Director, Specialty Health Disparity Initiatives
CurrentDevelop and drive strategies to reduce care gaps and Health Disparities, focusing on Health Equity
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Jennifer N. is listed as Director Health Disparity Initiatives - Quality Mgmt • Doctoral Student (Behavioral Health) Organizational Leadership Psychology • MS Pharmacology • MBA • Managed Care • Pharmacy • STARS • HEDIS at Horizon Blue Cross Blue Shield of New Jersey, a company with 4421 employees, based in Slidell, Louisiana, United States. AeroLeads shows a matched LinkedIn profile for Jennifer N..
Jennifer N. previously worked as Director, Specialty Health Disparity Initiatives at Horizon Blue Cross Blue Shield Of New Jersey and Director National Quality Management: West Region at Carelon Behavioral Health. Jennifer N. holds Doctorate, Leadership Psychology from William James College.
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Jennifer Nethers is a healthcare professional with 10+ years of experience, including 4 years working alongside the executive team of a Fortune 500 company. Jennifer specializes in Quality improvement, including increasing HEDIS/STAR performance rates and is responsible for educating internal and external stakeholders on using predictive modeling and proactive Health Equity behavior to find and reduce care gaps. Jennifer combines her formalized schooling of Pharmacology, Business Administration and Management, and Leadership Psychology along with over a decade of practical experience in pharmacy, behavioral health, and government insurance (Medicare and Medicaid) to bring a unique skillset to any company looking to expand within the healthcare landscape. Among the things that make Jennifer's performance stand out is her ability to rally others and increase workplace morale. Her approach to team-building includes learning the strengths and passions of each individual on the team and ensuring a creative and engaging environment to learn and grow. She is a strong proponent of encouraging the utilization of personal, unique experiences to help develop meaning around the work being done. Through transparency, humility, and honesty, Jennifer leads and develops others to help guide towards fulfillment of individual goals as well as to create a group of people who comprise something greater together than alone.Highlights:Masters of Science: Pharmacology (specialization: toxicology and safety) - The Ohio State University 2021Masters of Business Administration and Management - Quantic School of Business and Technology 2023Doctoral Student - Organizational Leadership (Multicultural Behavioral Health) - William James 2026Bachelors: Psychology (minors: sociology, sexuality studies) - The Ohio State University 2011Most recent role: Director, National Quality ManagementI have pharmacy experience in Specialty, Long Term Care, Managed Care, and Retail. I have a solid background of ICD 9/10 and j-codes, STARS and HEDIS measure improvement, and CMS compliance. I have heath insurance experience in Medicare, Medicaid, MediCAL, Duals, CHIP, and commercial.
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Develop and drive strategies to reduce care gaps and Health Disparities, focusing on Health Equity
*Part of Anthem* Develops, implements, leads quality improvement programs, ensuring NCQA complianceLeads / chairs Quality committeesTracks KPIs, CPIs, and monitors SLA relating to quality
*Part of Anthem* Evaluate and improve plans for CQI through monitoring HEDIS improvement action plans in compliance with CMS and NCQA standards for the Louisiana Medicaid Market
Claims Correspondence MA and MMP & New Day Claims MA and MMP, Cash Adjustments, Direct Member Reimbursement
Claims Correspondence MA and MMP & New Day Claims MA and MMP
Audit support, compliance, STARs measure support, CMS related activity, management of in office and work from home staff at individual contributor and Team Lead level
Began as a Team Leader for Pharmacy Medicare and was promoted to Manager for Grievance and Appeals for Medicare. Compliance and oversight for MA, MMP, DSNP
Other employees you can reach at horizonblue.com. View company contacts for 4421 employees →
Elizabeth Huerta-Salas
Colleague at Horizon Blue Cross Blue Shield Of New JerseyNew York, New York, United States, United States
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Brandon Olivares
Colleague at Horizon Blue Cross Blue Shield Of New JerseyNew York City Metropolitan Area, United States
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Monali Hathi
Colleague at Horizon Blue Cross Blue Shield Of New JerseyUnited States, United States
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Jaime Krupnick-Lovitz
Colleague at Horizon Blue Cross Blue Shield Of New JerseyUnited States, United States
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Chantel Hunter
Colleague at Horizon Blue Cross Blue Shield Of New JerseyNewark, New Jersey, United States, United States
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Mary Lee
Colleague at Horizon Blue Cross Blue Shield Of New JerseyMt. Laurel, New Jersey, United States, United States
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Greg Billups
Colleague at Horizon Blue Cross Blue Shield Of New JerseyNew York City Metropolitan Area, United States
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Nardine Sedfawy
Colleague at Horizon Blue Cross Blue Shield Of New JerseyOld Bridge, New Jersey, United States, United States
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Phil Bonaparte
Colleague at Horizon Blue Cross Blue Shield Of New JerseyNewark, New Jersey, United States, United States
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Karen Krueger
Colleague at Horizon Blue Cross Blue Shield Of New JerseyHightstown, New Jersey, United States, United States
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Specializations - Toxicology and Safety Pharmacology
Minors - Sociology, Sexuality Studies
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Jennifer N. works for Horizon Blue Cross Blue Shield of New Jersey.
Jennifer N. is listed as Director Health Disparity Initiatives - Quality Mgmt • Doctoral Student (Behavioral Health) Organizational Leadership Psychology • MS Pharmacology • MBA • Managed Care • Pharmacy • STARS • HEDIS at Horizon Blue Cross Blue Shield of New Jersey.
Jennifer N. is based in Slidell, Louisiana, United States while working with Horizon Blue Cross Blue Shield of New Jersey.
Jennifer N. has worked for Horizon Blue Cross Blue Shield Of New Jersey, Carelon Behavioral Health, Healthy Blue Louisiana, Anthem, Inc., and Caresource.
Jennifer N.'s colleagues at Horizon Blue Cross Blue Shield of New Jersey include Elizabeth Huerta-Salas, Brandon Olivares, Monali Hathi, Jaime Krupnick-Lovitz, and Chantel Hunter.
You can use AeroLeads to view verified contact signals for Jennifer N. at Horizon Blue Cross Blue Shield of New Jersey, including work email, phone, and LinkedIn data when available.
Jennifer N. holds Doctorate, Leadership Psychology from William James College.
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