The National Managed Care Leadership Directory - Details

Overview: The National Managed Care Leadership Directory is available in three formats:

  • Print version - Softcover book format for $249.00
  • Electronic version - PDF format for $215
  • Database/PDF bundle - Electronic PDF version of the book plus the Directory database in multiple database and spreadsheet file formats licensed for unlimited use by the individual licensee, for $645.

The National Managed Care Leadership Directory is the leading tool for networking, recruitment, research, sales prospecting and more for the managed care industry! What makes the Directory unique is that it covers multiple industry segments related to managed care and not just health plans; reports on a broader range of staff positions; and categorizes each position by standard job functions.

Scope: The 2021 Directory has 709 pages with 9,008 executives listed from 1,216 companies, with a varying range of executive and staff positions listed per company. Companies reported include Administrative Organizations, Health Plans, PBMs, Provider Networks or Specialty Organizations. Specialty Organizations include Dental, Vision and Behavioral Health Networks. Administrative Organizations include selected Quality Improvement Organizations, Care Management Organizations, TPAs and Insurance Exchanges. Provider Networks include IPAs, PHOs, CINs, ACOs with commercial managed care arrangements, and selected PACE programs.

Updated Information: Due to continued employee turnover rates, merger and acquisition activities, company closures, identification of new companies, promotions and other market forces, the Directory also reflects extensive changes throughout from the 2020 Directory. 191 of the Companies listed in the 2020 edition had changes and edits made to their previous contact information (company name, address, phone, fax/email, and/or website address); 140 of the Companies were new to the Directory for 2021; and 34 of companies previously listed in the 2020 Directory were deleted from the 2021 edition. 744 of 2021 Employee Listings were for new companies listed in the directory, 3,072 were new employees for 2021 with companies previously listed in 2020, , 167 of 2020 Employee Listings were deleted from Companies that were no longer listed in 2021, and 1,062 of the 2020 Employee Listings were deleted from currently listed companies for the 2021 Edition.

Company Description: The information included has been provided by the listed organizations or through MCOL research. Companies from multiple industry segments are included to provide a single source of information on major managed care companies and their respective leaders. Parent Company has been provided for many of the applicable organizations, and all companies have been classified according to the following Company Types: Administrative Organizations, Health Plans, PBMs, Provider Networks or Specialty Organizations. All Companies includes mailing address, phone and website information. Fax or company e-mail addresses are provided for 61.8% of the companies.

Employee Listing: The individuals listed for each organization are executives and key staff, in various functions of the company. 33 functions were identified which apply to many managed care organizations, and employees listed are categorized according to these job functions. In some cases, an individual is listed for two job functions, depending on the nature of their position. Furthermore, some persons are listed in more than one company (under the same parent or affiliated company) when they have responsibilities in more than one subsidiary or affiliate. In addition to the general functional descriptions, the specific titles of executives are listed when provided by their organizations. Multiple indexes are provided to assist navigation throughout the Directory, including: Company Name Index in alphabetical order nationwide; Company Type Index with all companies by Type, in alphabetical order within each Type; Parent Company Index with Companies with Parent Organizations/ Affiliates listed, in alphabetical order by Parent Company in order of states served within Parent; and Job Function Index listing Companies with applicable Job Functions, in alphabetical order within each Job Function.

Information Listed for each Company:

  • Company
  • Address
  • City
  • State
  • Zip Code
  • Phone
  • Fax/Email (when available)
  • Parent Company (when applicable)
  • Type of Company
  • Web Site
  • Applicable Employees listed by Name, Job Function and Title

Job Functions included in the Directory: Each employee is classified by the following 33 standardized job functions.(please note, not all organizations in the Directory have a position listed for each function, and some employees are listed in for two job functions when applicable)

  • Chairman of the Board
  • President/CEO
  • Chief Operating Officer
  • Chief Medical Officer
  • Chief Finance Officer
  • Chief Information Officer
  • Other Senior Executive
  • Actuarial
  • Administration and Analytical
  • Business Development
  • Case Management
  • Claims
  • Clinical
  • Dental
  • Finance
  • Government Relations
  • Human Resources
  • Information Systems
  • Legal & Compliance
  • Marketing
  • Medical Director
  • Member Services
  • Network Contracting
  • Operations
  • Optical
  • Pharmacy
  • Population Health
  • Provider Relations
  • Public Relations and Communications
  • Quality Management
  • Sales
  • Utilization Management
  • Other Staff

Additional information provided in database files: The database files include the data fields provided in the book/pdf format, plus direct phone/extensions and email addresses when available. There is direct phone/extension data for 16.8% of employees listed, and email addresses for 17.1% of employees. (See more on the Database/PDF bundle.)

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