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.
Jwyoung Consulting
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Independent ConsultantJwyoung Consulting Jan 2019 - Present
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DirectorChilmark Research Apr 2016 - Sep 2017Boston -
Director, Industry Principal And MarketingPegasystems Dec 2013 - Dec 2015Industry domain expert and marketing director for PegaSystems Healthcare, delivering business, product development strategy, competitive guidance and marketing program for health care applications. -
Program Director- Healthcare InsuranceInternational Data Corporation Oct 2006 - Nov 2013Led 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. -
Vice President, Healthcare Payer ResearchGartner 1997 - 2003Led 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 -
Senior Consultant, HealthcareMercer Management Apr 1994 - Dec 1996Greater Boston AreaHealthcare consultant - business and IT strategy for health plans and provider organizations, including strategic planning, new business and market identification, technology assessment and competitive analyses
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Director Of Operations, Hmo ProductsBluecross And Blue Shield Massachusetts Mar 1989 - Dec 1994Greater Boston AreaNetwork 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
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Provider Unit ManagerTufts Health Plan Jun 1986 - Feb 1989Greater Boston AreaStrategic 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
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Romance Languages, Biology, Health Policy And Management
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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