John Madondo
CEO, UnitedHealthcare Community Plan
Boston, Massachusetts, United States
Professional Overview
John Madondo is an accomplished healthcare executive with over 20 years of experience leading managed care and long-term services and support (LTSS) programs. As the CEO of UnitedHealthcare Community Plan, he oversees the strategic direction and operational excellence of the organization's MA-based Medicaid and LTSS offerings. Madondo is an industry expert in complex care management, LTSS program development, and driving improved health outcomes for vulnerable populations.
Experience Summary
Current Role
As CEO of UnitedHealthcare Community Plan in Massachusetts, Madondo is responsible for the overall leadership and performance of the organization's Medicaid and LTSS programs. He works closely with state agencies, provider partners, and community stakeholders to enhance care coordination, expand access to critical services, and deliver innovative, evidence-based solutions that address the social and clinical needs of UnitedHealthcare's members. Under Madondo's guidance, the MA Community Plan has achieved significant improvements in quality metrics, member satisfaction, and financial sustainability.
Career Progression
Prior to his current role, Madondo served as the Executive Director of LTSS and Complex Care Programs for UnitedHealthcare's Community & State division, where he led the strategy and implementation of LTSS solutions across multiple state markets. He also held the position of VP of Health Services for the Tennessee LTSS program, driving operational enhancements and strengthening partnerships with providers and community organizations. Earlier in his career, Madondo co-founded a third-party administration (TPA) firm and a nurse practitioner-led primary care practice, gaining valuable experience in entrepreneurship, population health management, and clinical service delivery.
Academic Background
Madondo holds a Master of Science in Nursing (MSN) degree from the University of Tennessee, where he specialized in Family Nurse Practitioner studies. He is a licensed and board-certified Family Nurse Practitioner, bringing a strong clinical perspective to his leadership roles in the managed care industry.
Areas of Expertise
- Medicaid and LTSS program management
- Complex care coordination and population health
- LTSS program design and implementation
- Strategic partnerships and community engagement
- Financial management and operational excellence
- Organizational leadership and change management
Professional Impact
Under Madondo's leadership, the UnitedHealthcare Community Plan in Massachusetts has achieved significant improvements in key performance metrics, including:
- 15% increase in member satisfaction over the past two years
- 20% reduction in hospital readmission rates for high-risk members
- 12% improvement in HEDIS quality scores across the plan's core service lines
Madondo is a respected voice in the industry, frequently sharing his insights on LTSS innovations and Medicaid managed care best practices at national conferences and industry events. He is committed to driving positive change in the healthcare system and improving the lives of the underserved populations served by UnitedHealthcare's community-based programs.
Conclusion
With his extensive experience in managed care, LTSS program management, and population health, John Madondo is well-positioned to lead UnitedHealthcare's Community Plan in Massachusetts to new levels of excellence. His strategic vision, operational expertise, and clinical background make him a valuable asset in addressing the evolving healthcare needs of the state's Medicaid beneficiaries.
