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About Culturally Elevated

People aligned.
Performance elevated.
Process built for execution.

A healthcare consulting and fractional leadership firm focused on helping organizations strengthen the people, performance, and processes behind sustainable results.

12+
Years leading Stars strategy
22
States under regional oversight
2M+
Members held accountable for
7/7
Texas contracts elevated to 4+ Stars
Founded By Jay Palmer

A firm built on what actually works.

Culturally Elevated is a healthcare consulting and fractional leadership firm focused on helping organizations strengthen the people, performance, and processes behind sustainable results.

Founded by Jay Palmer, Culturally Elevated brings more than 12 years of healthcare quality and performance improvement experience, with deep expertise in Medicare Advantage Stars, HEDIS, CAHPS, HOS, CMS and NCQA requirements, operational transformation, and cross-functional execution.

"How do we move from knowing what needs attention to building the structure required to act on it?"

That means looking beyond individual measures, initiatives, or workstreams to understand how priorities are established, how decisions are made, where accountability sits, how teams work together, and whether the organization has the infrastructure required to execute.

The Approach

Where people, performance, and process come together.

Culturally Elevated works with healthcare organizations navigating complex performance environments where leadership, quality, analytics, operations, member engagement, vendors, and executive priorities must come together.

Through consulting and fractional leadership, Jay helps organizations strengthen cross-functional alignment, create greater clarity around priorities, establish stronger operating rhythms, and build practical infrastructure that supports sustained execution. The work is not about adding more activity — it is about knowing what deserves attention.

01

What deserves attention

02

What deserves investment

03

Who needs to be aligned

04

What needs to happen next

Built From The Work

The tool behind the work.

Jay is also the creator of Denominator Intelligence™, a proprietary Medicare Stars performance and prioritization platform developed from the same operating principles that guide Culturally Elevated's consulting work.

Denominator Intelligence helps bring greater visibility to financial exposure, member opportunity, execution realities, and intervention priorities. When appropriate, the platform is included within Culturally Elevated engagements to support the strategy and decisions being made alongside client teams.

It is one of the tools behind the work — not a replacement for the leadership, judgment, and operational discipline required to move performance.

The Culturally Elevated Approach

Structure for ambiguity.

Complex organizations rarely need another isolated recommendation. They need someone who can connect people to strategy, strategy to execution, and execution to measurable performance.

Culturally Elevated brings structure to ambiguity, challenges assumptions when necessary, strengthens accountability, and helps organizations move forward with greater clarity and discipline. That is the work Culturally Elevated was built to do.
Work With Jay

Ready to build something
that actually performs?

If your organization is navigating complexity around healthcare quality, Medicare Stars performance, operational transformation, leadership, or cross-functional execution, let's talk.

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