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Jennifer N. Email & Phone Number

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
Location: Slidell, Louisiana, United States 8 work roles 4 schools
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Director Health Disparity Initiatives - Quality Mgmt • Doctoral Student (Behavioral Health) Organizational Leadership Psychology • MS Pharmacology • MBA • Managed Care • Pharmacy • STARS • HEDIS
Location
Slidell, Louisiana, United States
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Who is Jennifer N.? Overview

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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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Email format at Horizon Blue Cross Blue Shield of New Jersey

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Horizon Blue Cross Blue Shield of New Jersey

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About Jennifer N.

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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Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield Of New Jersey
Director Health Disparity Initiatives - Quality Mgmt • Doctoral Student (Behavioral Health) Organizational Leadership Psychology • MS Pharmacology • MBA • Managed Care • Pharmacy • STARS • HEDIS
east newark, new jersey, united states
Website
Employees
4421
AeroLeads page
8 roles

Jennifer N. work experience

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Director, Specialty Health Disparity Initiatives

Current

Develop and drive strategies to reduce care gaps and Health Disparities, focusing on Health Equity

Jun 2024 - Present

Director National Quality Management: West Region

*Part of Anthem* Develops, implements, leads quality improvement programs, ensuring NCQA complianceLeads / chairs Quality committeesTracks KPIs, CPIs, and monitors SLA relating to quality

Jun 2023 - Dec 2023

Director I Clinical Quality Management

*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

Mar 2022 - Jul 2023

Manager Ii Medicare Claims - Government Business Division

Claims Correspondence MA and MMP & New Day Claims MA and MMP, Cash Adjustments, Direct Member Reimbursement

Dec 2021 - Mar 2022

Manager I Medicare Claims - Government Business Division

Claims Correspondence MA and MMP & New Day Claims MA and MMP

May 2020 - Dec 2021

Manager - Grievance And Appeals Medicare

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

Feb 2020 - May 2020

Team Lead, Pharmacy Medicare

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

May 2018 - Feb 2020
Team & coworkers

Colleagues at Horizon Blue Cross Blue Shield of New Jersey

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4 education records

Jennifer N. education

Bachelor'S Degree, Psychology (Neuroscience Focus), 3.7 Gpa

Minors - Sociology, Sexuality Studies

FAQ

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What company does Jennifer N. work for?

Jennifer N. works for Horizon Blue Cross Blue Shield of New Jersey.

What is Jennifer N.'s role at 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.

Where is Jennifer N. based?

Jennifer N. is based in Slidell, Louisiana, United States while working with Horizon Blue Cross Blue Shield of New Jersey.

What companies has Jennifer N. worked for?

Jennifer N. has worked for Horizon Blue Cross Blue Shield Of New Jersey, Carelon Behavioral Health, Healthy Blue Louisiana, Anthem, Inc., and Caresource.

Who are Jennifer N.'s colleagues at Horizon Blue Cross Blue Shield of New Jersey?

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.

How can I contact Jennifer N.?

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What schools did Jennifer N. attend?

Jennifer N. holds Doctorate, Leadership Psychology from William James College.

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