Alice Johnson work email
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Alice Johnson personal email
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I AM AN EFFECTIIVE CREATIVE, RESULTS DRIVEN, HEALTHCARE MANGMENT PROFESSIONAL offering expertise in translating complex needs into business requirements, leveraging a deep understanding of healthcare trends and emerging technologies in Medicaid and Medicare managed care, healthcare coverage, and policy management, navigating complex regulatory environments, ensuring compliance, mitigating risks effectively, and optimizing operational processes. I am a trusted business partner, effective communicator, and problem-solving leader known for building and maintaining positive, productive relationships to influence and achieve results within organizations. I develop and execute strategic initiatives to enhance insurance products, expand market reach, and drive revenue growth. I am a collaborative, strategic leader and resourceful team contributor with demonstrated successes in partnering with diverse, cross-functional teams to deliver innovative insurance solutions, improving access to healthcare, and providing comprehensive coverage options for clients and policyholders.
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Lead Director Medicaid ProductAetna, A Cvs Health Company Jun 2021 - Oct 2023Hartford County, Connecticut, United StatesServed as the lead subject matter expert for Elderly and Disabled populations in the Medicaid and Duals segment.• Crafted national strategies for business development in 6 Medicaid states.• Evaluated mergers and acquisitions for Elderly and Disabled populations.• Produced 6 playbooks for new product programs offerings impacting 7 Medicaid states using data and market research.• Presented at National Conferences and trained supporting segments on Medicaid populations.• Composed and supported National Policy recommendations to the Federal Government.• Implemented SaaS software vendor for differentiated network management. -
Associate ConsultantTen Healthcare Strategies, Llc., Apr 2021 - Jul 2021Newtown, Pa• Devised an Enhanced Care Management program for a Medi-Cal vendor.• Completed 20 Vendor applications for northern and southern California.
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Senior Director, Ltss ProductWellcare Health Plans Aug 2016 - Jul 2020Tampa, Florida, United StatesSenior Director, LTSS Product, August 2016 – July 2020Led cross-functional teams to develop and implement product performance improvements that enhanced member experience and persistence using two new SaaS software vendors..• Achieved care management system enhancement, improving existing Case Management performance by 70%.• Established innovative Case Management and Utilization Management model for Dual membership and non-Dual membership.• Advanced and transformed the hospital discharge process for Medicaid populations -
Vp, Western RegionIndependent Living Systems, Llc Nov 2013 - Aug 2016Phoenix, Arizona AreaOversaw Claims, Call Center, System Configuration, Provider Data Solutions, Credentialing, Business Analytics, Vendor Oversight, Sales, Client Relationships, and Clinical Operations in the Western Region.• Developed and executed Case Management and Utilization management services for Medicaid populations.• Managed Clinical Operations in the Western Region with over two hundred case managers.• Shaped two new States for Case Management and Utilization management programs.• Enhanced Case Management and Utilization Management audit results from 70% to 97% in scoring using a proprietary technology and analytics platform.. -
Head Of Medicaid OperationsAetna, A Cvs Health Company Jan 2013 - Nov 2013Phoenix, Arizona, United StatesHead of Medicaid Operations, January 2013 – November 2013Spearheaded Informatics, Data Warehouse, Medical Economics, Marketing, Enrollment, Member Outreach Center, Medicaid Swat Team, and iSolutions.• Championed indirect reporting relationships for Information Technology, Encounters, Claims, System Configurations, Provider Data Solutions, Provider Call Centers, Special Investigations Unit, and all local health plan operations including members' services, provider relations, appeals, and grievances.• Realized 11 key operational projects and completed 4 within the first six months.• Increased national operational performance of the organization by 6 percent.• Crafted data modeling for clinical operations and market financials.
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Head Of Business Process QualityAetna, A Cvs Health Company Aug 2011 - Jan 2013Served as a change agent and led the development of a continuous process improvement program for the Medicaid segment.• Identified process inefficiencies, reengineered new processes, and ensured long-term sustainability and continuity of all Medicaid processes.• Created and implemented a Medicaid-wide Fraud / Abuse Prevention Detection program that saved over $1 Million in its first partial year.• Created a centralized policy structure for NCQA accreditation and HEDIS reporting.
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Vice President Health Plan OperationsAetna, A Cvs Health Company Jan 2008 - Aug 2011Hartford, Connecticut, United StatesGuided the Product Management, Operations Department, and Process Management departments comprised of Information Technology, Training, and Product Management for Mercy Care Plan.• Improved claims adjudication to 92% and Encounter acceptance to 94%• Partnered with the Arizona Regulator on Managed care redesign for Medicaid populations.
Alice Johnson Skills
Alice Johnson Education Details
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Master In Social Work
Frequently Asked Questions about Alice Johnson
What is Alice Johnson's role at the current company?
Alice Johnson's current role is HEALTHCARE | EFFECTIVE LEADERSHIP | PRODUCT | OPERATIONS | HEALTH EQUITY | STRATEGY | INNOVATION | BUSINESS DEVELOPMENT | VENDOR MANAGEMENT.
What is Alice Johnson's email address?
Alice Johnson's email address is al****@****are.com
What is Alice Johnson's direct phone number?
Alice Johnson's direct phone number is +1.860.273*****
What schools did Alice Johnson attend?
Alice Johnson attended Arizona State University.
What are some of Alice Johnson's interests?
Alice Johnson has interest in Civil Rights And Social Action, Health.
What skills is Alice Johnson known for?
Alice Johnson has skills like Medicaid, Managed Care, Medicare, Hipaa, Health Insurance, Provider Relations, Utilization Management, Healthcare, Disease Management, Process Improvement, Healthcare Information Technology, Healthcare Industry.
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Alice Johnson
Executive Leadership | Collective Bargaining | Strategic Planning | Public RelationsGreater Chicago Area -
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Alice Johnson
Public Safety Professional Bringing Technology And People Together.Greater Seattle Area5yahoo.com, comcast.net, zetron.com, icom911.org, intrado.com4 +120632XXXXX
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