Judy Slagle

Judy Slagle Email and Phone Number

Healthcare Executive | Operations Business Leader | Program Management Strategist @
Judy Slagle's Location
Chattanooga, Tennessee, United States, United States
About Judy Slagle

I educate people on the ABC's of Medicare and work with individuals to secure health care coverage to promote healthy living, enhance their quality of life and provide financial protection if illness or injury occurs.I am a dedicated health care professional with 20+ years experience in health care insurance and have always been passionate about health care access and delivery transformation. Health care executive with demonstrated ability to develop and lead high performing teams in both start-up and established business environments. I build customer centric cultures that lead to improved performance, retention, and cost reduction. What I bring to the table:Proven success in managed and value-based care with experience in provider owned, non-profit, for profit and start-up/wind down companies with commercial (large/small group/individual) and government business (Medicare Advantage, Medicaid, Federal Marketplace) lines..Capabilities:Strategic planning /execution-Team collaboration to secure funding and launch/operate 2 health insurance companies.Turnaround- Reduced operating loss of Medicaid HMO to achieve operating gain in 2 yearsCost reduction/process improvement-Reached administrative/medical cost targets through restructure of processes, provider/vendor contract restructure and in-source of functions.Revenue growth- Secured new contracts for government business including Medicaid, Medicare Advantage and Federal Marketplace Exchange.Specialties:Operational process improvement, change management, customer relationship management, multi-site/unit management, data/analytics/informatics, leadership development, vendor selection/management, utilization management, case/disease management, population health management, quality management, accreditation, process improvement, provider credentialing.

Judy Slagle's Current Company Details
JMS Medicare Solutions

Jms Medicare Solutions

Healthcare Executive | Operations Business Leader | Program Management Strategist
Judy Slagle Work Experience Details
  • Jms Medicare Solutions
    Licensed Insurance Agent
    Jms Medicare Solutions May 2024 - Present
    Independent health insurance agent contracted with several health insurance companies and specializing in Medicare related products. My priority is to assist seniors in exploring the world of Medicare and the various options available for health care coverage. Also certified to sell ACA benefit plans via the marketplace exchange programs for TN and GA.
  • Wayspring
    Sr. Vice-President Enterprise Services
    Wayspring Dec 2022 - Jan 2024
    Nashville, Tn, Us
    Accountable for clinical model oversight, quality management and performance improvement, clinician and operations education, practitioner credentialing/licensure, clinic billing, facilities management supporting the clinical model development and build. A total of 7 substance use disorder medical home clinics were established in 4 states within 2 years, earning over 90% of the company's revenue.
  • Wayspring
    Sr. Vice President, Health Services
    Wayspring Jan 2022 - Jan 2023
    Nashville, Tn, Us
    Responsibility includes:* Strategic design, maintenance, stewardship, evaluation and evolution of the clinical model(s) * Provision of clinical expertise to internal partners to maximize the impact of clinical services with current and new clients, achieve and maintain established performance metrics * Leading the development/build of a culture of quality that will drive care redesign, quality assurance and continuous process improvement to enhance efficiency and outcomes* Partnering with the Operations teams to empower managers and leaders in delivering a consistent, excellent patient experience
  • Wayspring
    Vice President, Health Services
    Wayspring May 2021 - Jan 2022
    Nashville, Tn, Us
    Accountable for the build of a substance use disorder home clinic along with team collaboration to enhance the foundation of the recovery solutions program including: *Clinical model development and evaluation*Policy and procedure, work instruction and role play book development*Clinical education curriculum development and deployment*Quality and performance management process development, oversight and evaluation
  • Navihealth
    Vice President Health Servics
    Navihealth Oct 2019 - Apr 2021
    Brentwood, Tn, Us
    Established a Quality Management program to support company growth including quality improvement projects, accreditation, delegate oversight, patient/member experience surveys and focused studies related to establishing best practices to support optimal quality of care. Additional accountabilities include appeals/denials, teams providing clinical subject matter expertise supporting utilization management activities, value based care and care transition software; clinician licensure verification/tracking and practitioner credentialing and appeals/denials for health plan clients, clinical support for account management teams.
  • Navihealth
    Vice President Clinical Operations
    Navihealth Nov 2017 - Oct 2019
    Brentwood, Tn, Us
    Proactively assumes responsibility for leading and executing strategic initiatives and projects. Works collaboratively with all other senior leadership positions, across the organization. Drive health services forecast, long range estimates and business planning materials. Assist leadership across the organization to create better alignment with business partners across the parent company, Cardinal Health.
  • Catalyst Solutions - A Healthcare Consulting Company
    Consultant
    Catalyst Solutions - A Healthcare Consulting Company Jun 2017 - Nov 2017
    Greenwood Village, Colorado, Us
    Catalyst Solutions at North Texas Specialty Physicians July 2017Consultant DESCRIPTION:Catalyst Solutions is an 18 year-old health plan consulting company providing advisory, operational, and technology consulting to help plans operate more efficiently, reduce risks, and manage change. Catalyst also offers fully outsourced on-shore managed services for Configuration, Claims, and Quality Assurance/Testing functions. Catalyst Assists Health Plans to: -Reduce Cost per Member-Improve Auto - Adjudication-Select, Implement, Upgrade and Support Core and Ancillary Systems (Facets™, QNXT™, AMISYS™, HealthRules™, Tapestry, Proprietary, etc.)-Configuration - Design, Build, Assess, Support, Train-Strategy - New LOBs, Market Expansion, Plan Operations, Technology Road-Mapping, Organizational Design-Quality Assurance/Testing - Strategy, Execution, Assessments, Tool Optimization-Improve Provider Data Consistency-Program/Project Delivery and Vendor Management-Optimize Business Process/Reduce Costs of Manual Activity/Change Management-Use Data to Drive Decisions-Eliminate Technology Inefficiencies (Custom Code Rationalization, System Performance Optimization)-Efficiently Integrate Business Processes, EDI and Applications-Data-Governance, Management, Reporting-Reduce Technology Debt-Nimbly Digest Mandates Please contact info@catalystsolutions.com or visit our website at www.catalystsolutions.com
  • Independent/Jms Consulting Solutions Llc
    Consultant
    Independent/Jms Consulting Solutions Llc Jan 2017 - Nov 2017
    Assisting health plans with achievement of efficiency/effectiveness, state/federal compliance and financial goals of business operations.
  • Consumers' Choice Health Insurance Company
    Sr. Vp & Chief Operations Officer
    Consumers' Choice Health Insurance Company Nov 2011 - Dec 2016
    Hired as independent consultant to assist team in securing funding, asked to operationalize the 2 companies to receive CMS approval for participation in Federal Marketplace Exchange business. Developed core functional areas, achieved NCQA accreditation, established offices in 7 cities, hired 250 staff, contracted for TPA/PBM services, enrolled approximately 100,000 members.
  • Volunteer State Health Plan, Bluecross Blueshield Of Tn
    Vp & Chief Operations Officer
    Volunteer State Health Plan, Bluecross Blueshield Of Tn Feb 2009 - May 2011
    Chattanooga, Tn, Us
    Asked to develop a plan to reduce the operating loss to achieve an operating gain, decrease employee turnover, and eliminate performance financial penalties. Penalties eliminated, turnover reduced from 32% to 13%, operating gain of $28.8M achieved during 1st quarter of year 2.
  • Volunteer State Health Plan, Bluecross Blueshield Of Tn
    Vice-President & Chief Of Staff, Government Business
    Volunteer State Health Plan, Bluecross Blueshield Of Tn 2005 - Feb 2009
    Chattanooga, Tn, Us
    Hired to grow revenue in federal and state government business programs. Won Medicaid and DME QIC bids and developed Medicare Advantage products (C & D). Revenue grew from $270M to $1.7B in 4 years.
  • Volunteer State Health Plan, Bluecross Blueshield Of Tn
    Director Of Health Information And Reimbursement
    Volunteer State Health Plan, Bluecross Blueshield Of Tn Jun 2002 - Apr 2005
    Chattanooga, Tn, Us
    Tasked with building enhanced provider reimbursement modeling, contract analysis, health services research and decision support service related to medical management and provider contract compliance. Implemented value based reimbursement pilot program and RBRVS reimbursement methodology. Developed models to project/monitor utilization and unit cost trends for forecast/rate review.
  • Volunteer State Health Plan, Bluecross Blueshield Of Tn
    Director, Quality Improvement And Decision Support Services
    Volunteer State Health Plan, Bluecross Blueshield Of Tn Jan 2000 - Jun 2002
    Chattanooga, Tn, Us
    Hired to build quality improvement program, clinical risk management, delegated function monitoring/support, and provider credentialing to support accreditation for commercial HMO, POS, Medicaid lines of business (2 million members) along with medical informatics to support medical management. Achieved URAC accreditation for utilization management, case management and credentialing; commendable NCQA accreditation for commercial HMO, decreased credentialing turnaround time form average of 136 days to 20 days for initial credentialing and 157 days to 41 days for re-credentialing in a 2 year period.
  • Volunteer State Health Plan, Bluecross Blueshield Of Tn
    Director Of Operations, Health Care Services
    Volunteer State Health Plan, Bluecross Blueshield Of Tn Oct 1996 - Jan 2000
    Chattanooga, Tn, Us
    Recruited to build managed care medical management program with data/analytics support, and initiate a quality management program in a state new to managed care. Established centralized pre-service unit for commercial products linked to on-site concurrent review, built decision support unit, integrated Memphis Blue Cross operational area for medical management with Chattanooga operations.
  • Php, Inc. (Acquired By United Health Care Corporation)
    Director Of Health Services
    Php, Inc. (Acquired By United Health Care Corporation) May 1989 - Aug 1996
    Hired to develop a managed care medical management program, develop and implement cost saving programs for all departments and develop a Medicare plus Choice product.

Judy Slagle Skills

Medicaid Managed Care Medicare Health Insurance Healthcare Utilization Management Process Improvement Healthcare Management Disease Management Management Credentialing Hipaa Hmo Insurance Hospitals Employee Benefits Program Management Health Policy Healthcare Information Technology Strategic Planning Healthcare Consulting Healthcare Industry Claim Policy Informatics Team Building Case Managment Quality Management Provider Relations Hedis Case Management Quality Improvement Strategic Leadership Change Management Leadership Development Emr Accreditation Mulit Site Management Federal/state Government Interface Value Based Reimbursement Member/provider Call Centers Cross Functional Team Leadership Analytic Problem Solving Data Analytics Claims Medical Management Population Health Consumer Healthcare Operational Efficiency Customer Service Management

Judy Slagle Education Details

  • George Mason University
    George Mason University
    Public Administration
  • Western Carolina University
    Western Carolina University
    Nursing

Frequently Asked Questions about Judy Slagle

What company does Judy Slagle work for?

Judy Slagle works for Jms Medicare Solutions

What is Judy Slagle's role at the current company?

Judy Slagle's current role is Healthcare Executive | Operations Business Leader | Program Management Strategist.

What is Judy Slagle's email address?

Judy Slagle's email address is jm****@****ail.com

What schools did Judy Slagle attend?

Judy Slagle attended George Mason University, Western Carolina University.

What skills is Judy Slagle known for?

Judy Slagle has skills like Medicaid, Managed Care, Medicare, Health Insurance, Healthcare, Utilization Management, Process Improvement, Healthcare Management, Disease Management, Management, Credentialing, Hipaa.

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