Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Highly accomplished and trusted business professional with gift for developing strategic partnerships, tactical plans and forward-thinking strategies successful at driving growth and keeping the company agile in changing market conditions. Highly organized with expertise in solution development. Offering 29 years' experience in health care industry.

  • Program Development and Implementation
  • Relationship Management
  • Strategy and Development
  • Team Building and Motivation
  • Core Values Management
  • Culture Transformation
  • Collaborative Leadership
  • Practice Operations Management
Work History
Senior Director, 01/2011 to Current
OptivBirmingham, AL,
  • Responsible for cross-functional and cross-segment coordination of strategies and solutions in preparation to respond to Medicaid Managed Care requests for proposals. Contributing to 100% win rate.
  • Responsible for development of core program designs that demonstrate innovative and outcome driven approaches for clinical service delivery to targeted populations including children, adolescents and adults with social, emotional, behavioral difficulty.
  • Engage with enterprise leaders throughout the pre-proposal response development to identify priorities to achieve the goals of state partners.
  • Steer resolution for decisions; Problem solve and ensure process excellence throughout proposal response development.
  • Led a team of Solution Managers and Directors.
Senior Director, 01/2000 to 01/2011
OptivCleveland, OH,
  • Essential contributor in design and delivery of operational infrastructure of innovative, new venture, UnitedHealthcare Hearing.
  • Strategic facilitator and consultant driving business strategy initiatives for OptumRx.
  • Instrumental in development and program management of innovative business, Home Health Care and Long Term Care Insurance.
  • Central contributor in design and delivery of UnitedHealth Group Medicare Prescription Drug program that contributed to acquisition of over 4.5 millions members.
  • Significant contributor to multi-departmental project team to develop annual Medicare Prescription Drug bid strategies, pricing and design initiatives.
  • Executed development of value added services to support Medicare Prescription Drug membership growth and retention.
  • Executed essential product development responsibilities for major medical plan serving AARP members 50-64 years of age.
  • Accomplished vital product development and implementation responsibilities for commercial based major medical products.
  • Vendor and Partner Relationship Management.
  • Established and maintained strategic relationships with third party vendor partners to create and effectively manage operational models to support Home Health Care and Long Term Care Insurance business.
  • Established and maintained significant business relationships with strategic partners including AARP Service Incorporate (ASI) product leadership.
  • Project Management.
  • Supported strategic and tactical efforts to launch UnitedHealth Group's Medicare Prescription Drug State Pharmaceutical and Assistance Program products.
  • Collaborated with management and teams in strategic and tactical process to launch strategic Medicare Prescription Drug programs to support employer and field sales.
  • Performed project management support for UnitedHealth Group's lobbying and regulatory efforts in response to Federal Medicare Modernization Act of 2006.
  • Supported strategic and tactical efforts to accelerate Home and Community Business Development efforts within formerly, Evercare.
  • Supported cross functional project management work for proposed Centers for Medicare and Medicaid demonstration large scale disease management business.
Director and Manager, Project Manager, 01/1997 to 01/2000
UnitedHealth GroupCity, STATE,
  • As part of team, developed and executed strategies by which employees and organization created operational enterprise conducive to customer satisfaction, productivity and profitability.
  • Customer Contact Strategy and Development.
  • Served as project lead on strategic claim and member service operating model design and implementation team.
  • Served as business owner for call center quality monitoring products.
  • Operations Business Management.
  • Managed operational departments including billing and accounts receivable, participation audit, enrollment and eligibility and call center.
  • Consolidated functional operations.
Trainer/Quality Reviewer/Supervisor/Business Analyst, 01/1991 to 01/1997
UnitedHealth GroupCity, STATE,
  • Leadership and teamwork accountabilities focused on servicing customers within call center operation.
  • Transitioned customer service operations from consolidation partners.
  • Performed trend analysis of business impacts.
  • Responsible for call center workforce management.
  • Facilitated training sessions, meetings and team building activities.
  • Resolved customer inquiries regarding administration, benefit and claim questions.
Masters of Business Administration: , Expected in 2003
University of St. Thomas - Minneapolis, MN
Bachelor of Arts (BA): , Expected in 1987
University of Minnesota - Minneapolis, MN
Summa cum Laude
Masters of Arts: Counseling and Psychological Services, Expected in
St. Mary's University - Minneapolis, MN
Additional Information
  • Innovation Ambassador (current) Culture Ambassador (current) Growth Team Recognition 2015 Coach - Emerging Leader Program 2011 Executive Development Program 2009 UnitedHealthcare Medicare and Retirement "Innovations" Award Nominations 2005-2006

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School Attended

  • University of St. Thomas
  • University of Minnesota
  • St. Mary's University

Job Titles Held:

  • Senior Director
  • Senior Director
  • Director and Manager, Project Manager
  • Trainer/Quality Reviewer/Supervisor/Business Analyst


  • Masters of Business Administration
  • Bachelor of Arts (BA)
  • Masters of Arts

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