Provider and payer expert helped found one of the nation’s first clinically integrated networks, oversaw large regional health plan
CHICAGO – Dec. 6, 2017 – James R. Smith, FACHE, a nationally-recognized provider and payer consulting strategist, has joined Navigant (NYSE: NCI) as a managing director in its Healthcare practice. In this role, Smith will advise hospital, health system, physician enterprise, and payer executives and boards on operating health plans and high-performing provider networks.
Smith has more than 30 years of experience building and leading provider organizations and health plans. He’s founding president and CEO of the Greater Rochester Independent Practice Association (GRIPA), one of the country’s earliest clinically integrated networks (CINs). At GRIPA, part of Rochester Regional Health, Smith established governance and operating structures to manage a CIN composed of more than 1,200 physicians and four hospitals serving 200,000 members.
“Jim has spent decades collaborating with payer and provider leadership to develop and implement strategies that increase care quality and member satisfaction, and reduce costs,” said David Burik, managing director and leader of Navigant’s payer/provider consulting division. “His broad expertise is invaluable in an industry where deep integration is a must to enhance care delivery.”
Smith most recently served as executive vice president at GE Healthcare Camden Group, where he helped prepare hospital, health system, and health plan senior management and boards for healthcare reform. Prior to that, Smith was president of the Central New York Region of Excellus BlueCross BlueShield, helping grow its membership to more than 700,000 commercial, Medicaid, and Medicare Advantage lives. A former health system executive, Smith also spearheaded the development of a pair of integrated care delivery systems.
Navigant’s Healthcare practice is composed of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed services, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing strategic, performance improvement, and business process management solutions that help them meet quality and financial goals.
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage, and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the firm primarily serves clients in the healthcare, energy, and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.