Board Director · Healthcare

Jeff
Spight

Healthcare Operator & Board Director

PE-backed healthcare services — behavioral health, value-based care, and oncology. Currently building at the frontier of healthcare AI.

McKinsey consultant turned thirty-year healthcare operator. P&L leadership across managed care, behavioral health, and oncology at Bravo Health, Collaborative Health Systems, and MIND 24-7. Currently Co-Founder & CSO of Covenant Specialty Health — AI-powered oncology care management. Past Board of Directors at MIND 24-7, Troy Medicare, and Primo Center for Women and Children.

Board Inquiries Track Record

MBA · Stanford Graduate School of Business

Co-Founder & CSO · Covenant Specialty Health

Certified Sommelier · 6040 Wines, Napa Valley

Areas of Expertise

Healthcare Operations & Value-Based Care

Full P&L ownership across behavioral health, oncology, Medicare Advantage, and ACO program design. Thirty years building clinical programs that align payer incentives, manage medical cost, and scale — from early-stage to hundreds of millions in spend. ACO portfolio performance of $130M in earned savings on $2B in managed spend.

Fundraising & Capital Markets

Built investor narratives, managed institutional PE diligence, and maintained board-level stakeholder relationships at growth-stage healthcare companies. Deep experience taking organizations from concept through multiple rounds of institutional capital and operating scale.

AI Integration in Clinical Operations

Hands-on practitioner of enterprise AI deployment — clinical frameworks, financial models, and operating systems. Can evaluate AI vendor claims, assess integration risk, and pressure-test AI ROI assumptions with the same rigor applied to any capital allocation decision.

Governance & Board Service

Board of Directors at MIND 24-7, Troy Medicare (Chairman), and Primo Center for Women and Children. Advisory board positions at Latitude Health, Sciata, and Clarify Health. Governance experience spanning clinical operations, growth-stage accountability, PE-backed strategy, and nonprofit stewardship.

Track Record

Thirty years in healthcare — McKinsey to managed care to founder. The through-line has always been the same: build the structure that makes scale possible, then execute.

My career has been defined by taking on complex, undermanaged problems in healthcare — behavioral health, oncology, managed care — and building the systems, teams, and financial models to solve them at scale.

What I bring to a board is the perspective of someone who has been in the room when the hard decisions were made: when to accelerate, when to conserve, how to hold clinical integrity alongside commercial pressure, and how to work with PE partners who understand the business as well as you do.

Today I am actively building Covenant Specialty Health at the frontier of healthcare AI — the strategic and technical questions I bring to a board are ones I am living in real time, not theorizing about.

2025 — Present

Co-Founder & CSO

Covenant Specialty Health

AI-powered oncology care management for self-insured employers. Building clinical framework, investor narrative, and NHS rapid diagnostic clinic pilot in the UK.

2020 — 2024

Founder & CEO

MIND 24-7

Built behavioral health company from concept to tens of thousands of patients in 18 months. Raised institutional PE including Kaiser Permanente. Scaled to multiple clinics and hundreds of staff across the Phoenix area.

2019 — 2020

Chief Executive Officer

Connections Health Solutions

Managed crisis behavioral health provider. Improved EBITDA from $700K to ~$4M in first 100 days. Overhauled leadership team, systems, and infrastructure.

2013 — 2018

President & CEO, ACO/MSO Division

Collaborative Health Systems (WellCare / Universal American)

30+ ACOs, $2B in spend, 300,000 Medicare lives. $130M in earned savings. NAACOS Board Member.

2011 — 2013

Executive Director

McKinsey Solutions · London & Scottsdale

Led healthcare analytics product development for internal startups. Built global risk stratification expertise across health system clients.

2006 — 2011

Vice President (Multiple Roles)

Bravo Health · AmeriHealth Mercy / Independence Blue Cross

Full P&L ownership at Bravo Health across Medicare Advantage special needs and institutional long-term care plans. Grew membership 120% in 18 months. Led M&A and JV strategy at AmeriHealth Mercy.

Earlier

Consulting & Financial Services Foundation

Deloitte · Citigroup · WellCare · Americas MedSearch

Corporate investment banking at Citigroup, strategy consulting at Deloitte, corporate development at WellCare through IPO, and PE-backed operational turnaround at Americas MedSearch.

Education

MBA · Certified Sommelier

Stanford GSB · Court of Master Sommeliers

Stanford MBA. BA Mathematics & Economics, Magna Cum Laude — Colorado College. Certified Sommelier and proprietor of 6040 Wines, a boutique label with 12 years of production in Napa Valley.

What I Bring to a Board

Operator Credibility

I have built healthcare companies — not advised them from the outside. I know what the income statement looks like when you're scaling clinical headcount faster than revenue, and I know how to read the early warning signs that matter.

AI Literacy — Real, Not Theoretical

I deploy AI across clinical frameworks, financial modeling, and daily operations. I can evaluate AI vendor claims, assess integration risk, and pressure-test AI ROI assumptions with the same rigor I apply to any capital allocation question.

Payer & Employer Market Access

Active relationships with health plans, self-insured employers, and national broker networks. For PE-backed healthcare companies where payer contracting and employer market development are growth levers, this is a direct board contribution — not just advisory context.

PE Partnership Experience

I understand how PE sponsors think about value creation, exit timing, and management team accountability. I can be the board member who bridges operator instinct and investor discipline — useful in every boardroom, essential in high-growth healthcare.

JeffSpight