Jennifer Savoy
Oak Park,CA
Summary
Strategic Healthcare Leader Driving Excellence and Innovation
As an accomplished director in healthcare leadership, I blend creative and innovative vision with pragmatic execution.
I orchestrate complex initiatives from inception to successful implementation, navigate intricate healthcare regulations with precision while proactively mitigating risks, and collaborate seamlessly with diverse stakeholders.
My commitment to excellence in healthcare quality and access to care fuels my leadership journey. I am looking to transform the future of healthcare for the betterment of all.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Director, Managed Care and Clinical Operations
AmTrust Financial
11.2020 - Current
- Responsible for buildout and oversight of in-house telephonic Nurse Case Management and Utilization Review teams; span of control 45+ FTEs
- Developed, filed, and implemented custom California Medical Provider Network; liaison to Division of Workers' Compensation for regulatory compliance purposes
- Subject matter expert for development of California Utilization Review program; inclusive of filing, workflows, policies, implementation, education, and quality monitoring
- Collaborate with multidisciplinary group of leaders to optimize programs and provide direction and insights for organizational strategic planning
- Tracked trends and suggested enhancements to both challenge and refine company's product offerings.
Director, Provider Quality and Network Management
Zenith Insurance Company
11.2017 - 11.2020
- Transitioned CA MPN to a new network partner, inclusive of due diligence, contracting, and implementation; Achieved net savings of ~ 1.65M annually over the prior network
- Completed direct contracting of large national Occupational Medicine group allowing for network access fee savings of ~100k
- Redesigned Provider Quality program to support networks’ exclusive rights in support of superior clinical outcomes
- Ensured organizational strategic goals were achieved through strong relationships with the provider community and evaluation of quality benchmarks and execution of continuous improvement plans
Regulatory Compliance Specialist
Zenith Insurance Company
06.2015 - 11.2017
- Collaborated with cross-functional teams to develop comprehensive risk management strategies and reduce exposure to non-compliance penalties.
- Regulatory oversight for Utilization Review, Drug Formulary, and Provider Network programs nationally
- Development and implementation of internal programs, policies, and processes for compliance across multiple jurisdictions
- Oversight of all Independent Medical Review programs; uphold rate exceeded industry standards from inception, savings on upheld treatment ~ 1.2M annually
Clinical Nurse Manager
Zenith Insurance Company
06.2011 - 06.2015
- Hiring, development, and evaluation of clinical staff performance - developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
- Local and regional management of as many as 15 telephonic, field, and Utilization Review nurse case managers, support staff, and supervisors
- Responsible for strategic planning and execution of clinical programs
- Multifunctional and interdisciplinary collaboration to ensure best outcomes and coordination of efforts between claims, legal, and medical teams
Telephonic Nurse Case Manager
Zenith Insurance Company
05.2010 - 06.2011
- Enhanced patient care by providing telephonic support and guidance to individuals with workers' compensation injuries
- Facilitated timely referrals to appropriate specialists, expediting necessary treatments and improving overall health outcomes.
- Communicate with and provide clinical consultation to regional claim examiners
- Assess future medical care needs and medical cost projections to assist in reserving and settlement
Emergency Room Registered Nurse
West Hills Hospital & Medical Center
06.2008 - 05.2010
Emergency Room Registered Nurse
Cedar Sinai Medical Center
01.2007 - 06.2008
Education
Bachelor of Science - Nursing
Mount Saint Mary's University
Los Angeles, CA2006
Skills
- Charismatic Leader
- Critical Thinking and Problem Solving
- Cost Containment Strategies
- Conflict Resolution
- Project Management
- Process Improvement
- Partnerships and Alliances
- Regulatory Compliance and Risk Management
- Strategic Planning
Certification
- California Registered Nurse - License #697758
- Certified Case Manager - License #144177
- Certified Six Sigma, Green Belt - 2023
Timeline
Director, Managed Care and Clinical Operations
AmTrust Financial
11.2020 - Current
Director, Provider Quality and Network Management
Zenith Insurance Company
11.2017 - 11.2020
Regulatory Compliance Specialist
Zenith Insurance Company
06.2015 - 11.2017
Clinical Nurse Manager
Zenith Insurance Company
06.2011 - 06.2015
Telephonic Nurse Case Manager
Zenith Insurance Company
05.2010 - 06.2011
Emergency Room Registered Nurse
West Hills Hospital & Medical Center
06.2008 - 05.2010
Emergency Room Registered Nurse
Cedar Sinai Medical Center
01.2007 - 06.2008
Bachelor of Science - Nursing
Mount Saint Mary's University
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