John Roefaro
Vice President, National Partnerships - Cigna Healthcare
- Role
- Vice President, National Medicare Value-based Contracting at Cigna Healthcare
- Location
- Cranford, NJ, US
- LinkedIn followers
- 500 followers
About John Roefaro
Strategic healthcare executive with 20+ years leading value-based care strategy, provider economics, and large-scale network transformation across national and regional health plans. Proven ability to deliver MA and Commercial growth, build high-performance provider networks, and drive unit cost improvement, trend reduction, and enterprise profitability. Skilled in negotiating complex risk arrangements, enhancing competitiveness, and aligning provider partners to financial and quality outcomes.CORE COMPETENCIES• Value-Based Care & Risk Contracting• Medicare Advantage Strategy• Provider Network Development• Financial & Reimbursement Analysis• Medical Economics & Trend Management• Contract Negotiation & Relationship Management• Cross-Functional Team Leadership
Experience
Vice President, National Medicare Value-based Contracting
Jul 2024 — Present
Lead national strategy and operations for Medicare risk-based partnerships, overseeing financial and quality performance, retention, and market expansion.• Direct complex global capitation and value-based agreements with high-performing providers across multiple markets.• Spearheaded Stars quality initiative using premium-percentage-based incentives, enhancing clinical outcomes and provider engagement.• Collaborate with market leaders to optimize competitive network performance and execute strategic growth initiatives.
Education
Rutgers University
Bachelor of Science (BS), Accounting and Business/Management
Seton Hall University
MBA, Finance
Skills
- Hipaa
- Network Development
- Healthcare
- Healthcare Industry
- Clinical Research
- Medicare
- Health Policy
- Insurance
- Management
- Ppo
- Provider Relations
- Home Care
- Hospitals
- Medicaid
- Negotiation
- Health Insurance
- Managed Care
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