JANET D CARTER
Valdosta,GA
Summary
Talented Team Leader experienced and dedicated to enhancing employee satisfaction and business success. Diplomatic and friendly with proven commitment to employee training. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.
Overview
20
20
years of professional experience
Work History
Population Health Team Lead
Privia Health
03.2024 - Current
- Oversee and coordinate a team that is focused on improving the health outcomes of our assigned patients by analyzing data, identifying high-risk patients, implementing preventative care strategies, managing chronic conditions, and collaborating with various healthcare providers to achieve optimal health results
- Participate in the hiring of new employees for the Population Health Department
- Train new Population Health team members in medication adherence
- Outreach patients who are identified as failing medication adherence
- Attend payer meetings with various payers to identify and discuss key metrics that affect overall performance
- Meet with health care providers to offer and discuss increased wellness opportunities and resources to our mutual patients
Population Health Specialist
Privia Health
04.2020 - 03.2024
- Train care centers on quality metrics
- Attend and participate in several weekly meetings at the national and market level
- Patient outreach for medication adherence and for other quality measures
- Train other markets on medication adherence
- Collaborate with insurance payors to develop best practice for patient outreach
Regional Health Advisor
Privia Health
02.2017 - 03.2020
- I work with the National and Market based Population Health teams, primary care providers (PCP’s), and Performance Management at Privia Health.
- I coordinate care and support for Privia’s at-risk patients within a defined region.
- I provide coordination services with patient outreach, fill gaps in care, and payer attestation.
- Other job duties include:
- - Maintain an active caseload of 100+ patients providing a model of excellence to the Care Management Team
- - Process incoming chronic care management referrals from multiple care centers
- - Consult and coordinate with internal and external team members to assess, plan, implement and evaluate patient care plans, make appropriate referrals, and provide follow-up
- - Review patient non-compliance issues and conduct outreach to close them
- - Provide health information, coaching, and critical thinking skills to assist our members with medical and wellness related issues
- - Develop interventions to assist patients in meeting short and long term plan of care goals
- - Prioritize care needs, set goals, and develop an initial plan of care to address gaps and/or barriers to care using evidenced based guidelines
- - Assist in training and onboarding new health advisors and act as a resource and mentor to them
- - Participate in special projects and perform other duties as assigned
- - Performed Group Practice Reporting Option (GPRO) annually
Compliance and Quality Assurance
The Columbus Organization
10.2014 - 02.2017
- Ensure quality Individualized Service Plans and Addendums are reviewed and submitted in timely manner
- Ensure all benchmarks are met per company policy
- Provide training for new hires and additional training for existing employees
- Compile data for reports submitted to the Regional Office monthly.
- In addition, complete master report and submit to the Regional Office
- Attend and host several weekly meetings with top management
Quality Assurance Specialist
Professional Case Management Services of America
09.2011 - 10.2014
- Ensure quality Individualized Service Plans and Addendums are submitted on time
- Ensure all benchmarks are met per company policy
- Provide training for new hires and additional training for existing employees
- Compile data for reports submitted to the Regional Office monthly.
- In addition, complete master report and submit to the Regional Office.
Support Coordinator
Professional Case Management Services of America
03.2010 - 08.2011
- Case Management
- Client Service via home visits
- Managed services individuals needed to remain in the community
Store Manager
Dress Barn
09.2008 - 02.2010
- Total store operations
- Hiring new employees, including termination if needed
- Customer service
- Shrinkage Control
- Inventory
- Floor sets
Case Manager
Diversified Resources, Inc.
06.2006 - 08.2008
- Case Management
- Client Service
- Managed services individuals needed to remain in the community
Education
MBA -
University of Phoenix
Jacksonville, FL01.2009
Bachelor of Science -
Valdosta State University
Valdosta, GA05.2007
Skills
- Case management
- Retail Management
- Employee Training
- Support Coordination
- Quality Assurance
- Customer Service
- Leadership
- Data Abstraction
- Patient Outreach
- Customer Service
- Hiring
- Training
Timeline
Population Health Team Lead
Privia Health
03.2024 - Current
Population Health Specialist
Privia Health
04.2020 - 03.2024
Regional Health Advisor
Privia Health
02.2017 - 03.2020
Compliance and Quality Assurance
The Columbus Organization
10.2014 - 02.2017
Quality Assurance Specialist
Professional Case Management Services of America
09.2011 - 10.2014
Support Coordinator
Professional Case Management Services of America
03.2010 - 08.2011
Store Manager
Dress Barn
09.2008 - 02.2010
Case Manager
Diversified Resources, Inc.
06.2006 - 08.2008
MBA -
University of Phoenix
Bachelor of Science -
Valdosta State University