Jarred Perry Email and Phone Number

Teach graduate-level marketing courses in a 9-week term, once per week for four hoursConduct classes on the following topics: situational analysis, marketing strategy and decision-making, quantitative analysis,Use of simulations and case studies to teach effective problem-solvingDevelop and grade student assignments and assessmentsProvide regular feedback and guidance to studentsEngage in professional development activities related to marketing and stay current with industry trends and technologiesTeach in multiple modalities (distance online, remote, and on ground) as needed

Apply experienced level consulting competencies to drive recommendations and actions with providers and practice teams on office-based care delivery interventions resulting in cost of care savings and improved health outcomes for patients.• Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, supports practice to target high risk Elevance Health members and gaps in care, supports practice implementation of population health management, care coordination and care management strategies, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums. • Serves as liaison with Elevance Health Care Management to facilitate clinical processes between the company and the provider office• Conduct assessments and provide recommendations for provider enablement opportunities• Promote practice transformation to team-based patient centered care delivery. • Provide education for practices to develop expertise with metrics and data review for quality improvement. • Track progress of program and prepares status reports to management or senior management. • Interact and lead large meetings with practice staff including physicians, clinical and administrative staff • Identifies opportunities and recommendations to support the deployment of program interventions and action plans• Collaborates with EPHC team and other program stakeholders, including but not limited to: Account Manager, Provider Enablement, and other internal departments to collectively support the provider in their Value Based Contract

• Virtual and in-person presentations to provider groups• Collaborate with provider groups and internal peers to elevate STARS scores.• STARS quality education• Support all education opportunities on Humana businesses which include in person and telephonic interactions.• Lead and/or support external facing. • Account and business review meetings with key staff of Provider offices and Provider Groups• Provide explanations and information to others on topics within area of expertise.• Prioritize and organize own work to meet deadlines cross functionally within the organization.• Investigate non-standard requests and issues, prior to escalation if needed.• Work exclusively within a specific knowledge area.• Education and Training to facilities on Medication Adherence requirements for members• Provide outreach and education on updated policies, new initiatives, performance, for public healthcare programs

• Manage day to day operations of the team.• Ensure Onboarding and training team members on all departmental policies and procedures.• Identify and execute cross training opportunities.• Schedule staff in accordance with program business needs and available site tools• Coach and develop direct reports which would include team huddles, and 1:1.• Serve as a point of escalation for any customer complaints that require higher level of expertise.• Interface with clients regarding operational performance as per program set up/needs.• Continually evaluate the efficiency, productivity and accuracy of the team and make improvements to attain high levels of achievement in each area.• Promote and implement effective teamwork within all levels and areas of the organization.• Adapt to a fast paced, dynamic environment, maintain confidential information, make independent decisions, and meet deadlines.• Provided backup support for the team.

• Oversee and manage public health programs for health plan members, serving as member navigator, addressing, and resolving access to care issues.• Oversee and manage a budget of 25k annually for my assigned territory in Missouri.• Manage and address social economic issues that impact public health programs for plan members; scheduling and/or assigning home visits as needed. • Manage and organized community events for health plan members with multi-disciplinary officials within the insurance plan, medical practices, and various community action agencies.

• Served as first point of Quality Control for a Call Center of 75 Representatives; leading and serving Quality Management Specialist; directing all Quality Assurance Initiatives.• Conducted quality performance assessments for representatives and identify both individual and global performance trends. • Partnered with Call Center Management and Quality/Process Improvement Leadership to devise and implement training and other calibration session for staff and front-line leadership.• Promote and implement effective teamwork within all levels and areas of the organization.

• Served as first point of Quality Control for a Call Center of 75 Representatives; leading and serving Quality Management Specialist; directing all Quality Assurance Initiatives.• Conducted quality performance assessments for representatives and identify both individual and global performance trends. • Partnered with Call Center Management and Quality/Process Improvement Leadership to devise and implement training and other calibration session for staff and front-line leadership.• Promote and implement effective teamwork within all levels and areas of the organization

• Works closely with nursing homes, dialysis clinics, and other medical providers that have numerous clients with routinely scheduled trips in order to maximize scheduling coordination and information sharing• Visits facilities regularly to provide training and information about the NEMT process, and to learn about facility concerns.

• Responsible for the day to day supervision and coordination of workflow activities related to the ICM Nat’l/CE/WE. Provides administrative expertise and supervision to the ICM Nat’l/CE/WE team.• Provides ongoing mentorship, coaching and training for team members.• Assists with all team member Human Resource activities, including performance evaluations, training and time entry.• Supports employee performance and encourages ongoing staff development.• Conducts weekly one on one meeting with employees to review complex cases and to communicate any changes in policies and procedures.• Works with multidisciplinary organizational team to ensure a consistent and efficient workflow.• Held accountable for managing day-to-day operations including but not limited to: staff scheduling to ensure staff assignments and coverage for queues.• Held accountable for monitoring, tracking, and holding staff accountable for compliance to various UHC policies, including Time and Attendance, Overtime, and etc. • Held accountable for oversight of team member workflow training • Held accountable for tracking and reporting production statistics on an individual basis for employees as well as conducting employee reviews.• Responsible for handling any escalated provider/facility authorization request or supervisory issues that may arise• Responsible for handling employee onboarding or moves

• Resolves customer inquiries and complaints by providing patients with a consistent seamless experience. • Managed enforcing collection policies and procedures• Interviewing, counseling patients, and promoting financial assistance program in accordance within the mission and philosophy of SSM Healthcare.

Receive inbound calls, faxes, and web request from providers who are requesting authorization of services. Processing requests include entering authorizations in the claims system in preparation for approval by the Utilization Management clinical nursing staff, faxing authorization notification to providers, verifying admission, and discharge dates, requesting clinical information as directed by clinical staff. Identifying and routing clinical information to the appropriate nursing staff to facilitate timely review.

Managed inbound calls, faxes, and web request from providers who are requesting authorization of services. Processing requests include entering authorizations in the claims system in preparation for approval by the Utilization Management clinical nursing staff, faxing authorization notification to providers, verifying admission, and discharge dates, requesting clinical information as directed by clinical staff. Identifying and routing clinical information to the appropriate nursing staff to facilitate timely review. Molina Healthcare of Missouri St. Louis, Mo

Created opportunities in the community with co-sponsored forums, events and presentations to reach and educate the community on Molina Healthcare programs, in order to build enrollment.. Prepared a budget for area events to include event giveaways and material needs, event resource requirements, and other expenses.. Managed and organized new member orientations for Molina Healthcare members.. Managed coordinating events in addition to identifying resources connected to community outreach programs that support Molina’s core values. Represented service areas at meetings and conferences.. Provided weekly activities and other reports as required by management.. Delivered presentations and distributed educational materials to both members and potential members.; attended at least 20+ scheduled events per quarter

Managed in-patient and outpatient accounts follow-up billing. Audited approximately 120 claims per day ensuring proper application of contract requirements for many of the largest companies in healthcare.

Pre-screened medical procedures and surgeries based upon a medical script. Ensured requested procedure was covered by contract, and if not, gathered appropriate medical information for determination.

Proficiently discussed and executed Coventry Healthcare procedures, protocols, benefits and services. . Managed all member inquiries and grievances in current software using the call and issue manage tabs. Documentation is clear and concise without the use of templates and abbreviations. . Handled, redirected, or deferred to the appropriate department for resolution. While remaining compliant with established grievance procedures. . Responded to questions and problems within the specified time in compliance within established procedures. . Informed management staff about escalated member issues or questions. Interact with other departments to assist with the member inquiries. Pre-screened medical procedures and surgeries based upon a medical script.....Ensured requested procedure were covered by contract, and if not, gathered appropriate medical information for determination.