Jami Pegg

• Work effectively with leadership team in building out technical support for clinical team reporting.
  Increased stakeholder satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
  Nurtured long-term partnerships with providers and stakeholders by understanding their needs accurately, delivering projects on time, and providing exceptional customer support.
  Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
  Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
  Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values.
  Led cross-functional teams for successful project execution while maintaining strong collaboration among team members.
  Improved team productivity by implementing efficient project management strategies and streamlining communication channels.
  Conducted regular progress reviews with individual team members to identify areas for improvement and provide guidance on career development opportunities.
  Directed and supervised team of 10 licensed clinicians.
  Develop clinical quality review functions for specific clinical programs that align with KPIs for existing programs

• Maintained accurate and timely documentation, adhering to ethical standards and guidelines for professional practice.
• Developed strong rapport with clients, fostering a supportive and safe environment for self-exploration and growth.
• Enhanced client well-being by utilizing evidence-based therapy techniques and individualized treatment plans.
• Improved client outcomes through the implementation of effective crisis intervention strategies during high-risk situations.

· Work effectively with Quality, Compliance, and Legal team in helping to create a new team to oversee peer review compliance, including chart audits, peer reviews, and aggregate data review.

· Increased compliance companywide by ensuring timely completion of reviews with adherence to NCQA, URAC, ERISA, Medicare rules and timeframes.

· Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.

· Served as a subject matter expert for the team by demonstrating commitment to regulatory policies and procedures.

· Partners with Compliance and Legal in maintaining policies as necessary to address changes in accreditations or customer requests related to peer reviews, expedited appeals, standard appeals, and retrospective review, notifying policy content users of changes to standards.

· Worked with managed behavioral health care organization (MBHO) and/or a team of licensed clinicians to support health care providers and customers.

· Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.

· Participated in interdisciplinary case conferences fostering teamwork collaboration sharing best practice insights to optimize patient care outcomes.

· Reduced hospital readmission rates by providing comprehensive discharge planning and follow-up support.

· Utilized electronic health records systems proficiently for efficient documentation of clinical information according to regulatory standards.

· Update policies and procedures in compliance with regulatory requirements and NCQA accreditation standards.

· Professional knowledge of mental health diagnosis/substance use diagnosis and treatment modalities in a managed care and/or EAP context.

· Experience with Tableau reports.