With over 20 years of distinguished experience in healthcare administration and value-based care, Michael C. Jones has built a reputation as a transformative, results-driven leader. Throughout his career, he has demonstrated an unwavering commitment to improving healthcare quality, driving growth, and fostering strong, collaborative relationships. His deep knowledge of value-based care models, paired with his extensive expertise in healthcare finance, quality, and team leadership, has positioned him as an influential figure in the healthcare industry.
Michael’s journey began with his academic pursuits at the University of South Alabama, where he earned an MBA with honors and a Bachelor of Science in Operations Research. He excelled in management information systems and marketing courses, gaining a solid foundation in both business administration and technology. This early academic success laid the groundwork for his future achievements in healthcare management and innovation.
Michael’s professional trajectory has spanned across multiple organizations, where he has consistently excelled in leadership roles. As Vice President of Market Performance and Market President at Better Health Group, he managed a P&L of over $40 million across Alabama and Georgia, driving performance improvements and achieving significant cost savings. His innovative approach included developing a clinician bonus program that resulted in a $2.4 million revenue increase. Michael’s ability to negotiate contracts with health systems and state entities further exemplifies his business acumen and commitment to delivering results.
As Executive Director at Aledade, Inc., Michael led Alabama’s Accountable Care Organizations (ACOs), overseeing 38 practices and 58,000 beneficiaries. His leadership resulted in a remarkable $36 million in savings to Medicare, with $12 million distributed to physician practices. His strong relationship-building skills were integral in his ability to engage physicians, healthcare providers, and payers, ultimately improving performance metrics and Star Ratings. Michael’s work at Aledade contributed to his organization being recognized as a leader in healthcare savings and quality improvements.
At UnitedHealth Group, Michael served as Executive Director, overseeing Medicare operations in Alabama and Louisiana. Under his leadership, he successfully improved Star Ratings, driving the health plan’s quality score from 2.3 to 4.0 over six years. Additionally, he played a critical role in increasing membership and achieving annual cost savings of $11 million. His ability to navigate complex regulatory environments, manage cross-functional teams, and drive operational improvements helped solidify his reputation as a key contributor to the company’s success.
In addition to his executive roles, Michael has made a significant impact as a speaker and consultant. His passion for value-based care and his commitment to empowering healthcare professionals to turn adversity into opportunity have led him to speak at numerous healthcare events. He has also written articles on primary care, healthcare transformation, and leadership, further showcasing his thought leadership and dedication to improving the healthcare landscape.
Michael’s expertise spans a wide range of healthcare-related areas, including Medicare Advantage, Accountable Care Organizations (ACOs), healthcare consulting, P&L management, and team leadership. He has honed his skills in developing innovative healthcare strategies, streamlining operations, and fostering collaboration among diverse stakeholders. Michael’s approach is centered on using data-driven insights to inform decision-making and improve healthcare outcomes.
Throughout his career, Michael has been committed to fostering inclusive work environments and empowering his teams to achieve success. As co-founder of two Employee Resource Groups (ERGs) at Aledade, he played a key role in promoting diversity and inclusion within the organization. He has also been recognized for his leadership in the community, receiving the Aledade Inclusion Award for his embodiment of the company’s core values.
Michael’s career has been defined by his ability to drive operational improvements, negotiate successful contracts, and build strong relationships with physicians, health plans, and stakeholders. His success in value-based care models has demonstrated his capacity to create sustainable, impactful solutions that deliver both financial and quality outcomes. As a leader, he continues to inspire and empower those around him, always striving to make a difference in the healthcare industry.
In addition to his professional accomplishments, Michael’s personal values play a significant role in his approach to leadership. His motto, “To leverage my gifts in encouragement and empathy, talents in relationship building and decision making, and experience in value-based care to make a difference in the lives of those I serve,” reflects his servant-leader mindset. Michael’s focus on empathy, collaboration, and positive change drives him to make a lasting impact in the healthcare community and beyond.
Michael C. Jones is a highly accomplished healthcare executive with a proven ability to lead teams, drive performance improvements, and navigate complex healthcare systems. His expertise in value-based care, quality improvement, and healthcare management makes him a valuable asset to any organization. His strategic vision, deep knowledge, and commitment to excellence continue to shape the future of healthcare.
Character:
Michael C. Jones is a servant leader who places a high value on empathy, collaboration, and encouraging others. His strong interpersonal skills, combined with his desire to inspire and empower those around him, have been essential to his success in healthcare leadership roles.
Knowledge:
With extensive experience in healthcare administration, value-based care, and managed care, Michael possesses deep industry knowledge. His track record of driving savings, improving quality scores, and developing innovative solutions has made him a leader in the field.
Strategic:
Michael’s strategic vision has allowed him to successfully navigate complex healthcare systems and improve operational efficiencies. He consistently delivers results by aligning business objectives with healthcare quality improvement and cost-saving strategies.
Communication:
A skilled communicator, Michael is effective at building relationships with healthcare providers, payers, and stakeholders. His ability to convey complex ideas clearly and inspire action has made him a sought-after speaker and consultant in the healthcare industry.