Senior Director, Clinical, Quality & Stars
John Willis is a Senior Director at Gorman Health Group. In this role, he is responsible for the execution and oversight of Star Ratings projects for health plans across the country and brings a comfortable approach to developing key strategies to drive improvement and outcomes for his clients. He has a strong skillset in working with all levels within organizations and seeks to build strong relationships that are needed to achieve the outcomes clients expect from their Star Ratings. He brings 10 years of experience in the Star Ratings domain and has worked with a National Health Plan to move over 20 health plans to successful Star Rating outcomes. He has worked very diligently to develop key strategy that involves building provider engagement, improving customer experience, and ensure compliance with clinical and administrative function driven measures.
John has worked in the healthcare field for over 20 years and bring knowledge in clinical, strategy development, learning and process improvement, and the provider communications space. He most recently served as Vice President of Star Market Operations for Cigna-HealthSpring, where he was responsible for driving Star Rating improvement strategy across the Cigna-HealthSpring footprint. John has extensive experience in working closely with vendor partners, conducting in-depth needs assessments, and evaluating outcomes of tactical solutions to ensure desired outcomes are achieved. He is very skilled in identifying the key partnerships needed to ensure success for Star Ratings within matrix environments and through local market support.
John extensive background in managed care and quality programs have enabled him to drive continuous improvement in both the health plan and provider setting. John holds both a bachelors and masters degree from the University of Montevallo. His broad knowledge of CMS regulations, understanding of the key technical specifications, and desire for his client’s customers to have the best care possible are just a few of the strengths he brings to Gorman.