Jennifer N.
Director, Quality & Health Disparity Programs at Horizon Blue Cross Blue Shield Of New Jersey
Based in Slidell, United States
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Seniority
Other
Department
Other
Location
Slidell
Industry
Insurance
Company size
5.2K
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j•••••••@horizonblue.com
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Background
About Jennifer N.
Coaching*Mentoring*Consulting available upon request Jennifer Nethers is a healthcare professional with 10+ years of experience, including 4 years working alongside the executive team of a Fortune 500 company. Jennifer specializes in Quality improvement, including increasing HEDIS/STAR performance rates and is responsible for educating internal and external stakeholders on using predictive modeling and proactive Health Equity behavior to find and reduce care gaps. Jennifer combines her formalized schooling of Pharmacology, Business Administration and Management, and Leadership Psychology along with over a decade of practical experience in pharmacy, behavioral health, and government insurance (Medicare and Medicaid) to bring a unique skillset to any company looking to expand within the healthcare landscape. Among the things that make Jennifer's performance stand out is her ability to rally others and increase workplace morale. Her approach to team-building includes learning the strengths and passions of each individual on the team and ensuring a creative and engaging environment to learn and grow. She is a strong proponent of encouraging the utilization of personal, unique experiences to help develop meaning around the work being done. Through transparency, humility, and honesty, Jennifer leads and develops others to help guide towards fulfillment of individual goals as well as to create a group of people who comprise something greater together than alone. Highlights: Masters of Science: Pharmacology (specialization: toxicology and safety)- The Ohio State University 2021 Masters of Business Administration and Management - Quantic School of Business and Technology 2023 Doctoral Student - Organizational Leadership (Neuroscience & Inclusive Leadership)- William James 2026 Bachelors: Psychology (minors: sociology, sexuality studies)- The Ohio State University 2011 Most recent role: Director, National Quality Management I have pharmacy experience in Specialty, Long Term Care, Managed Care, and Retail. I have a solid background of ICD 9/10 and j-codes, z-codes and SDoH, STARS and HEDIS measure improvement, and CMS compliance. I have heath insurance experience in Medicare, Medicaid, MediCAL, Duals, CHIP, and commercial.
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