Mr. Waggoner is responsible for developing and executing the strategies that will support our provider network transformation to measurably enhance quality of care and affordability. These strategies are designed to support and reward our network providers' ability to deliver patient-centric, coordinated care that leads to increased quality and decreased costs.
Mr. Waggoner oversees the strategy and operations of Blue Cross’s Network Management Division. In addition to developing strategies to drive enhanced quality and affordability across the provider network, Mr. Waggoner is also responsible for the areas of reimbursement, payment and medical policy, audit and recovery, practice innovation, provider relations, and health analytics. Mr. Waggoner is Chair of the company's Medical Expense Trends Team.For the past 15 years, Mr. Waggoner has served in a variety of leadership capacities across the provider delivery and health insurance sectors. Mr. Waggoner has worked in the South Carolina, Pennsylvania, and New England markets. Prior to joining Blue Cross, Mr. Waggoner was responsible for Harvard Pilgrim Health Care, Inc.’s Massachusetts and Rhode Island Network Management Divisions.
Mr. Waggoner holds a Bachelor of Arts degree in English from Clemson University, a Master of Health Administration and Policy degree from The Medical University of South Carolina, and a Master of Business Administration degree from Bentley College.
Mr. Waggoner serves on the Board of Directors of the Rhode Island Free Clinic.
You can contact Mr. Waggoner at (401) 459-1400.