Jennifer Howell
Kuna,ID
Summary
Professional business leader prepared for challenges of lead Director role. Combines deep understanding of business operations with commitment to driving team success and achieving significant results. Renowned for adaptability in dynamic environments and collaborative approach to problem-solving, leveraging keen analytical and decision-making skills.
Overview
15
15
years of professional experience
Work History
Sr. Manager, Provider Relations
Aetna
10.2018 - Current
- Company Overview: A health care company
- Managed large-scale projects and introduced new systems, tools, and processes to achieve challenging objectives.
- Assist in provider recruitment to ensure Aetna’s success, tracking and reporting all my team’s efforts to legal and compliance
- Create a team dynamic that promotes self-awareness and an urgency of resolution on inquiries to resolve issues quickly to provide excellent service to our providers and health systems
- Identify issues and strategize successful solutions
- Spearheaded cross-functional teams to drive strategic initiatives and improve operational efficiency.
- Coordinated project timelines and resources to achieve business objectives.
- Optimized workflows by streamlining processes and fostering teamwork.
- Facilitated cross-departmental collaboration for achieving company-wide goals.
- Improved team performance by providing comprehensive training and fostering a collaborative work environment.
- Reporting for adequacy, provider data, legal and compliance submissions to be compliant with legal and state regulations.
- Attend many workgroups companywide to assist in a better future state for the company, my team, our provider, and our members
- SME for New Hire Network training nationwide
Network Relations Consultant
Aetna
11.2015 - 10.2018
- Company Overview: A health care company
- Responsible for establishing and maintaining relationships between health care providers and the many departments within Aetna
- Provide additional support to large groups with high dollar claim inquiries with monthly calls to include both internal and external participants
- Assist in provider recruitment to ensure Aetna’s success, with an urgent approach to Medicare contracting
- Provide overall data integrity for our markets by joining new initiative trainings and focus groups
- Work closely with internal Aetna teams to resolve issues quickly to provide excellent service to our providers and health systems
- Identify issues and strategize successful solutions
- Attend local OE events
- Assist providers with roster reviews and submit corrections
- Submit deviations, MEU data/claim reports, claim projects
- Work closely with the team, especially those working contracts within my territory to assist with rosters, JOCs, etc
- Hands on with SCM rates and contracts to provide support to our providers
- Formulating ideas to improve not only our local market but that of the company to include streamline processes throughout
- A health care company
Provider Network Specialist
Mountain Health CO-OP
02.2014 - 11.2015
- Company Overview: A health insurance company offering coverage to all Idahoans, including small business
- Responsible for establishing and maintaining relations between health care providers and network organizations
- Negotiate contracts to establish discounts and innovative payment methodologies for services to bring value
- Develop and maintain network of participating providers
- Provider Network state filing with the Department of Insurance yearly
- HIPAA processes
- Identify issues and implement successful solutions and policies
- Provide overall data integrity
- Idaho provider relations first contact
- Create budgets for current and future years
- Work closely with our TPA to ensure rates, contracts, and providers are loaded correctly to minimize claim/member issues and inquiries
- A health insurance company offering coverage to all Idahoans, including small business
Supervisor, Contract and Credentialing
BrightPath, St. Luke’s
01.2013 - 02.2014
- Company Overview: A network of Idaho hospitals and physicians that deliver customized provider panels for employers, insurance companies, and third-party administrators
- Facility contracting and credentialing
- Payer and Messenger contracting
- Payer Rates and Exhibit management
- Database Reporting
- Website Updates
- Claim related payer/patient/provider contact and resolution manager
- Train all staff for administrative and contracting purposes
- Prepare and Coordinate all Participating Provider Committees and Board Meeting materials to include agendas, minutes, and any necessary follow up
- Provider and facility communication to include denial process, appeal process, letter of intents, contracting
- A network of Idaho hospitals and physicians that deliver customized provider panels for employers, insurance companies, and third-party administrators
Coordinator, Contract and Credentialing
BrightPath, St. Luke’s
04.2012 - 01.2013
- Company Overview: A network of hospitals and physicians that delivers customized provider panels for employers, insurance companies, and third-party administrators
- Coordinate and provide information to new and existing clients
- Verify all documentation and support all evidence of licensures
- Record minutes and provide details to Board regarding all credentialing efforts
- Daily duties including claim resolution, provider relations, coordinating all future marketing tactics
- Future annual mailings and audit reports
- A network of hospitals and physicians that delivers customized provider panels for employers, insurance companies, and third-party administrators
Secretary III/Network Support
BrightPath, St. Luke’s
01.2010 - 05.2010
- Company Overview: A network of hospitals and physicians that delivers customized provider panels for employers, insurance companies, and third-party administrators
- Coordinate and perform operational support activities for the organization; serve as a liaison with other departments and operating units in the resolution of day-to-day administrative and operational problems
- Provide administrative/secretarial support for the department such as answering telephone, assisting visitors, and resolving and referring a range of administrative problems and inquiries
- Operate personal computer to compose and edit correspondence and memoranda from dictation, verbal directions, and from knowledge of established department/division policies; prepare, transcribe, compose, type, edit, and distribute agendas and minutes of staff meetings
- Schedule and coordinate meetings, interviews, appointments, events, and other similar activities for supervisors, which include coordinating travel as well as lodging arrangements
- Provider/Payer Relations while supporting credentialing staff
- Establish, maintain, and update files, databases, records, and other documents; develop and maintain data, including managing updates/changes to the BrightPath Website
- A network of hospitals and physicians that delivers customized provider panels for employers, insurance companies, and third-party administrators
Practicum
The Hospital Cooperative
01.2010 - 05.2010
- Company Overview: A resource center for 14 rural hospitals in Southeastern Idaho
- Expanded research to include many concerns within the Rural Hospital Community
- Improved and reorganized many active templates
- Introduced and presented health education information to further educate the rural community
- Structured and organized a summer safety community event for the rural hospitals
- Developed time management templates
- Updated and created mailings and flyers for special events
- A resource center for 14 rural hospitals in Southeastern Idaho
Education
Bachelor of Science - Health Education, Community/Worksite & Health Care Administration, Business Marketing
Idaho State University
Pocatello, ID2010
Skills
- Team leadership
- Project management
- Cross-functional collaboration
- Process improvement
- Operations management
- Cross-functional team coordination
- Data analytics
- Reporting management
- Cross-functional team leadership
Awards
- Kasiska College of Health Professionals Scholarship
- Presidents List
- Dean’s List
- The National Dean’s List
Professional Development
- 2014-2016, Boise Young Professionals - Boise Chamber of Commerce
- 2006-2008, SAHCA marketing director (Student Association of Health Care Administration)
Timeline
Sr. Manager, Provider Relations
Aetna
10.2018 - Current
Network Relations Consultant
Aetna
11.2015 - 10.2018
Provider Network Specialist
Mountain Health CO-OP
02.2014 - 11.2015
Supervisor, Contract and Credentialing
BrightPath, St. Luke’s
01.2013 - 02.2014
Coordinator, Contract and Credentialing
BrightPath, St. Luke’s
04.2012 - 01.2013
Secretary III/Network Support
BrightPath, St. Luke’s
01.2010 - 05.2010
Practicum
The Hospital Cooperative
01.2010 - 05.2010
Bachelor of Science - Health Education, Community/Worksite & Health Care Administration, Business Marketing
Idaho State University
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