Jodi Clarin Email & Phone Number

Review and edit copy for both printed and electronic materials at various stages of production; ensure accuracy, clarity, style, content, consistency, grammar, and proper trademarking.

•Effectively manage and maintain strategic partnerships with high profile and complex clients; demonstrate individual ownership and accountability in development of client relationships.•Communicate effectively, consistently, and frequently with assigned client base; continuously work to maintain and improve customer loyalty, retention, and satisfaction; facilitate problem resolution.•Drive cross-functional communication between clients and internal business owners to address all… Show more •Effectively manage and maintain strategic partnerships with high profile and complex clients; demonstrate individual ownership and accountability in development of client relationships.•Communicate effectively, consistently, and frequently with assigned client base; continuously work to maintain and improve customer loyalty, retention, and satisfaction; facilitate problem resolution.•Drive cross-functional communication between clients and internal business owners to address all day-to-day operations related to Medicaid, Medicare, and Affordable Care Act programs; facilitate internal and external meetings, document meeting outcomes, and manage deliverables.• Coordinate with Legal, Finance, Sales, Underwriting, and Implementation on contracting, rate negotiations, renewals, upselling, accounts receivable, and vision benefit design and configuration.•Collaborate with Operational Compliance on regulatory requirements impacting Medicaid and Medicare programs; coordinate with functional areas to ensure execution of new requirements.•Work with operational areas to develop implementation project plans, track and communicate progress, and manage risk and mitigation plans with both internal and external stakeholders.•Provide regular reporting to senior management and clients; report and present outcomes on vision program performance metrics. •Review and ensure that clients receive all requested reports, satisfaction results, and performance guarantees within the time-frame requested. Show less

Responsible for coordination, implementation, and management of member outreach and wellness initiatives including member access and utilization, client overall cost of care, and enterprise oral health leadership. Led staff in achieving financial and operational objectives and client contractual requirements, providing quality oversight, developing documentation, and coordination of resources to achieve objectives.•Increased 2019 measurement year Annual Dental Visit (ADV) scores for all… Show more Responsible for coordination, implementation, and management of member outreach and wellness initiatives including member access and utilization, client overall cost of care, and enterprise oral health leadership. Led staff in achieving financial and operational objectives and client contractual requirements, providing quality oversight, developing documentation, and coordination of resources to achieve objectives.•Increased 2019 measurement year Annual Dental Visit (ADV) scores for all four plans managed.•Coordinated, implemented, and managed member outreach and wellness initiatives for a dental managed care program covering over 3 million members. •Worked with staff to develop outreach plans and ensure successful execution to achieve quality performance goals; monitored ongoing performance of outreach plans; recommended and implemented strategies to increase access to care within budget for 1.3 million QARR-eligible members.•Led staff in achieving financial and operational objectives and client contractual requirements; provided quality oversight, developed documentation, and coordinated resources, while operating remotely within the constraints of a global pandemic.•Partnered with health plan Quality Departments to develop strategic interventions to define barriers to care, improve member satisfaction, QARR/HEDIS, CAHPS, NPS, and quality goals.•Developed strategies and recommendations to increase awareness of the correlation between overall health and oral health through medical-dental integration; developed digital education campaigns for underserved populations.•Managed budget for outreach and marketing activities to improve access to care, quality performance metrics, and quality outcomes; initiated program enhancements to maximize results at minimal cost.•Active member of Suffolk County Dental Society Give Kids a Smile Committee, and the New York State Oral Health Coalition Steering Committee. Show less

• Quality Assurance reviewer for internal and external reports, documents, and proposals; data validation; report generation; system configuration for new products.• Ensured consistency of messaging and formatting by creating document templates; developed and enforced standards and best practices for all printed and electronic materials.•Collaborated with Marketing Department to create member materials that were both educational and easy to understand, while accurately documenting plan… Show more • Quality Assurance reviewer for internal and external reports, documents, and proposals; data validation; report generation; system configuration for new products.• Ensured consistency of messaging and formatting by creating document templates; developed and enforced standards and best practices for all printed and electronic materials.•Collaborated with Marketing Department to create member materials that were both educational and easy to understand, while accurately documenting plan information and benefits.• Worked with health plans on member handbooks, benefit documentation, new member welcome packets, and educational print materials.• Tracked plan submission and content reporting standards, and interfaced with department managers to ensure that all data, timeframe, and performance standards requirements met.• Responsible for government-funded program proposals and implementation of new products for new and existing clients, as well as responding to government health plan RFPs• Oversaw member satisfaction survey process; review results and coordinate with the health plans on the survey approval process and follow up to improve member satisfaction. Show less

Uniondale, New York

• Account Manager for over 30 government Managed Care Organizations for all day-to-day operations including, but not limited to, regulatory and reporting requirements, network management, member materials, and oversight of communication and negotiations.• Coordinated with internal departments to ensure proper configuration of new plan business; tracked project milestones, identified and managed risk, implemented mitigation strategies, and communicated with stakeholders to ensure timely and… Show more • Account Manager for over 30 government Managed Care Organizations for all day-to-day operations including, but not limited to, regulatory and reporting requirements, network management, member materials, and oversight of communication and negotiations.• Coordinated with internal departments to ensure proper configuration of new plan business; tracked project milestones, identified and managed risk, implemented mitigation strategies, and communicated with stakeholders to ensure timely and accurate implementation of new requirements; • Oversight of daily internal operations for Medicaid, Medicare, Child Health Insurance, Family Care, Managed Long Term Care (MLTC), Programs of All-Inclusive Care for the Elderly (PACE), Fully Integrated Duals Advantage (FIDA), Health and Recovery Plans (HARP), MLTSS, FIDE-SNP, Essential Plan, and Affordable Care Act (ACA) programs. • Instrumental in increasing HEDIS (Healthcare Effectiveness Data and Information Set)/QARR (Quality Assurance Reporting Requirements) Annual Dental Visit (ADV) state-wide-average over twenty points.• Interfaced with Project Management, Clients, and IT on all phases of Software Development Life Cycle. • Coordinated with Education and Outreach Department on programs to increase HEDIS utilization and oral healthcare awareness.• Maintained and updated the Quality Improvement Program Evaluation, Quality and Member Satisfaction Initiatives, and Management and Operations Initiatives. • Member of various Healthplex committees including Utilization Management Committee, Quality Improvement Committee, Clinical Practice Committee, and Operations Committee.•Simultaneously performed tasks related to Utilization Management, Provider Relations, and Credentialing, managing all three areas in overlapping succession with Senior Manager responsibilities. Show less

Ms, Secondary Education And Teaching

Ba, English