Laura Jerome

Laura Jerome Email and Phone Number

Overland Park, KS, US
Laura Jerome's Location
Overland Park, Kansas, United States, United States
Laura Jerome's Contact Details

Laura Jerome work email

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About Laura Jerome

Specialties: Project Implementation. Business Operations.Product Development.

Laura Jerome's Current Company Details
Clarkson Companion Care

Clarkson Companion Care

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Companion
Overland Park, KS, US
Laura Jerome Work Experience Details
  • Clarkson Companion Care
    Companion
    Clarkson Companion Care
    Overland Park, Ks, Us
  • Blue Cross And Blue Shield Of Kansas City
    Lead Business Systems Analyst & Product Owner
    Blue Cross And Blue Shield Of Kansas City Jan 2012 - Present
  • Power Group Companies
    Account Executive
    Power Group Companies May 2009 - May 2011
    May 2009 ­ Present Strategic Planning and consultation with mid market (51-200) clients. Manage staff of four Account Managers. Assist producers with renewals and prospects. Develop and maintain relationships with clients and carriers. Develop RFP specifications including performance guarantees. Responsible for creation of and maintenance to policies and procedures, training manual and annual assessment form.Our mission at Power Group is to be "Your Benefits Concierge." We take pride in our ability to free our clients from the burden of administrating their employee benefits so that they can focus on their bottom line.
  • Coventry Health Care In Arizona
    Director, Product Development And Implementation
    Coventry Health Care In Arizona Dec 2008 - Apr 2009
    London, Gb
    Director, Product Development & Implementation December 2008 ­ April 2009 Primary operations lead for start-up market in Arizona. Create and implement competitive products for group and individual- based products. Responsible for approval and sign-off of all Business Requirement Documents and System Change Documents pertaining to set up of new health plan. Develop and implement benefit plans for Coventry and external vendors. Directly involved with Legal and Compliance writing Certificate of Coverage, Individual Policy and Health. Active in all aspects of benefit plan pricing, working with Actuarial, Finance and Underwriting teams. Create DOI compliant application/enrollment forms for employers and employees. Coordinate with Health Services, QI, Customer Service, and Benefits Administration for successful implementation. Established disease management programs to be offered in market.
  • Coventry Health Care In Arizona
    Manager, Product Development And Implementation
    Coventry Health Care In Arizona Feb 2006 - Dec 2008
    London, Gb
    Manager, Product Development & Implementation February 2006 ­ December 2008 Primary lead on Product Development for Kansas, Missouri and Oklahoma plans including development of Schedules of Benefits, ID cards, member and employer materials. Managed successful 90 day conversion for mental health vendor, including benefit design, claims testing and accumulations, communications and marketing materials, interfaces. Participated in finalist presentations for large group sales. Successful implementation of ASO groups (43,000 members). Lead for health plan on development and implementation for individual market products. Health Plan lead for management of Benefit Express including System Requirements Documents. Coordinate with Underwriting and Actuary for installations in system rating tools . Leadership role in developing staff training for Coventry Consumer Choice (HRA/HAS/FSA) Products, including initial training on products for sales staff, marketing materials, and training for employers and brokers. Health Plan leader for ID card changes and implementations Adept in all functions of Coventry's IDX systems including claims, adjustments, benefit building, dictionaries, adjudication tables, rule banks, member, provider and group functions. Ensured project deadlines were met by defining scope, objectives, risks, critical success factors, work plans, test plans and test tracking tools Managed relationships at all levels of the organization with internal customers and outside resources or vendors. Committee member: Quality Improvement (QIC), Process Analysis (PAC), Medical Expense Review (MER), Medical Expense Management Plan (MEMP), Underwriting, Sales & Actuary (USA), Medicare Ops, KCW Ops, Oklahoma Ops, Essentials. Presenter, Coventry College.Coventry Superior Achievement Award recipient 2004, 2006
  • Coventry Health Care In Arizona
    Business Analyst
    Coventry Health Care In Arizona Feb 2003 - Jan 2006
    London, Gb
    Initiated and approved all test plans for Benefits Administration during health plan implementations; acted as health plan lead and tester for implementation of benefit plans including ASO and fully insured plans. Responsible for training of new hires in Benefits Administration. Coordinated accurate IDX plan set up and interpretation of Summary Plan Documents and Schedules of Benefits based on feedback from Product Development, Compliance and CSO. Supported IS/IT during implementations including writing system change documents, documents for enhancements and system releases and testing. Supported department during conversions, testing and programming of benefit plans. Daily interaction with clinical team regarding programming of authorization logic and configuration. Responsible for writing Policy and Procedure guidelines for new products and training of Benefit Department staff. Programmed and maintained benefit riders and dictionaries owned by Benefits Admin including CPT, Diagnosis, HMO Coverage Categories, Adjudication Tables, Coverage Category Groups, ID Cards and Benefit Plan "Snapshot". Participated in weekly/monthly meetings regarding Product Development, ASO, Essentials and Reciprocity.
  • Coventry Health Care, Inc.
    Integrated Service Specialist
    Coventry Health Care, Inc. Jan 2001 - Feb 2003
    Received and tracked member inquiries to final resolution. Provider Relations and Marketing liaison for Coventry Health Care of Kansas. Audited CSC internet reports for correct documentation, Category and Reason Code selection. Provided benefits training for other health plan teams as part of Resource Balancing. On site trainer for conversion of Kansas Plan to Bismarck Service Center. Mentored new employees. Coordinated all aspects of claims processing including adjustments.

Laura Jerome Skills

Employee Benefits Health Insurance Managed Care Insurance Medicare Claim Hmo Healthcare Health Savings Accounts Life Insurance Brokers Health Care Reform Healthcare Information Technology Healthcare Management Account Management Product Development Benefits Administration Medicaid Leadership Pharmacy Benefit Management Start Ups Customer Service Training Policy Healthcare Consulting Strategic Planning Software Documentation Management Hipaa Process Improvement Provider Relations Underwriting Disability Insurance Health Policy Healthcare Industry Workers Compensation Business Analysis Team Building

Laura Jerome Education Details

  • Delta College
    Delta College

Frequently Asked Questions about Laura Jerome

What company does Laura Jerome work for?

Laura Jerome works for Clarkson Companion Care

What is Laura Jerome's role at the current company?

Laura Jerome's current role is Companion.

What is Laura Jerome's email address?

Laura Jerome's email address is lj****@****ail.com

What is Laura Jerome's direct phone number?

Laura Jerome's direct phone number is +191390*****

What schools did Laura Jerome attend?

Laura Jerome attended Delta College.

What skills is Laura Jerome known for?

Laura Jerome has skills like Employee Benefits, Health Insurance, Managed Care, Insurance, Medicare, Claim, Hmo, Healthcare, Health Savings Accounts, Life Insurance, Brokers, Health Care Reform.

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