Jeffrey Jasso
Fraud Senior Manager at Express Scripts Pharmacy Benefit Services
Based in San Antonio, United States
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Seniority
Manager
Department
Operations
Location
San Antonio
Industry
Hospitals and Health Care
Company size
12K
Contact information
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j•••••••@express-scripts.com
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Background
About Jeffrey Jasso
Specialties: Organizational Development, Operational Management, Instructional design, Training and Development, Fraud Investigations, Drug Diversion, Managed Care, Medicare, and Healthcare FraudOrganizational Development• BA in Organizational Development • Proven results in streamlining and process improvement in fortune 500 companies• Experience creating policies and procedures for fortune 500 companies• Experience working with information management systems to create a repository of desktop information to facilitate a single source of knowledge and consistent resultsOperational Management• BA in Human Resource Management• Experience managing in fortune 500 operational settingsInvestigations: Fraud, Waste, and Abuse• Emphasis in Pharmacy fraud• Drug Diversion• Doctor shopping• Pill Mills• Prescription Drug Fraud• Drug Analytics• Participation in NBI Medic and NHCAA FWA meetingsTraining and Development • Certified Corporate Trainer with course curriculum approved by (ASTD)• Over 6 years of training experience in a Managed Care Setting• Experience using Learning Management Systems• Presentations featuring audio, video, PowerPoint, Camtasia 9 editing software• Instructor Led trainingInstructional design• Experience creating Needs Assessments, Learning Objectives, Facilitator and Participant Guides, Activities, Presentations, Worksheets, and Evaluations, Tracking results• Experience applying Accelerated Learning, ADDIE model, and Blooms taxonomy principles Managed Care • 16 years of managed care industry experience • Call Center management• Customer Service• Claim processing• PPO Network DevelopmentMedicare• Medicare Part C• Part D • Claims, Enrollment, Accounts Receivable, CTMs, and customer service administration• CMS regulatory requirements such as Chapter 2, Chapter 9 & 21• Fraud, Waste and AbuseCOVID-19 Contact Tracing CertifiedJohns Hopkins University
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