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Experienced senior physician executive with deep payer and provider expertise. Skilled at moving organizational and provider change; leveraging consensus; designing incentive programs and using data to drive cultural and behavioral change. Deep domain knowledge in contracting, quality management, alternative payment methodologies, pharmacy policy and utilization management, disease management, case management, and credentialing. Skilled at external and internal program development, driving population level change
Intrepis, Llc
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PrincipalIntrepis, LlcBoston, Ma, Us
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Medical Director Massachusetts Association Of Health PlansMassachusetts Association Of Health Plans Sep 2022 - PresentPhysician Executive responsible for providing medical representation in regulatory and legislative forums as well as media inquiries for a trade organization representing sixteen health plans and two behavioral health organizations.
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PrincipalIntrepis, Llc Oct 2016 - PresentIntrepis LLC is a healthcare consulting company with business and clinical expertise in strategy, innovation, and execution in medical device, provider, and payer sectors. National Committee of Quality Services (NCQA) preparation expertise.
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Vice President, Senior Medical DirectorHarvard Pilgrim Health Care Apr 2018 - Jan 2021Canton, Massachusetts, UsSenior Medical Director for regional 1 million lives + health plan with responsibilities for: medical policy development and implementation including medical pharmaceuticals; physician oversight of utilization management and case management; cost savings initiatives; UM vendor policy management and personnel management of health plan physicians. -
Chief Medical OfficerMinuteman Health, Inc. Mar 2014 - Apr 2018Chief Medical Officer for Minuteman Health, a new member-governed, non-profit health HMO sponsored by the Affordable Care Act. Minuteman is dedicated to providing its members access to high quality,affordable health care in an innovative fashion that minimizes administrative costs and maximizes its members' health.
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Medical DirectorBlue Cross Blue Shield Of Massachusetts 1993 - 2014Boston, Ma, UsPhysician leader for credentialing/privileging program and provider contracting. Chair of the BCBSMA Credentials committee. Medical Director support for providers in BCBSMA alternative quality contract ( risk contract with global payments and quality incentives). Former Chair of BCBSMA P&T committee and physician leader of BCBSMA pharmacy program. Experience with utilization management, case management, disease management, payment policy, medical policy, provider audit, quality program, peer review, clinical guideline development and NCQA accreditation. -
Medical DirectorMind Body Medical Institute Sep 1997 - Sep 1999Medical director with responsibility for clinical oversight and personnel management for multidisciplinary team of clinicians, including nurse practitioners, psychologists, dieticians, and physical therapists. The group provided individual and group medicine visits for patients with complex medical illnesses. Services delivered improved patients’ ability to cope with their diseases. This type of medical intervention has been shown to be cost effective and result in reduced medical utilization.
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Primary Care PhysicianBraintree Medical Associates Oct 1989 - Jun 1995Primary care physician in a staff model HMO.
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HospitalistMissouri Baptist Hospital Aug 1987 - Aug 1989Hosptial based internist responsible for medical care in Surgical Intensive Care Unit
Jan Cook Skills
Jan Cook Education Details
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Harvard T.H. Chan School Of Public HealthQuality Of Care Assessment -
The University Of Chicago Pritzker School Of MedicineDoctor Of Medicine (M.D.)
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Washington University In St. LouisBiology
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Southern Illinois University, CarbondalePsychology
Frequently Asked Questions about Jan Cook
What company does Jan Cook work for?
Jan Cook works for Intrepis, Llc
What is Jan Cook's role at the current company?
Jan Cook's current role is Principal.
What is Jan Cook's email address?
Jan Cook's email address is ja****@****sma.com
What is Jan Cook's direct phone number?
Jan Cook's direct phone number is (855) 644*****
What schools did Jan Cook attend?
Jan Cook attended Harvard T.h. Chan School Of Public Health, The University Of Chicago Pritzker School Of Medicine, Washington University In St. Louis, Southern Illinois University, Carbondale.
What skills is Jan Cook known for?
Jan Cook has skills like Pay For Performance, Hospitalists, Primary Health Care, Concensus Building, Pharmacy Management And Program Development, Provider And Institutional Credentialing, Provider Contracting And Negiotiation, Leadership In Matrix And In Traditional Business Environments, Changing Provider Behavior, Dealing With Difficult Providers, Mind Body Medicine, Pay For Performance Incentives.
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