Pam Harrison Email & Phone Number

Baltimore, Maryland Area

Managed care leader responsible for directing the interface with contracted payers on financial and operational issues on behalf of all Johns Hopkins Medicine (JHM) entities. Direct complex, high dollar, financial, operational, and legal issues and provide leadership to effectuate operational changes, improve revenue collection, and avoid claims denials through education and performance improvement activities. Bring together payers and stakeholders in multiple departments and across the JHM enterprise to resolve escalated managed care payor issues, implement new clinical programs, and ensure contracts are operationalized effectively.

Baltimore, Md

Senior leader responsible for operations department including large outsourced vendors (TPA, pharmacy, vision, dental, behavioral health) and their relationship with the health plan. Oversaw areas of vendor operations, vendor negotiations and contracting, member and provider services, member experience, outsourced call centers, enrollment and billing, claims administration and auditing, inbound and outbound data exchanges with vendors, benefit configuration, and business process oversight.

Baltimore, Md

Member of management team with focus on provider, hospital and ancillary network contracting, operations, data management, claims operations, and auditing. Managed contract operations to include eligibility and enrollment, inbound and outbound data exchanges, claims administration, network adequacy and access, outsourced provider and member services, reporting, contract implementation, business rule creation and management, and other areas of operations and contracting.

Mhs, Health Care Finance And Management

Ba, Psychology