James H. Turner III
Population Health Strategy & Community Engagement Lead
Columbus
Summary
Experienced Population Health & Community Outreach Specialist Over 10 years supporting Medicaid and Medicare populations with proven expertise in community engagement, care coordination, and program leadership. Skilled in leading initiatives, mentoring staff, and building strategic partnerships to increase access to care and improve member outcomes. Certified Community Health Worker and licensed in Accident & Health in Ohio.
Overview
10
10
years of professional experience
2
2
Certifications
Work History
Care Coordinator III
Buckeye Health Plan/Centene Inc.
03.2022 - Current
- Supported population health and care management functions across diverse member populations, focusing on care coordination, quality improvement, and accurate documentation to enhance health outcomes and regulatory compliance.
- Managed daily My Care Medicaid task list in compliance with Ohio Department of Medicaid policies.
- Partnered with Population Health leadership to execute enterprise health strategies, contribute data insights, and support NCQA, state, and government contract initiatives.
- Coordinated member health services by collaborating with case managers, area offices on aging, service providers, and Medicaid/Medicare programs.
- Ensured member compliance by verifying appointments, obtaining lab results, and identifying members without a primary care provider for referral.
- Screened and prioritized members for case management assessments and coordinated services with community-based organizations.
- Maintained confidentiality of PHI and fostered strong cross-departmental relationships.
- Supported outreach and marketing initiatives to represent the health plan.
- Entered assessments and authorizations accurately into the system.
Ohio Board of Nursing Certified Community Health Worker
Buckeye Health Plan/Centene Inc.
10.2016 - 03.2022
- Led planning and execution of community health events across Columbus, including Start Smart Baby Showers, birthday parties, school initiatives, and healthy lifestyle programs, managing all aspects from location selection to logistics, invitations, and staff delegation.
- Educated members on healthcare benefits and provided personalized coaching in diabetes management, readmissions prevention, and general health improvement through home visits and outreach.
- Managed a solo regional territory, traveling extensively (4–5 hours daily) to reach isolated members and ensure comprehensive care delivery.
- Trained, mentored, and supervised new staff to maintain program quality and consistency across the region.
- Connected members to social services and community resources to address social determinants of health and enhance care outcomes.
- Maintained accurate documentation of member interactions, assessments, and program activities in applicable systems to support reporting and compliance.
Provider Data Maintenance Administrator
Buckeye Health Plan/Centene Inc.
10.2015 - 10.2016
- Responsible for tracking, storing and maintaining Medicaid provider contracts.
- Daily use of CPT coding
- Responsible for credentialing Medicaid practitioners and providers in accordance with national committee for quality assurance.
- Responsible for loading and maintaining Medicaid provider data.
- Report Network data to Ohio department of Medicaid.
- Assist various cross-functional departments in monitoring and auditing files, systems, and databases for accuracy.
- Gather data from the assigned State to monitor current panel of providers and any possible sanctions.
- Oversee Medicare and Medicaid provider directory process including achieving and maintaining compliance with the State and CMS with the regards to the Medicare and Medicaid directory.
Education
Bachelor of Arts - Communications
The University of Cincinnati
Cincinnati, OHSkills
Patient education
Care planning
Medical terminology understanding
Problem-solving
Event coordination
Health coaching
Accomplishments
State of Ohio Department of Insurance-Residential major lines accident & health certificate
State of Ohio Certified community health worker
Affiliations
- Member, Buckeye Health Plan Employee Engagement Committee – contributed to initiatives promoting employee engagement, wellness, and organizational culture.
Certification
Ohio Board of Nursing Certified Community Health Worker (CHW)
Timeline
Care Coordinator III
Buckeye Health Plan/Centene Inc.
03.2022 - Current
Ohio Board of Nursing Certified Community Health Worker
Buckeye Health Plan/Centene Inc.
10.2016 - 03.2022
Provider Data Maintenance Administrator
Buckeye Health Plan/Centene Inc.
10.2015 - 10.2016
Bachelor of Arts - Communications
The University of Cincinnati