► Streamlines Complexity► Innovative Product Development that Wins► Cross-Functional and Leadership ExcellenceAs a dedicated leader in the healthcare industry, I’ve spent years immersing myself in the world of Medicare and Medicaid, developing a deep understanding of the intricacies and opportunities within these complex regulatory environments. My passion lies in creating innovative product strategies and optimizing operations to deliver tangible results.In my current role, I've had the privilege of leading a dynamic team, doubling our membership base through strategic product repositioning and fostering a culture of operational excellence. I take pride in my ability to simplify complex regulatory requirements, transforming them into clear, actionable strategies that drive compliance and operational efficiency.Colleagues often describe me as a natural problem-solver and an intuitive decision-maker, capable of breaking down intricate challenges into manageable components. My leadership style emphasizes collaboration, mentorship, and empowerment, ensuring that my teams are equipped to achieve high performance and innovation.Throughout my career, I have consistently demonstrated my ability to navigate and adapt to changing landscapes. Whether it's managing vendor relationships, spearheading product development, or engaging in public speaking to articulate our vision, I am committed to driving sustainable growth and exceeding market expectations.If you're passionate about healthcare innovation and creating impactful solutions, let’s connect! I’m always excited to share insights, discuss industry trends, and explore collaborative opportunities.Key Skills: Deep industry and CMS expertise ◆ Instinctual decision maker ◆ Master simplifier ◆ Customer-centric product and program innovator ◆ Dynamic leader ◆ Emotionally intelligent communicator ◆ Operational excellence champion ◆ Compassionate mentor ◆ Detail-oriented planner ◆ Resilient and agile ◆ Strategic negotiator ◆ Results-driven achiever ◆ Effective collaboratorCore Strengths:• Product Development • Strategic Planning • Operational Efficiency • Regulatory Compliance • Vendor Management • Financial Growth • C-Suite Communication • Collaborative Leader • Analytical
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Director Of ProductGeha HealthIndependence, Mo, Us -
Director, Government ProductsBlue Cross And Blue Shield Of Kansas City Mar 2020 - PresentKansas City, Mo, Us -
Product Director (Medicare)Centene Corporation Apr 2018 - Mar 2020Saint Louis, Mo, Us -
Regional Director, Operations (Medicare)Aetna Jan 2007 - Apr 2018Hartford, Connecticut, Us Led a team of 17 members and supported multiple other matrix teams to ensure their engagement and career development; coached/mentored the team; and supported department and company counterparts as requested. A key relationship holder to at-risk provider partners serving more than 20K members. Tasked with collaborating with the Medical Director and Network Director on the management of medical utilization and expenses aligned with enterprise strategic goals. Built growth and product strategies compliant with Centers of Medicare and Medicaid Services (CMS) regulations; coordinated with Actuary and Systems teams to ensure operational integrity. Designed and executed revenue strategies focused on quality of care via provider partnerships to enhance Medicare Beneficiary qualify of life and experience with the market's products; developed innovative marketing strategies through distribution partners including sales agents, TV stations, newspapers, and direct mail campaigns in support of sales goals and product strategies. Charged with maintaining Medicare/CMS compliance within member documents, sales materials, and sales activities. Successfully spearheaded health plan product strategies for 17 individual Medicare plans and implemented/coordinated 17 Employer Group Waiver plans. Facilitated project management for a service area expansion, provider directories, new product/optional supplemental product designs, and other initiatives as directed. Engaged provider teams in revenue, network expansion, and educational opportunities to ensure growth and member satisfaction. Tracked/trended issues and complaints to Medicare/CMS and Appeals/Grievances for service and benefit enhancements.
Jennifer Simms Education Details
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University Of PhoenixGeneral -
Hastings CollegeCommunication And Media Studies
Frequently Asked Questions about Jennifer Simms
What company does Jennifer Simms work for?
Jennifer Simms works for Geha Health
What is Jennifer Simms's role at the current company?
Jennifer Simms's current role is Director of Product.
What schools did Jennifer Simms attend?
Jennifer Simms attended University Of Phoenix, Hastings College.
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