449 S 12th Street #2302 Tampa, Florida 33602

Phone 501.425.2400 E-mail itsgates@aol.com

James M. Gates

Summary of Qualifications

High energy executive professional with exceptional business operations experience and communication skills. Extensive background in the following business competencies:

Strategic Planning Key Relationships Client Satisfaction Staff Management Product Development Sales Channel Productivity Analysis Market Analysis Project Management Team Building Performance Improvement Financial Analysis

• Excellent qualifications in strategic planning with in depth knowledge of management, organizational development, team building and project execution.

• Demonstrated ability to deliver new product innovations and secure intended markets to maximize return and customer satisfaction.

• Ability to deliver operationally efficient solutions to meet corporate objectives.

• National Agency Check (NAC) security clearance.

Professional Experience

United Health Group May, 2007 - Present United Health Care Military & Veterans Vice President, Provider Network Management August, 2009 – Present • Key leader and contributor to the provider network operational design and strategy for three

successful TRICARE proposals. These efforts resulted in a perfect proposal score and a five year $21B contract award in 2009 with the Department of Defense for the TRICARE South Region and a five year $19.5B contract in 2012 for the TRICARE West Region.

• Develop the provider network (clinicians, hospitals, and programs) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and meets all requirements of the TRICARE Operating and Policy Manuals.

• Execute on company wide strategic initiatives related to provider and facility partners, engagement, reimbursement strategy, and incentive programs.

• Evaluate and negotiate contracts in compliance with TRICARE contract templates, reimbursement structure standards, and other key process controls.

• Establish and maintain strong business relationships with clinicians, hospitals, and programs. • Ensure the network composition includes an appropriate distribution of provider specialties. • Provide leadership to and is accountable for the performance and results through multiple

layers of management and senior level professional staff. • Responsible for performance management of teams including development, coaching, and

recognition programs. OptumHealth Vice President, Public Sector Channel May, 2007 – August, 2009 • Defined and led product strategy and architecture to address the market demands of Medicare,

Medicaid and the Federal Government. • Drove revenue growth through centralized growth organization and internal channel to improve

both top line and bottom line returns for the business.

• Made appropriate product selections to achieve desired return of investment (ROI) from

proposed product environments. • Sales Support: Provided product and market expertise to assist various sales channels in

presenting our offerings. Provided creative solutions from existing capabilities to satisfy market demands. Participated in actual sales calls for large customers or prospects as requested by the growth organization or internal customer executives.

• Project Oversight: Led/Managed product change initiatives necessary to complete development of new products or features.

• Marketing Support: Provided product expertise and strategic focus for market research and product positioning efforts.

• Manage Product Directors: Directed the day-to-day analysis and requirement documentation by a team of product directors and business analysts. Oversaw test planning, test care setup, and testing to accept new products or features.

• Third Party Vendor Management: Managed all activities required to utilize third party business suppliers. This includes vendor selection, contract negotiation, project management, service level agreements (SLA), management and overall relationship building.

• Operational: Coordinated implementation of new products/features into existing operations. This includes internal communications, metrics, process design and operational readiness.

Select Account – BlueCross BlueShield of Minnesota May, 2006 – November 2006 Director, Market Development • Provided senior leadership and direction for emerging growing medical banking industry. • Rolled out an integrated sales and account management process to support and maintain a

better than 90% client retention policy and increase product penetration by more than 5%. • Created and maintained business partner relationships for increased sales channels and client

support for integrated product management.

The Brooks Consulting Group May, 2005 - April, 2006 Consultant • As staff consultant, provided clients with consulting services in the implementation of

productivity tools and techniques. Responsible for implementing tools to support labor scheduling, capacity planning, staffing models, and training on management expectations.

Blue Cross Blue Shield of Oklahoma March, 1997 - April, 2004 Vice President, Corporate Planning and Product Development April, 2000 – April, 2004 • Responsible for developing and directing corporate planning objectives, expense control and

performance based incentive program. • Managed and directed the development and implementation of new and revised products to

meet corporate objectives. • Administered all aspects of the company’s work management system and process optimization

process to maximize the company’s competitive advantage and reduce operational costs. • Responsible for monitoring, preparing and presenting key business indicators and

recommendations to senior executive management. • Oversaw the development of all market, customer and provider satisfaction surveys for

regulatory purposes and to guide corporate objectives. Manager, Planning and Productivity Management July, 1998 – March, 2000 • Responsible for directing the compilation, development and analysis of data for reports to

senior management and various departments to assist in plans and corporate objectives. • Responsible for developing and administrating all aspects of the company’s performance

based incentive program.

• Served as a member of the Corporate Strategic Planning Committee in support of developing short and long range strategic plans.

Product Development Specialist March, 1997 – June, 1998 • Defined new product opportunities and enhancements to existing health, life and disability

products. • Conducted market research to support the development of profitable product pro-formas in

support of market defined corporate objectives. • Responsible for product partnerships in developing the first Blue Cross Blue Shield Long Term

Care Product.

Callidus Technologies, Inc. August, 1990 - February, 1997 Manager, Project Engineering Incineration Systems • Responsible for the scheduling, monitoring and controlling all incineration projects from design

through delivery. • Directed and participated in all international on site customer installations and start-ups. • Established technical and financial performance guidelines for eight Project Engineers and

support staff.

United States Army January, 1985 - September, 1988 Captain • Maintenance Control Officer and Executive Officer for a Forward Support Maintenance

Battalion consisting of 250 personnel and equipment totaling more than 23 million dollars. • Directly supervised 175 support and repair technicians in support of Brigade size units for all

wheel and track vehicles and communications and weapons systems with a repair part supply system with an inventory totaling more than 16 million dollars.

Education September 1988:July 1990 Kansas State University Manhattan, Kansas Masters in Business Administration Concentration in Production Operations and Decision Analysis

September 1980:December 1985 Iowa State University Ames, Iowa Bachelor of Science in Industrial Engineering Minor in Science and Humanities and Military Science

January 1986:May 1986 U.S. Army Officer’s Ordnance School Officer’s Basic Course Graduate

Community Activities

United Health Care 2015 Executive Development Program Graduate – June, 2015 The Wharton School UnitedHealth Group Executive Development Program - February, 2015 Leadership Tulsa Class 29 - 2003 United Way Insurance Fund Distribution Chairman and Committee Member - 1998:2003 Board of Directors member for Hospice of Green Country - 2003:2004 Blue Cross Blue Shield President’s Circle - 1999 Junior Achievement Volunteer - 1997:2002

References Available on request