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    Jim Krocak

    Minneapolis, Minnesota

    Director, Clinical Operations

    Bright Health Plan

    Managed Care Expert: Population Health & PBM Professional

    In summary, I am an experienced Population Health and Pharmacy Benefit leader dedicated to the improvement of the member, physician, and payor experience. I enjoy establishing deep relationships to achieve this in the complex health care landscape.

    Specialties

    check markBusiness Analysis

    check markBusiness Project Management

    check markTechnical Project Management

    check markProgram Management

    Ask Me About

    Collaborator and Relationships
    Engaging Power Point Design
    Managed Care Operations
    Pharmacy Benefit Managers
    Population Health
    Quality and CAHPS
    Stars Improvement Programs
    Utilization Management
    Vendor Implementations
    Where I've Worked
    Bright Health Plan logo

    2017 – Present

    Director, Clinical Operations

    Bright Health Plan
    O

    2016 – 2017

    Account Management Director

    Optum, UnitedHealth Group
    Prime Therapeutics logo

    2014 – 2016

    Director, Medicare General Management

    Prime Therapeutics
    U

    2012 – 2014

    Director, Medicare Advantage Product

    UnitedHealthcare Medicare & Retirement, UnitedHealth Group
    U

    2011 – 2012

    Director, Intersegment Management

    UHC Medicare & Retirement, UnitedHealth Group
    U

    2009 – 2011

    Director, Part D Program Management

    UHC Medicare & Retirement, UnitedHealth Group
    M

    2004 – 2009

    Engagement Manager and Consultant, Financial Operations

    ManPower
    M

    Jan 2002 – Oct 2004

    Development Accountant

    Madison Marquette Realty Services
    B

    Sep 1999 – Jan 2002

    Staff Accountant, Property Development

    Best Buy Enterprise
    A

    Jan 1997 – Sep 1999

    Accountant

    Aspen Medical Group
    Where I've Studied

    BS, Accounting

    Carlson School of Management

    People I've Reported To

    People I've Worked With

    People Who've Reported to Me

    Ask Me for a Referral

    Bright Health Plan
    Business Systems Program Manager, Integration
    5 - 7 years of experience
    Business Unit Controller - Health Plan - Medicare
    11 - 15 years of experience
    System Administrator - Jira/Confluence
    5 - 7 years of experience
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