Jay Palmer is a healthcare executive and advisor with more than 15 years of experience leading quality, operations, performance improvement, and organizational transformation across complex healthcare environments.
She is known for stepping into complexity, clarifying what matters most, and building the leadership alignment, operating structure, and accountability required to move strategy into execution. Her experience spans Medicare Advantage, Medicaid, Stars performance, member experience, population health, operational excellence, market expansion, and organizational design.
Throughout her career, Jay has advised national and regional health plans, led enterprise and market-level transformation, built quality functions and operational infrastructure, and supported organizations navigating growth, performance pressure, and leadership transition. Her perspective is grounded in the realities of execution — not theory alone.
Today, she serves organizations through executive leadership, strategic consulting, and fractional or interim support. She is the founder of Culturally Elevated, creator of Denominator Intelligence, and creator and author of The Leadership Undercurrent, where she explores the leadership dynamics that shape people, performance, and process.
Jay also serves on the board of Inside Health Institute (IHI), contributing leadership and strategic perspective to organizational governance.
"The distance between strategy and results is execution. That is where I lead, advise, and build."
Across every role and engagement, her work is guided by one principle: sustainable performance requires alignment between people, priorities, and the systems responsible for execution.
Deep operational and strategic experience in Stars performance, denominator management, member engagement, and Quality Bonus Payment strategy for national and regional health plans.
Led enterprise and market-level transformation from inside health plans and health systems. Specializes in building the alignment, structure, and accountability that moves strategy from intent to sustained execution.
Extensive experience serving as interim or fractional executive to build functions from the ground up, stabilize performance, and prepare organizations for the next stage of permanent leadership.
Jay Palmer's advisory perspective is grounded in years of executive leadership across health plans, health systems, and healthcare organizations at varying stages of growth and transformation.
Leads an executive advisory practice serving healthcare organizations through organizational transformation, performance improvement, Stars strategy, and fractional executive leadership. Creator of Denominator Intelligence™ and creator and author of The Leadership Undercurrent.
Served as Interim VP of Quality during a healthcare market expansion, building the quality organization from inception. Established governance, reporting, and the clinical team required to support operations and prepare for permanent leadership.
Held senior leadership roles within Medicare Advantage and Medicaid health plans, directing Stars performance strategy, member experience, provider performance, and quality improvement operations. Led multi-year recovery and improvement efforts resulting in measurable rating improvements and financial recovery.
Serves on the IHI board, contributing strategic leadership and governance perspective to organizational direction and mission.
Every engagement begins with a direct conversation. Share what you're working through and the type of support that would move things forward.
All inquiries responded to directly within two business days.