Nicholas Zaffiris

Nicholas Zaffiris

Chief Executive Officer, Florida Health Plan @ UnitedHealthcare

About

With over three decades of experience in the healthcare industry, Nick recently retired as the Chief Executive Officer of the Florida Health Plan for UnitedHealthcare. He is passionate about developing and implementing strategies to grow membership and improve financial performance across all lines of business and funding sources. He is committed to driving success and innovation in the healthcare industry and is proud to lead a team that is dedicated to improving the health and well-being of members.

Country

United States

City

Marco Island

Industry

Insurance

Skill

Business Management, Business Development, Customer Relationship Management (CRM), Business Strategy, Teamwork, Sales Management, Account Management, Team Leadership, Board of Directors, Management, Negotiation, Strategy, Employee Benefits, Strategic Planning, Leadership, Managed Care, Insurance, Sales, Healthcare, Executive Management

Experience

UnitedHealthcare

Chief Executive Officer, Florida Health Plan

UnitedHealthcare

LinkedIn
2020-7 - 2025-9 · 5 yrs 3 mos

Florida, United States

Responsible for all aspects of Health Plan performance and functionality to drive commercial membership growth and profitability. • Responsible for leading a 1.2 million member Health Plan with more than $6 billion in revenue and $500M of internal operating income. • Awarded top performing Health Plan in 2020 through 2022. • Achieved highest Internal Operating Income amongst 21 Health Plans in 2022. • Responsible for developing and implementing strategies to grow membership and financial performance in all lines of business and funding sources including fully insured, self- funding, level funding and specialty lines of business. • Responsible for implementing a comprehensive employee development, training and succession planning process to ensure business continuity. • Responsible for the integrated operation of all aspects of sales and account management in addition the dotted line matrix of pricing, product, network, clinical, affordability, actuary and underwriting.

UnitedHealthcare

Chief Executive Officer, Georgia & Alabama Health Plan

UnitedHealthcare

LinkedIn
2019-4 - 2020-6 · 1 yr 3 mos

Greater Atlanta Area

Responsible for Health Plan commercial membership growth and profitability. • Hand selected to lead and “start up” a newly created Health Plan. • Restructured Health Plan leadership to create line of business accountability while instilling a culture of diversity, inclusion and performance excellence. • Hired a new market Chief Financial Officer, Director of TCOC, and Chief Medical Officer to complete the Health Plan core leadership team responsible for driving strategy and achieving sustainable financial and membership growth. • Implemented an aggressive cost of care agenda in conjunction with local and national medical cost reduction initiatives to complement a Line of Business MLR remediation plan. • Implemented a comprehensive out of network hospital- based physician and ASC recruiting strategy to support site of service product designs. • Created and implemented a strategic product and license market segmentation strategy to create a product portfolio that appeals to the diverse market purchasing requirements. • Implemented defined and repeatable processes for BRR, Health Plan performance meetings, QTRs, and EHCV to measure performance and implement necessary actions.

UnitedHealthcare

Chief Executive Officer, South Florida Health Plan

UnitedHealthcare

LinkedIn
2010-11 - 2019-3 · 8 yrs 5 mos

Responsible for Health Plan commercial membership growth and profitability for UnitedHealthcare of Florida Insurance, HMO and Neighborhood Health Partnership business. • Lead a 500,000 member Health Plan with over $2 Billion in revenue. • Responsible for all commercial membership, sales, account management, financial, clinical, affordability and network performance. • Created collaborative relationships with the C-Suite of Tier 1 care providers including Memorial Health System, Baptist Health South Florida, Cleveland Clinic, Vital MD and Sheridan Healthcare to deliver unit cost and network access improvements to maintain best in class network cost positions. • Achieved employee engagement of 90% or more during tenure as a leader at UHC. • Achieved organizational leading net promoter scores (NPS) for members, employers and brokers. • Lead market development and expansion in Southwest Florida and the Treasure Coast, opening a new satellite office to generate growth in rapidly developing geographies of the state. • Awarded top performing Health Plan in 2014 and 2010. • Graduate of 2011 UHG General Manager Program.

UnitedHealthcare

Southeast Region Vice President, Sales and Account Management

UnitedHealthcare

LinkedIn
2010-4 - 2010-10 · 7 mos

Responsible for implementing local and national growth strategies as a part of the Southeast Region leadership team and national growth organization. • Lead the development of the 2011 Southeast Region strategic market plans to align objectives and deliver growth goals. • Reinforced strong regional alignment and focus with Specialty Benefits team to achieve 2010 regional life, dental, vision and disability product revenue targets. • Lead the South Florida NHP dual platform strategy and developed a recommendation and plan to mitigate MLR rebate exposure. • Achieved January 2011 Regional Sales and Persistency performance of 113% of budget. • Graduate of 2010 UHG Executive Development Program.

UnitedHealthcare

Vice President of Key Accounts, South Florida

UnitedHealthcare

LinkedIn
2007-6 - 2010-3 · 2 yrs 10 mos

Responsible for leading the South Florida middle market fully insured and self funded account team in new sales, persistency and broker relationships in the sale of group medical and specialty benefits. • Led the Key Account team to achieve 2009 medical cost ratio, persistency and gross margin goals for the first time since 2006. • Exceeded January 2010 sales and persistency goals resulting in 10,000 member growth. • Worked with the Small Group Vice President to develop and implement Platinum broker business planning process to strengthen key relationships and drive sales and persistency performance. • Achieved 2009 medical first year persistency of 95% on cases sold in 2008. • Achieved 175% of 2009 Key Account Specialty business goals while achieving 100% engagement across all Strategic Account Executives and Account Executives. • Recognized at the 2008 Key Account National Sales conference for corporate leading employee engagement.

Claritev

Vice President of Sales and Account Management

Claritev

LinkedIn
2003-8 - 2007-6 · 3 yrs 11 mos

Private Healthcare Systems, Inc. (Acquired by MultiPlan in October 2006) Responsible for leading the sales and account management team in the sale of PPO network and utilization management services to employer groups, Third Party Administrators, Taft-Hartley Funds and Health Maintenance Organizations in the western half of the United States.

Claritev

Vice President, Client Services

Claritev

LinkedIn
1998-3 - 2003-7 · 5 yrs 5 mos

Waltham, Massachusetts, United States

Private Healthcare Systems, Inc. (Acquired by MultiPlan in October 2006) Responsible for leading a team of account managers and field marketing staff to retain and grow existing customer revenue by developing relationships with senior level executives, brokers and national consulting firms while functioning as the customer advocate in the resolution of all business and service issues.

National Account Service Company

Director of Sales And Business Development

National Account Service Company

1994-11 - 1998-2 · 3 yrs 4 mos

Atlanta Metropolitan Area

Responsible for developing, setting and executing corporate strategy for selling system services to Blue Cross and Blue Shield plans in support of major national account group health sales.

Blue Cross Blue Shield Association

Supervisor of Claims and Customer Service and National Account Marketing Consultant

Blue Cross Blue Shield Association

LinkedIn
1991-4 - 1994-10 · 3 yrs 7 mos

Jacksonville, Florida, United States

US Navy

Aviation Maintenance Officer

US Navy

LinkedIn
1986-9 - 1991-4 · 4 yrs 8 mos

Jacksonville, Florida, United States

Responsible for coordinating the maintenance production effort on 12 F/A-18 aircraft.

Education

United States Naval Academy

United States Naval Academy

LinkedIn

Political Science and Government

1982 - 1986 · 4 yrs

Nicholas Zaffiris's Contact Information

Email

******@***.com

Phone

(**) *** ****

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