Scott Rinefort Mba Email & Phone Number

United States

Independent consultant to payor and provider healthcare organizations and leadership teams.

CareMore Health is a highly integrated, patient-focused healthcare delivery system. Focused on prevention and coordinated care, our clinical teams manage chronic disease proactively, while also addressing patient’s medical, social and personal health needs. Responsibilities include developing partnerships with health plans, health systems, and physician.

Cerritos, California

• Responsible for product strategy, development and management. Meet objectives by leveraging CareMore’s clinical model of care and delivery system with financial and growth objectives. Collaborate with clinical leaders.
• Clinical program design- Designed and led launch of first-to-market Lyft partnership for Non-emergency Medical Transportation- Introduced integrated medical and dental disease management program- Led development and.
• SDoH- Lead for strategic definition of Social Determinants of Health - Established new team focused on SDoH- Launched 3 new programs year 1 and redesigned /expanded others

Santa Ana, CA

• Led portfolio management and new product development for a $5B group retiree division. Products included Medical and Prescription Drug plans – Medicare Advantage (MA & MAPD HMO, POS, RPPO, NPPO and LPPO), Part D.
• Designed and launched a first-to-market National Medicare PPO, exceeding growth projections by enrolling over 200,000+ members representing well over $2 billion in new revenue.
• Rolled-out new Medicare Part D plans and Rx wrap plans generated by health care legislation. Enrolled over 250,000 new members in first year; $0 to $500M revenue in 18 months
• Overhauled Senior Supplement plans driving 3x new quotes and a 60% membership growth.
• Oversaw professional staff of ten managers.
• Ran teams developing new actuarial and group installation tools.

Santa Ana, CA

• Led teams that developed and launched new ancillary products covering three major market segments: Commercial, Medicare and Individual increasing division revenues by 50%.
• Expanded commercial specialty product portfolio company-wide.
• Developed consumer-oriented national discount program including cross-product marketing campaigns, new branding, modified provider contract strategies and vendor-driven systems support.
• Increased account penetration by 100% by building cross-selling processes, whole-case underwriting and improved RFP responses
• Hired, trained and managed department staff of five Managers.

Cypress, CA

• Led the regional product development and management for Individual Medicare Advantage plans with 600,000 members. Oversaw full product life cycle of introduction, strong growth, maturity, decline and return to growth.
• Enhanced profitability through member growth through market strategy and product structure.
• Established and chaired ongoing cross-functional work teams
• Introduced new rider plans, new vendors and care management programs
• Developed first-to-market Medicare POS plan.

Club Mom Workout is a medically-tailored fitness program designed specifically for prenatal health and postpartum recovery. CMW grew to five physical locations in California and a franchise in Singapore, was supported by 125 referring physicians and three HMO payers. The model was an early example of targeted population health value-added benefits.

Bs, Business Administration

Mba