Janice Young

Janice Young Email and Phone Number

Healthcare Managing Director, JWYoung Consulting @
Janice Young's Location
Bedford, Massachusetts, United States, United States
About Janice Young

Experienced healthcare leader for healthcare business strategy, technology innovation and operations management to healthcare insurance companies, provider organizations and technology organizations Business expertise includes all facets of health plan management, including consumer engagement, sales, enrollment, customer service, product development, provider partnership, at risk provider and payment models, clinical management, analytics, best practices and quality improvement, web site best practicesIT expertise includes industry, selection and competitive assessments for customer service, consumer engagement, claims, provider management, clinical management, analytics, product management, fraud and abuse on legacy, SaaS and cloud platformsPassions are consumer engagement, clinical management, emerging technologies - social, mobile, actionable analytics, legacy modernization, resultsCareer Highlights:Industry Analyst: Thought leadership and strategic advisor to healthcare paper organizationsConsultant for healthcare strategic planning, technology assessment, selection and implementation and operational deliveryStrategic Partner broker/consultantProminence: Frequent speaker, blogger, industry articles and presentationsTechnology Product Management:Industry leadership and marketing director for product development, market positioning, competitive analysis and product marketingHealth Plan Management:Product management, customer, provider and clinical operationsTechnology assessment, implementationClinical and business analyticsCustomer engagementProvider partnershipsBackground includes sales delivery, marketing, public speaking, events planning, research, writing, presentations. Adept at individual contribution and successful delivery leading cross functional matrix project.

Janice Young's Current Company Details
JWYoung Consulting

Jwyoung Consulting

Healthcare Managing Director, JWYoung Consulting
Janice Young Work Experience Details
  • Jwyoung Consulting
    Independent Consultant
    Jwyoung Consulting Jan 2019 - Present
  • Chilmark Research
    Director
    Chilmark Research Apr 2016 - Sep 2017
    Boston
  • Pegasystems
    Director, Industry Principal And Marketing
    Pegasystems Dec 2013 - Dec 2015
    Industry domain expert and marketing director for PegaSystems Healthcare, delivering business, product development strategy, competitive guidance and marketing program for health care applications.
  • International Data Corporation
    Program Director- Healthcare Insurance
    International Data Corporation Oct 2006 - Nov 2013
    Led research and business execution for IDC’s vertical industry healthcare payer research, and consulting business. Practice recognized as the top performing vertical industry practice within IDC Health Insights and across all IDC Vertical industry practices. Directed and delivered esearch and consulting services, and worked collaboratively with the IDC sales team on strategic account sales and delivery strategies, prospect calls, presentation and sales training.
  • Gartner
    Vice President, Healthcare Payer Research
    Gartner 1997 - 2003
    Led research strategy and business execution for Gartner’s healthcare payer market initiatives. Annually, executed consulting, articles and presentations on a variety of healthcare payer topics. Frequent speaker at industry, health plan and technology conferencesResearch and consulting delivery: Healthcare payer strategic IT trends and directionsHealthcare payer changing business models - business and IT strategiesHealthcare payer business processes and IT alignment… Show more Led research strategy and business execution for Gartner’s healthcare payer market initiatives. Annually, executed consulting, articles and presentations on a variety of healthcare payer topics. Frequent speaker at industry, health plan and technology conferencesResearch and consulting delivery: Healthcare payer strategic IT trends and directionsHealthcare payer changing business models - business and IT strategiesHealthcare payer business processes and IT alignment Healthcare payer system selection and implementationHealthcare payer outsourcing strategies and solution evaluationHealthcare payer vendor product reviews, market positioning, competitive positioning, pricing, servicesPartnerships Show less
  • Mercer Management
    Senior Consultant, Healthcare
    Mercer Management Apr 1994 - Dec 1996
    Greater Boston Area
    Healthcare consultant - business and IT strategy for health plans and provider organizations, including strategic planning, new business and market identification, technology assessment and competitive analyses
  • Bluecross And Blue Shield Massachusetts
    Director Of Operations, Hmo Products
    Bluecross And Blue Shield Massachusetts Mar 1989 - Dec 1994
    Greater Boston Area
    Network Management and Operations:*Developed, negotiated and administered selected tertiary, ancillary and facility networks and individual provider contracts.*Directed managed care operations team responsible for provider network administration, and contract negotiation and administration, referral and utilization management programs.*Directed the development and implementation of consolidated, statewide credentialing and utilization/referral management programs… Show more Network Management and Operations:*Developed, negotiated and administered selected tertiary, ancillary and facility networks and individual provider contracts.*Directed managed care operations team responsible for provider network administration, and contract negotiation and administration, referral and utilization management programs.*Directed the development and implementation of consolidated, statewide credentialing and utilization/referral management programs Strategy/Planning:*Chaired operations task force responsible for new product implementation and process redesign of 400,000 member mixed model system, supporting 50% growth in managed care products. *Directed annual operational and budget planning for $7.0 million network delivery and management area. Systems:*Successfully executed successive system conversions and related organizational integration and staff training to support HMO and Network operational areas Show less
  • Tufts Health Plan
    Provider Unit Manager
    Tufts Health Plan Jun 1986 - Feb 1989
    Greater Boston Area
    Strategic advisor to Tufts Health Plan PHO and IPA risk bearing organizationsInitiated and lead corporate IPA/PHO comparative profiles, best practices and clinical analytics program

Janice Young Education Details

Frequently Asked Questions about Janice Young

What company does Janice Young work for?

Janice Young works for Jwyoung Consulting

What is Janice Young's role at the current company?

Janice Young's current role is Healthcare Managing Director, JWYoung Consulting.

What schools did Janice Young attend?

Janice Young attended The Johns Hopkins University.

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