Jeff Gruber work email
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Jeff Gruber personal email
I have extensive analytical reporting, management expertise on a wide range of health plan subject areas with an emphasis in how cost savings can be achieved through managed care practices. I’m skilled in evaluating and implementing value/quality based programs aimed in reducing healthcare costs, while improving patient safety. I’m experienced in implementing, analyzing and communicating how new reimbursement methodologies and interventions have reduced healthcare costs. I have analyzed and reported on the impact of such interventions to a wide variety of public and private employer groups. I’m a creative leader who has a passion for fostering teams that think independently, serve the customer first, while creating solutions that exceed expectations. This strategy is firmly based in, technical expertise, subject matter expertise, professionalism and humor. In addition to my professional interests in wellness, I’m passionate about initiatives that improve the health of our communities by communicating the benefits of the right care being delivered at the right time. My experience as a volunteer product tester for Nike for almost 20 years and extensive years as an amateur athlete contribute to my desire in improving the health of our communities. Such expertise translates well to other industries such as government, social service, not for profit and customer service roles.Specialties: Data and Analytics, Healthcare Cost Savings Solutions, Provider Contracting and Network Management, Reimbursement Methodologies, Motivational Leadership and Mentorship, Change Management, Project Leader, Pay for Performance, Legal Document Review, Health Plan Accreditation
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Director For The Pacific Nothwest RegionSignify Health Jun 2021 - Jan 2022Negotiated value-based provider agreements specific to Episode of Care methodology Recruited providers throughout the Pacific Northwest region on the value of Episode of Care partnerships Analyzed provider specific data assessing opportunity for program adoption and enhancementDeveloped complex cost and quality indicators to large and small multispecialty medical practicesPartnered with internal clinical and business stakeholders for groups under contract for participation and performance review and analysis -
Senior Provider Network ManagerAmerigroup Sep 2019 - May 2021Spokane, Washington AreaNegotiated and developed complex agreements with various entities including vendors, hospitals, clinics and Ambulatory Surgical CentersContracted provider contracts using a variety of reimbursement methodologies including, capitation, pay for performance, vendor relationships and risk sharing arrangementsManaged more that 2000 provider contracts for regional Medicaid and Medicare market over three states (Washington, Oregon and Idaho) Skilled in private and governmental contract procurement including regulatory requirements at the state and federal levelsManaged and implemented Value Based provider agreements for Washington state’s largest capitated medical providers -
Senior Account ManagerWashington State Health Care Authority Jun 2018 - Apr 2019Olympia, WaNegotiated and secured multi-year contracts with national vision and dental providers in compliance with the advisory board’s direction for the state of WashingtonLed the development and reporting of key performance indicators focusing on vendor execution, financial performance and customer satisfaction Managed contracts for Washington state employees and retirees ensuring vendors were compliant relative to their contracts, acting as the point of contact for all complaints and grievances -
Manager, Clinical Performance AssessmentPremera Blue Cross 2008 - 2017Spokane, Washington Area• Supervised and developed clinical outcomes reports for Premera’s clients to support client relationship and performance guarantees.• Analyzed and reported on the value of Premera’s cost savings from utilization management techniques and how they reduced or sustained costs.• Supervised the creation of products that monitored Premera’s clinical productivity, performance and financial performance relative to budget.• Led a dynamic team of multi-disciplinary analysts and developers in the design of analytic and reporting products for Premera’s Sales and Marketing, Operations, Health Care Economic, and Medical Management teams. • Identified and implemented new analytical and visualization tools such as Tableau and Cognos to best meet the needs of Premera’s customers. -
Disease Management/Quality Incentive Program AdministratorPremera Blue Cross 2004 - 2008• Supported Premera’s accreditation efforts for HEDIS, NCQA and URAC through acquisition and publication health plan and provider performance data. • Managed Premera’s Disease Management vendor relationships ensuring vendor adhered to service level agreements. • Led Premera’s provider incentive programs for the Pacific Northwest’s largest medical practices. These programs were instrumental in improving quality of care, patient satisfaction and pharmacy prescribing practices.
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Provider Network ExecutivePremera Blue Cross 2001 - 2004Spokane, Washington Area• Skilled in Premera’s healthcare contracting reimbursement methodologies that included capitation, pay for performance, vendor relationships and risk sharing arrangements for health members.• Negotiated multi-year, multimillion dollar professional, ancillary and facility agreements on behalf of Premera. Achievement of successful cost savings for the health plan. • Managed ongoing provider and health plan relationships ensuring quality of care and contract adherence.
Jeff Gruber Education Details
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Psychology
Frequently Asked Questions about Jeff Gruber
What is Jeff Gruber's role at the current company?
Jeff Gruber's current role is Healthcare professional in provider/vendor contracting utilizing diverse reimbursement methodologies including value based agreements all of which support payers, providers and local communities..
What is Jeff Gruber's email address?
Jeff Gruber's email address is jg****@****lth.com
What schools did Jeff Gruber attend?
Jeff Gruber attended Washington State University.
Not the Jeff Gruber you were looking for?
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Jeff Gruber
Founder, Practice Wax | Chief Development Advisor | Hospital-Based Physician AdvocateMars, Pa -
3jeffgruber.com, ecolab.com, smartcaresolutions.com4 +165125XXXXX
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Jeff Gruber
Washington, Dc3advisory.com, gmail.com, deloitte.com2 +120240XXXXX
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Jeff Gruber
Fayetteville, Nc1vitexpackaging.com1 +175753XXXXX
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