President and CEO, Essence Healthcare and Lumeris Healthcare Outcomes
Richard Jones is the founding president and CEO of Lumeris and CEO of Essence Healthcare, one of the nation’s first accountable delivery systems and a 4.5-Star or higher Medicare Advantage Prescription Drug (MAPD) health plan for six years in a row. In addition, Richard leads Lumeris Healthcare Outcomes, which offers full turn-key business process outsourcing and management services to support Medicare Advantage and commercial health plans. In this role, Richard helps align payers with health systems and physician groups, including value-based care and aligned reimbursement methods. With over 25 years of experience in the healthcare industry, Richard is a knowledgeable business executive and certified public accountant. He previously served as chief financial officer of Essence Group Holdings Corporation (including Essence Healthcare), national president of United Healthcare Medicare and Medicaid lines of business, president and CEO of Coventry Healthcare of the Midwest, and chief financial officer of Coventry Corporation.