Justin Powell
Value-Based Care Expert | Healthcare Operations Improvement | Network Management
- Role
- Provider Network Program Manager at Optum
- Location
- Saratoga Springs, UT, US
- LinkedIn followers
- 500 followers
About Justin Powell
Dynamic healthcare leader with proven expertise in value-based care, CMS compliance, and…
Experience
Provider Network Program Manager
Feb 2022 — Present · US
Developed and maintained strong relationships with over 25 Physician-owned health systems serving approximately Optum Medicare Advantage lives across Northern Utah, including multi-specialty clinic systems and family practices · Provided performance metrics (e.g. HEDIS, Risk Adjustment coding practices, claims data) to over 200 physicians and advanced practice clinicians to ensure optimal patient care and care-delivery improvement · Directed strategy for a team of medical coding professionals, advanced practice clinical educators, physician medical directors, quality nurses and pharmacists to provide best practices to clinical staff and providers in preventive care to patients· Collaborated closely with market leadership to strategize appropriate incentive programs and took part in contract negotiations · Achieved record performance metrics obtained with Optum for all my assigned physician groups in fiscal year 2024, including a market-first 13% year-over-year increase for a large, contracted group of physicians· Led market in implementation of Optum employed advanced clinicians embedded in network clinics across Utah which accounted for 85% of entire market utilization and approximately in revenue from medical services provided
Education
University of Utah
Bachelor of Science, Public Health Education and Promotion
Salt Lake Community College
Associate of Science, General Education
University of Utah
Bachelor's Degree, Public Health Education and Promotion
2014 — 2019
University of Utah - David Eccles School of Business
Master of Healthcare Administration
University of Utah - David Eccles School of Business
Master's Degree, Healthcare Administration
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.