The Foundation
Built from the inside out.
Jay Palmer is the Founder of Culturally Elevated and the Creator of Denominator Intelligence™. She built her career from inside some of the largest Medicare Advantage organizations in the country, holding direct accountability for Stars performance across millions of members and dozens of markets — before stepping out to build something of her own.
What she learned over twelve years is that the organizations that consistently perform at the highest levels don't have more resources or harder-working teams. They have a more precise understanding of where effort actually moves the needle — and the infrastructure to act on it consistently.
Cigna HealthSpring
Quality improvement and Stars strategy
UnitedHealth Group / UnitedHealthcare
Regional Director of Quality Operations, West Region — 22 states, 2M+ members
Culturally Elevated
Founder — consulting, fractional leadership, and speaking for organizations navigating complex performance environments
"The organizations that perform in complexity are not the ones with the best intentions — they are the ones with the best infrastructure."
