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Business executive with extensive leadership experience growing and transforming business performance, delivering innovative solutions, and bottom-line results. Advanced risk management skills developed through multiple major system implementations and migrations to enhance business operations. Significant experience in cultural change, leadership development, and associate engagement. Calm, proactive, and strategic leader who recognizes criticality of alignment of priorities, resources, culture, and team buy-in for successful execution.Led many teams developing leaders to transform performance, improving bottom line results, customer satisfaction, and associate engagement. Led or co-led major high-risk system migrations or implementations, transferring 25-year+ data center to enterprise solution at Anthem Dental, executing new pharmacy benefit manager, new administrative platform for billing, enrollment, and claims payment in 10-month period for Medica Health Plan. In each situation, systems were implemented without major customer disruption in spite of aggressive timelines.Co-led cultural transformation from wholesale to retail orientation at Anthem Dental and Medica Health Plan. Reoriented leadership focus through measurement of key satisfaction metrics such as NPS, level of effort, first call resolution, overall satisfaction, and CHAPS and JD Power survey results. Served as key leader in several organizational integrations resulting from merger, acquisition, and / or corporate restructuring, including establishment of new vision, purpose, mission, and long-term strategic plans. Leadership structures, organizational processes, and executive / board oversight requirements were put in place.Led implementation of new core human resource functions such as payroll, compensation, and talent management. In concert with Board of Directors Personnel and Compensation Committee, established executive and associate compensation system, including annual merit review and incentive award processes. Initiated emerging leaders program focused on developing pipeline of leadership talent. Served as lead executive for 3 of Medica’s largest vendors for core back-room operations and pharmacy benefit management covering 1.5M members. Negotiated contracts and renewals and led quarterly performance reviews. Lead operations executive performing third party administrative functions for Anthem Dental covering 5.5M members. Please contact me at jana.johnson@charter.net
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TrusteeMinnesota State Colleges And UniversitiesSaint Paul, Mn, Us
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Staff Vice President, OperationsAnthem Mar 2018 - Feb 2022Eagan, MnLed Dental Division operations and service teams (billing, enrollment, case installation, audit, call center, customer advocates, system support and testing, clinical review, and on-shore and off-shore vendors) to support 6M members for Anthem integrated business and stand-alone third-party administrator clients. Oversaw team of 6 direct reports and 450 associates with annual budget of $46M. Managed performance of off-shore call center teams serving Anthem dental members and providers. Reported to President of Dental and Vision and Vice President Business Solutions Group via matrixed organization.• Joined team to lead them through downsizing and restructuring due to loss of long-time customer comprising 40% of membership.• Realigned team leadership and frontline associates to focus on improvement of member experience and consistent achievement of needed results, reducing claim payment turnaround time from 90% to 95% within 14 days in 2021 and 2022. • Co-led migration of 25-year+ dental data center to Anthem enterprise solution with no disruption to customers. Integrated key applications and operational processes with enterprise solutions. -
MemberWomen Business Leaders Of The Us Health Care Industry Foundation (Wbl) 2009 - Feb 2022 -
Senior Vice President, Health And Provider ServicesMedica Jan 2014 - May 2017Greater Minneapolis-St. Paul AreaDirected all aspects of medical managed care functions, including medical policy, utilization review, case management, health and disease management programs, pharmacy / formulary management and provider services. Managed vendors for pharmacy benefit and specialty pharmacy administration and nurse line services. Led team of 11 direct reports and total of 200 with annual budget of $24M. Reported to Chief Medical Officer, staff leader to Board of Directors Medical Committee. • Re-established core managed care capabilities, increasing Medicare Star ratings from 4.0 to 4.5 while mitigating medical trend increases by 2%.• Saved $3.5M annually by implementing medical trend risk-sharing contract with new specialty pharmacy vendor.• Reduced expenses $3.5M annually through creating first in market solution for medical pharmacy utilization management and claims edits.• Developed new organization structure, creating increased transparency in value and costs, strengthening leadership, improving productivity and core competencies while reducing administrative costs.• Led highly successful system implementation of new Pharmacy Benefit Manager, projected to save $680M over 3-year period with negligible disruption to members or customers. -
Senior Vice President, OperationsMedica 2004 - 2014Greater Minneapolis-St. Paul AreaLed all aspects of health plan operations, policy development and oversight of vendor’s transaction services, commercial member, employer/broker, and provider contact centers, serviced 1.5 million calls per year. Oversaw $29M budget and contractual relationships equating to $80M annually. Led team of 8 direct reports and staff of 329. Reported to the CEO.• Key executive sponsor for implementation of new suite of administrative systems, executed within a 10-month period meeting deadline for open enrollment.• Key member of executive team that led cultural transformation from wholesale to retail orientation and achieved year over year increases in member satisfaction as evidenced by JD Power and CAHPS consumer surveys. • Developed and implemented strategy that supported product/market innovations in increasingly complex operations while reducing administrative costs and improving operational performance.Led administration of consumer directed product offerings. Streamlined operations, improving customer experience and reducing costs. • Renegotiated contract for the re-pricing of leased provider network claims administration. Achieved 33% cost reduction in 2008.
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Vice President, OperationsMedica 1999 - 2004Greater Minneapolis-St. Paul AreaLed claims operations, credentialing, provider contract installation and provider service. Expanded accountability (2001) for vendor management of outsourced of back-room operational functions. Led team of 4 direct reports and staff of 150. Reported to the Senior Vice President, Health Services. • Streamlined and reduced claim payment turnaround time by >40%.
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Interim Vice President, Human Resources, Learning And FacilitiesMedica 2002 - 2003Greater Minneapolis-St. Paul AreaLed Human Resources, Learning and Facilities team of 4 direct reports and staff of 35. Reported to the CEO. Staff leader to Board of Directors Personnel and Compensation Committee. After company spin off, initiated, designed and implemented executive and staff performance management program and compensation program.• Reinforced Family friendly corporate culture, implemented Medica’s first employee survey and corresponding response plans.
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Vice President, Contracted Operations And Managed Care SystemsHealthpartners 1995 - 1999Greater Minneapolis-St. Paul AreaLed Health Services Analysis and Research team, the in-house business analytic function supporting health plan contracting, care management and medical management. Managed relationship with largest contracted medical group that served over 20% of the health plan’s membership. Led provider operations support for Buyers Health Care Action Group, a coalition of Twin Cities’ largest employers comprised of 100,000+ members. Led team of 5 direct reports and staff of 40. Reported to Executive Vice President, Managed Care.• Employed cutting edge software for risk adjustment of provider payments; identifying high risk/high cost members • Served as Business Sponsor for development of Analytical Data Warehouse, designed to contain claims, encounter, membership, provider, product, laboratory results and health plan status survey results for 750,000+ members. -
Senior Director, Contracted Operations And Managed Care SystemsHealthpartners 1993 - 1995Greater Minneapolis-St. Paul AreaSimilar responsibilities to above position.• Met ever-changing reporting needs of customers by enhancing staff skills and capabilities enabling sophisticated utilization and cost analysis with high levels of data integrity. Report production doubled and customer satisfaction improved while reducing overall staff resources.
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Senior Director, Planning And Corporate StaffHealthpartners 1991 - 1993Served as Chief of Staff to CEO and Led corporate planning function for Group Health/HealthPartners, working with senior management and Board of Directors. Provided leadership for mergers between Group Health and MedCenters Health Plan and between HealthPartners and Ramsey Health Care.
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Planning ManagerHealthpartners 1989 - 1991Greater Minneapolis-St. Paul AreaFacilitated the development and implementation of corporate and department annual plans across the health plan and medical group. This included the development of business plans for the medical group’s primary and specialty departments, working with the clinical and business leadership.Key Accomplishments:• Established strong linkage between long-range goals, objectives and strategies to the individual divisions and departments within the health plan and medical group.• Worked directly with medical department and clinic leadership to develop long-range business and marketing plans.• Led the development of an insurance wrap product offering featuring Group Health and Preferred One provider networks.
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Marketing ConsultantStrategiccare, Inc. 1988 - 1989Served as a consultant for physician specialists and allied health professionals, developing marketing programs to start and/or grow their professional practices. Work included:• Business, marketing, financial and long range strategic plans.• Tools and training to evaluate and improve patient satisfaction.• Evaluation of operational systems that impact productivity and patient satisfaction.
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Product Development CoordinatorMinneapolis Children'S Medical Center 1987 - 1988Greater Minneapolis-St. Paul AreaServed as staff in the marketing department, working on marketing and business development opportunities for the Medical Center. Work included:• Development of a business plan for a home hospice program.• Business and marketing plan development for the prosthesis department at Gillette Children’s Medical Center.
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Marketing ManagerNorth Memorial Health Care 1986 - 1987• Developed a business plan for the start up of a Cosmetic Surgery Center program in joint venture with the Medical Center’s plastic surgery physicians.• Developed a business plan for free standing physical therapy centers in partnership with Copeland Physical Therapy. Provided direction and leadership for the construction of a free-standing facility.• Led a staff of one marketing analyst. -
Product ManagerNorth Memorial Health Care 1984 - 1986Greater Minneapolis-St. Paul Area• Developed strategic marketing programs in the areas of trauma, oncology, cardiology, rehabilitation and neonatology.• Managed the market research function for the Medical Center.
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Frequently Asked Questions about Jana Johnson
What company does Jana Johnson work for?
Jana Johnson works for Minnesota State Colleges And Universities
What is Jana Johnson's role at the current company?
Jana Johnson's current role is Trustee.
What is Jana Johnson's email address?
Jana Johnson's email address is ja****@****hem.com
What is Jana Johnson's direct phone number?
Jana Johnson's direct phone number is +195299*****
What schools did Jana Johnson attend?
Jana Johnson attended University Of St. Thomas, University Of Minnesota.
What are some of Jana Johnson's interests?
Jana Johnson has interest in I Love To Be Active, Detective Stories And Adventures.
What skills is Jana Johnson known for?
Jana Johnson has skills like Leadership, Strategic Planning, Operations Management, Healthcare, Business Development, Cross Functional Team Leadership, Managed Care, Strategy Execution, Vendor Management, Leadership Development, Product Development, Project Planning.
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Jana Johnson
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Jana J.
Data And Analytics Extraordinaire | Proud Supporter Of The Oxford CommaAtlanta Metropolitan Area5spsu.edu, hotmail.com, gmail.com, coca-cola.com, coca-cola.com1 +167890XXXXX
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