Joylynn Waganer Email & Phone Number

St. Louis, MO, US

St Peters, Missouri, United States

Proud Member of the West Region board for United Way of Greater St. Louis. Ready to make impact in our region and beyond.

Helping Better Family raise capital to expand brand acquisition and market share. Raised over $500k on Start Engine to date with a goal of $5m.

St Charles, Missouri, United States

All parents can agree that when your toddler is strapped in on-the-go, picking up bottles and toys off the ground is frustrating. The toy gets dirty, your child is screaming, and you can't get it cleaned and back in their hands fast enough! Well, the Drop it Baby is your solution! This easy to clean sanity saver for parents is colorful and safe.

• Responsible for developing and expanding WellPoint’s Autism Spectrum Disorders Program across the enterprise including utilization management, intensive case management, ASD Family Support Program and ensuring programs.
• Created new buy-up Autism Spectrum Disorders Program for National Accounts to meet the demand.
• Responsible for hiring and managing group of Program Managers, Care Managers, and non-clinical staff to support the program.
• Serves as clinical resource on ASD, providing trainings and CEU presentations regarding Autism Spectrum Disorders to clinical and non-clinical staff, meet with legislators regarding ASD related issues and concerns.
• Works in collaboration with audit, data analytics and investigation teams to ensure accurate claims payment and appropriate service delivery.
• Responsible for coordination of Autism benefits for national account membership, serving as a key participant to educate employer groups on autism and potential benefit designs.

• Responsible for creating Autism Concierge product to sell across the enterprise.
• Serves as internal clinical resource for issues related to developmental disorders, providing trainings and CEU presentations regarding Autism to clinical and non-clinical staff.
• Participate on multi-disciplinary workgroups to develop process, system configurations and workflows for various state autism mandates across the 14 states under Wellpoint, Inc.
• Responsible for coordination of Autism benefits for national account membership, serving as a key participant to educate employer groups on autism and potential benefit designs.
• Responsible for coordination of the four person Program Manager team and reporting back to the VP of Behavioral Health.

• Serves as internal clinical resource for issues related to developmental disorders, providing trainings and CEU presentations regarding Autism to clinical and non-clinical staff.
• Participate on multi-disciplinary workgroups to develop process, system configurations and workflows for various state autism mandates across the 14 states under Wellpoint, Inc.
• Responsible for coordination of Autism benefits for national account membership, serving as a key participant to educate employer groups on autism and potential benefit designs.
• Responsible for coordination of the four person Program Manager team and reporting back to the VP of Behavioral Health.

• Developed/adapted process for reviewing clinical for members with a diagnosis of Autism for Unicare and Healthink.
• Served as the point person for the UniCare, Heathlink, MO/WI, Lumenos, and HIP books of business.
• Participated on internal productivity project, Enterprise wide Lean UM project, Quality Initiatives for UniCare, and multiple internal committees.

• Completes initial and concurrent utilization reviews with facilities to ensure medical necessity.
• Collaborates with facilities, physicians, utilization review staff, and members to ensure appropriate use of benefits, appropriate discharge planning and transition into lower levels of care.
• Member of the Champions Team – coordinating staff trainings for the St. Louis office for HCM.
• Member of the Disaster Relief Committee
• Work collaboratively with a multidisciplinary team to develop Pervasive Developmental Disability medical necessity criteria
• Led a behavioral health subgroup in trouble-shooting the Healthy Indiana Plan launch and continue to serve as a point-person for questions from behavioral health staff related to this health plan.

• Member of 3 person Quality Assurance team ensuring Joint Commission standards are met.
• Constructed pilot Adolescent Intensive Outpatient Program
• Redeveloped and implemented the Adult and Child Unit’s programming. Coordinated staff training of same Adult Program.
• Coordinated and organized a consistent curriculum for all of CenterPointe Hospital’s acute outpatient programs.
• Reorganized the curriculum for all of CenterPointe Hospital’s chronic outpatient programs.
• Infused Wellness Solutions/ Team Solutions programs into existing programs and coordinated Performance Improvement measures.

Master Of Social Work (M.S.W.), Social Work

Applied Behavior Analysis

Master Of Business Administration (M.B.A.)

Education record