LinkedIn profile for Ryan J.
Ryan J previously worked as Chief Operating Officer (Florida Health Plan) at Unitedhealthcare and Executive Director / MLTSS Project Director at Unitedhealthcare. Ryan J holds Master Of Health Administration (Mha), Healthcare Administration from Penn State University.
Company email context
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*@uhc.com
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Profile bio
About Ryan J
Accomplished government-sponsored health plan and operations executive with demonstrated ability in driving superior strategic, financial, and operational results. Successful experience leading the assessment, proposal, implementation, and ongoing operations of highly innovative, nationally recognized managed care organizations. Emphasis on building and leading a mission-driven organization capable of executing against aggressive and complex goals.Specialties: Medicaid, Medicare, Long Term Care, Home and Community Based Services, Long Term Services and Supports (LTSS), D-SNP, Network, Sales and Marketing, Clinical, Operations, Care Model, Profit & Loss, Certified Project Management Professional (PMP), Data Mining/Analysis/Modeling Process Design and Re-engineering, Lean/Six Sigma, Vision/Strategy/Execution, Quality and Affordability Initiatives.
Current workplace
Ryan J's current company
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Amerihealth Caritas
9 roles
Ryan J work experience
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Chief Operating Officer (Florida Health Plan)
CurrentExecutive health plan leader with operational oversight responsibility for UHC for Florida's Medicaid and Medicare programs (MMA, LTC, DSNP) serving a total of 480K members.
Jan 2022 - Present
Executive Director / Mltss Project Director
Virginia Community and State health plan leader responsible for P&L and specializing in product oversight of Virginia's CCC Plus/MLTSS program. Performed as regulator-facing Program Director for MLTSS implementation and ongoing oversight.
Jun 2018 - Jan 2022
Health Plan Coo / Mltss Project Manager
Virginia Community and State health plan leader responsible for operational oversight of Medicaid programs. Performed as regulator-facing Program Manager for MLTSS implementation and ongoing oversight.
Oct 2016 - Jun 2018
Director Of Operations, Dual Eligible Program (Medicare/Medicaid, Ltss)
- Senior Products Division:
- Administered Virginia market plan operations in support of the Medicare/Medicaid duals demonstration program (MMP)
- Defined and monitored overall key performance measures and detailed analyses on financial, clinical, network and claims/utilization data sets.
- Oversaw vendor management performance/SLAs and reporting for LTSS and behavioral health network providers and fiscal employer/agent activities.
- Served as plan liaison with CMS and Dept. of Medical Assistance Services (DMAS) onMedicare/Medicaid issues in support of the 3-way contract.
Mar 2014 - Oct 2016
Director Of Ltc Provider Management, Qa And Practices
- U.S. Life Insurance/Long Term Care (LTC) Claims Division:
- Administered data management, outreach, risk/eligibility determinations and controllership for 80K LTC providers.
- Directed LTC claims Quality Assurance audit programs and processes.
- Identified, created and prioritized provider process and technology enhancements.
- Led a collective team of 32 provider adjudication experts, quality auditors, and compliance/practices specialists.
Dec 2011 - Mar 2014
Director, Provider Operations
- CSO Central Administration/Provider Systems Division: Responsible for various aspects of provider data administration and analysis; including physician and facility contract implementations, process analysis and.
- Directly maintained and analyzed contracts/fee schedules/demographics for 8,500 hospitals/ancillaries and 750K physicians on behalf of 18 health plans and the Coventry National Network.
- Engineered numerous process and data quality improvement efforts including:- Application/process reducing fee schedule implementation timeframe by 98%.- Application/process for extract, analysis and presentation of.
- Developed comprehensive, enterprise-wide workflow management and quality assurance programs for provider and contract management activities.
- Served as chief business process expert and technical/project management consultant for the Division and led team of 5 highly technical continuous improvement consultants.
- Supported HMO, PPO, ASO, Medicare, Medicaid, TPA/Rental and Workers’ Comp products.
Apr 2001 - Dec 2011
Director, Client Services
- As an inaugural team member of the start-up operation, managed implementations of Bloodhound's ClaimsGuard software service for payors totaling over $1B in annual paid claims. Key responsibilities:
- Provided direct support for and participated in client sales presentations.
- Led client efforts for initial and ongoing data extracts, data transformations and mapping.
- Led product development and support meetings.
- Clinical and business rule analysis and customization.
- Oversight of client job processing/billing reconciliation.
Apr 2000 - Apr 2001
Manager Of Process And Business Analysis / Sr. Business Consultant
- CSO Central Administration/Provider Systems Division:
- Managed audit, conversion, and integration of contract and provider files for acquired health plans with annual claim payments in excess of $500M.
- Developed and managed implementation of best practice business process models and key cross-departmental audit and contract data summary repository applications.
- Directly queried and conducted numerous claim and provider analyses on mispayments, network penetration and other business needs using combinations of output from data warehouse and transactional systems.Data Integrity.
- Worked directly as part of core three-person analytics team to establish and maintain comprehensive metrics, key indicator reporting package and tracking systems for all claims customer service and support teams.
Apr 1997 - Apr 2000
3 education records
Ryan J education
Master Of Health Administration (Mha), Healthcare Administration
Penn State University
Experienced Managers Program
University Of Virginia Darden School Of Business
Bachelor Of Science (B.S.), Finance, Business Administration
Northern Michigan University
FAQ
Frequently asked questions about Ryan J
Quick answers generated from the profile data available on this page.
What company does Ryan J work for?
Ryan J works for AmeriHealth Caritas.
What is Ryan J's role at AmeriHealth Caritas?
Ryan J is listed as Market President, PA Community HealthChoices (CHC) at AmeriHealth Caritas.
What is Ryan J's email address?
AeroLeads has found 1 work email signal at @uhc.com for Ryan J at AmeriHealth Caritas.
Where is Ryan J based?
Ryan J is based in United States, United States, United States while working with AmeriHealth Caritas.
What companies has Ryan J worked for?
Ryan J has worked for Amerihealth Caritas, Unitedhealthcare, Humana, Genworth, and Coventry Health Care.
How can I contact Ryan J?
You can use AeroLeads to view verified contact signals for Ryan J at AmeriHealth Caritas, including work email, phone, and LinkedIn data when available.
What schools did Ryan J attend?
Ryan J holds Master Of Health Administration (Mha), Healthcare Administration from Penn State University.
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