Jody Dequaine
Fort Myers,FL
Summary
Results-driven executive with extensive experience in strategic leadership and operational excellence. Proven track record in driving growth, optimizing processes, and fostering team collaboration. Exceptional skills in strategic planning, financial management, and stakeholder engagement. Adaptable and reliable, consistently achieving high-impact results in dynamic environments.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Vice President
Humana Inc., CenterWell Primary Care
08.2022 - Current
- Market Expansion (8/2022-current)
- Responsible for new market center De Novo launches for Value Based Care to include analytics, strategy, site selection, construction, recruiting, legal, compliance, finance, marketing, reporting, project management, IT, training and go live support. Launched 154 centers across 9 new states from 2021-2025 with private equity backed funds of over $450 million.
- Responsible for ensuring post implementation strategy and growth to mitigate future program risks and ensure centers and markets can hit the J curve targets and ultimately build enterprise value.
- Partner with market leaders on site selection, implementation, recruiting, budgets, project risks, program updates and scaling operations to support growth targets.
- Partner with many health plans to ensure contract coverage for risk-based contracting.
- Built a prioritization tool to look across all counties in the United States and stack rank market opportunities based on organization priorities (demographics, income, products etc...)
- Built a market prioritization tool for future growth to look at exam room capacity against long term growth plan
- Involvement in acquisition strategy and integration in parallel with De Novo strategy.
- Market President (1/1/25-3/1/26):
- Responsible for oversight of Primary Care Anywhere home-based primary care in the Georgia market for ~2,000 homebound seniors. Built a strong leadership team to include a unique technology stack to support Value Based Care in the home. Managing ~$50 million in revenue and creating measurable value for patients, investors and the team.
- Accountable for performance and best patient outcome to include quality, member experience and financial performance.
- Practice Operations (1/1/24-1/1/25):
- Newly formed organization in 2024 to focus on removing the barriers our center teams experience to provide high-level care to our patients.
- Focus on optimizing and transforming the Primary Care Organization operating model, collaborating with center operations, clinical leadership, and shared services.
- Brings together Health Information Management, Referrals, Access & Attribution, Medical Assistant, Center Administration and Front Office workflows under one unified team. Team works closely with Center operations to drive improved in center performance and report on key performance indicators.
- RFP and implement a new vendor for Health Information Management
Associate Vice President
Humana Inc., CenterWell Primary Care
12.2018 - 08.2022
- Responsible for new market primary care center implementation of De Novo (brand new) builds. Selecting real estate, construction, finance, operational readiness, hiring, center setup, onboarding, role-based training and go live support.
- Responsible for building 30-40 centers per year managing capex of $2.6M for each center build.
- Facilitate update for Welsh Carson Board presentations to share updates on new center builds (Received $2B in funding)
- Responsible for managing the clinical and administrative workflow of the business, digitally enabling the workflow through technology and designing learning materials while coordinating training across the clinics.
- Oversee the organization and development of training curricula of operational workflows regardless of their technological dependencies. Coordinate with the broader Primary Care organization to both create and facilitate a “Primary Care University” that enables a shared understanding and adherence to Primary Care process and procedures. Ensure the facilitation of training for all clinic personal across the country.
- Responsible for all Primary Care Center Staff training to include physicians, medical assistants, referrals, medical records, clinical pharmacist, social workers, behavioral health, center administrators and market presidents.
- Facilitate new technology deployment and ensure all technology deployed in Primary Care Organization has been tested and adds incremental value to the established processes and procedures.
- Support all Mergers and Acquisition due diligence, onboarding, training, EMR Migrations and go live support.
- Lead a team of process and project managers that coordinates with the market and clinical operations to understand and map the administrative and clinical workflows and foster standardization.
- Interface with the Humana Enterprise digital, analytics, IT teams, and outside technology vendors. Includes various Primary Care practice management vendors. Define Primary Care technology requirements and develop an experience layer that integrates with all system of records to the extent possible. Ensure the successful deployment of new platforms, technology, and workflows.
- Routinely evaluate that all use cases facilitate the Primary Care process and procedures.
- Manage all clinical policy and procedures for the Primary Care Organization
Director, Project & Process Management Office for Primary Care Org.
Humana Inc.
01.2013 - 12.2018
- Primary Care Organization includes 70 Primary Care Centers, 200K MSO Patients and 3 Joint Ventures
- Manage a team of approximately 30 including Program Managers, Project & Process Managers and Business Analysts.
- Manage all business and IT projects for the Primary Care Organization with approximately $25 million in IT budget.
- Projects & support include mostly provider focused initiatives: compliance, acquisitions, migrations, improvements, HIEs, EMR configuration, medical software integration, vendor integration, Transportation, Referral Management, Care & Utilization Management, Value Based Care Contracts, Home Health, contract load, Revenue cycle management, Physician engagement & bonus, Network Utilization, Population Health & MRA/HEDIS
- Facilitate yearly discussions with senior leaders on strategies, future vision, business plans and business priorities in a matrixed environment, demonstrating influencing, collaboration and using negotiation skills.
- Responsible for EMR deployment, configuration and testing for management of operations, quality, and clinical initiatives.
- Responsible for “Model Office Initiative” to drive process consistency of six legal entities to a single instance of EMR.
- Facilitated Deloitte consulting to determine preferred Electronic Medical Record and Practice Management solutions.
- Managed Meaningful Use program for all Owned Primary Care Centers to maximize incentives and minimize penalties.
- Managed Process and Systems Training for all 70 Owned Primary Care Centers
- Lead Population Health initiative to become agnostic with multiple health plans for care management, MRA/HCC, STARS/HEDIS, Referrals, Network Management and Utilization Management
Regional Operations Director
Humana Inc.
09.2011 - 01.2013
- Successfully integrated and managed 6 Primary Care centers in Chicago and Atlanta markets while staying involved in upcoming Primary Care acquisitions throughout the country.
- Implemented 3 brand new PCP Centers, including Humana’s only Integrated Wellness Center, lead operational aspects.
- Responsible for Primary Care Center EBITDA targets
- Effectively rolled out the Allscripts Myway system to use as the Electronic Medical Record to support effective management of Meaningful Use, HEDIS, STARS and MRA scores
- Established and increased Patient Experience Scores and Net promoter Scores for all centers
- Managed an engaged team of Center operation leaders, Care Coordinator Nurses, Medical Assistants, Front Office Specialists, Greeters and Transportation Specialists
- Engaged in best practice sharing throughout to develop Concentra Primary Care standards.
- Engaged in developing the Care Coordinator model to maximize the Humana risk arrangements, Quality and Incentives including HEDIS, MRA and STARS programs.
- Successfully launched the Meaningful Use program for Concentra Primary Care to maximize incentive dollars.
- Worked collaboratively with Medical Operations to establish policy and procedures for center performance.
- Worked effectively with Humana market leadership on Medicare and Commercial Sales goals.
Director, Specialty Benefits Project Management Office
Humana Inc.
03.2009 - 09.2011
- Direct the Project Management Office for Specialty Benefits including project intake, cost benefit analysis, prioritization, requirements, resource management, vendor relations, testing and project management.
- Balance an operational budget of $1.5 million and an IT project budget of $6 million
- Provide leadership and guidance to program managers and project managers. Responsible for yearly collaboration of staff for annual reviews, bonuses, and compensation increases
- Facilitate yearly discussions with Senior Executives on strategies, future vision, business plans and business priorities for creation of Strategy on a Page documents, project roadmaps and forecasting models.
- Business architect for a $20 million system investment to ensure end to end cohesiveness on the build out.
- Influence business & IT partners on day-to-day operational efficiencies, disciplines, budgets, resources, & technology
- Responsible for developing 33 Computer based modules for education of the Specialty product family.
Strategic Consultant, IT
Humana Inc.
06.2007 - 03.2009
- Consult with business partners to explore new concepts or existing challenges for technology investments and enhancing organizational effectiveness and performance.
- Defined future vision and strategy required to meeting current and future business needs while driving strategies toward innovative business solutions and enhancing change and process improvement.
- Provide leadership, guidance and support to many project management direct reports
- Leveraged broad knowledge of healthcare industry and technology to drive innovative and flexible solutions to maintain Humana's competitive position.
Program Manager, Business and IT
Humana Inc.
07.2000 - 07.2007
- Responsible for managing a multimillion-dollar project migrating small and large clients from one platform to another. Project team consists of approximately 100-125 associates.
- Manage and facilitate project risks, CBAs, schedule, system requirements, budget, milestones, staffing plans, root cause analysis and communication plans.
- Responsible for managing change control, capacity planning and prioritization of enhancements.
- Proven process management skills with developing and streamlining processes, reducing cost, improving productivity, and driving key business outcomes.
- Provide leadership, guidance and support to many project management direct reports
- Management of multiple projects including: MACESS, HIPAA, G&A, ERISA, Subrogation, Networks
- Project experience from initiating, planning, executing, controlling and closing.
Business Owner
Dequaine Tile Inc.
01.2002 - 01.2005
- Handled all accounting aspects of payroll, taxes, bonus, 401k, insurance and workers compensation.
- Handled union benefit reporting and cost accounting for 17 full time union associates.
- Managed the scheduling, billing, inventory and account management (profit and loss responsibility)
Operations Claims Manager
Humana Inc.
01.1999 - 01.2000
- Responsible for key decision making, staffing, budgeting and leading change.
- Responsible for managing 12 direct reports and 200 indirect reports with a mix of project teams, call center teams, and claims processing teams. Including associate development, hiring and mentoring
- Responsible for managing claim inventories, phone calls, incentive programs, grievance, appeals and claim recoveries.
Operations Supervisor, Project Coordinator & Claims Rep
Humana Inc.
01.1995 - 01.1999
- Operations Supervisor: Managed a staff of 20-25 associates processing claims, handling calls and projects.
- Project Coordinator: Responsible for managing process improvements and small project implementations.
- Claims Representative: Responsible for processing claims, handling grievance and appeals & customer phone calls.
Education
Master’s Business Administration Degree -
University Wisconsin Oshkosh
Bachelor’s degree - organizational leadership
University Wisconsin Oshkosh
Skills
- Highly motivated, energetic, organized, team player, goal oriented, results driven, and outgoing Strong business acumen
- Excellent interpersonal and verbal communication skills with proven integrity
- Strong business and technical perspective, with the ability to quickly analyze situations and make prudent decisions
- Ability to adapt to changing priorities and quickly learn new concepts, products, processes and technologies
- Team leadership
- Decision-making
- Relationship building
- Critical thinking
- Coaching and mentoring
- Complex Problem-solving
- Client relationship building
- Strategic planning
- Business development
- Results-driven
- Account management
- Operations management
- Negotiation and persuasion
- Training and mentoring
- Presentations
- Process improvement
- Performance monitoring
- Forecasting
- OKRs and kpis
- Financial management
- Recruiting and hiring
- Mergers and acquisitions
- Portfolio optimization
- Business performance management
Certification
- Elected to PMI Northeast Wisconsin board of directors as VP of Finance- 2006- 2008. Member of PMI since 2002
- Project Management Professional (PMP) Certification- since 2004
Timeline
Vice President
Humana Inc., CenterWell Primary Care
08.2022 - Current
Associate Vice President
Humana Inc., CenterWell Primary Care
12.2018 - 08.2022
Director, Project & Process Management Office for Primary Care Org.
Humana Inc.
01.2013 - 12.2018
Regional Operations Director
Humana Inc.
09.2011 - 01.2013
Director, Specialty Benefits Project Management Office
Humana Inc.
03.2009 - 09.2011
Strategic Consultant, IT
Humana Inc.
06.2007 - 03.2009
Business Owner
Dequaine Tile Inc.
01.2002 - 01.2005
Program Manager, Business and IT
Humana Inc.
07.2000 - 07.2007
Operations Claims Manager
Humana Inc.
01.1999 - 01.2000
Operations Supervisor, Project Coordinator & Claims Rep
Humana Inc.
01.1995 - 01.1999
Bachelor’s degree - organizational leadership
University Wisconsin Oshkosh
Master’s Business Administration Degree -
University Wisconsin Oshkosh