Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jessica Busche

Summary

Accomplished, strategic and driven woman offering a hardworking and reliable demeanor with a goal of creating and implementing best practices to improve business success. Team leader, with great interpersonal and time-management skills. Hands-on, enthusiastic, professional, who is eager to bring my skills, experience and education to an organization.

Overview

3
3
years of professional experience
1
1
Certification

Work History

Policy Manager

National Committee For Quality Assurance
05.2023 - Current
  • Developed and maintained product-specific Standards and Guidelines.
  • Clarified content-specific issues for external and internal customers.
  • Reviewed preparation and/or presentation of educational materials and regulatory crosswalks.
  • Maintained a current knowledge of the healthcare industry and works collaboratively with members of the Policy team and with other areas of the organization to help advance NCQA's mission.
  • Provided direct support and clarification on complex questions regarding Standards and Guidelines and associated performance measures.
  • Prepared written responses to questions for customers and verify proposed responses prepared by Policy Analysts and other staff Prepare content for posting as Frequently Asked Questions (FAQs) or policy updates Development and Enhancement of Products.
  • Served as the product and content champion for assigned products and content areas, maintaining knowledge of the current health industry and regulatory environment and apply it in development and enhancement activities
  • Participated and supported NCQA multi-function teams, committees and external workgroups involved in the development and enhancement of assigned products.
  • Ensured that products and content are accurate and completed on time. Researched content, conducted analysis, synthesized feedback, assessed quality of standards, prepared written summaries, incorporated changes and recommendations, rewrote/edited Standards and Guidelines for assigned products.
  • Updated assigned products as necessary based on feedback from customers and instructions from Leadership or Policy management Content Expert
  • Reviewed and edited content specific areas of proposed write ups and educational materials Regulatory Affairs Review and updated deeming crosswalks.
  • Participated in strategies to grow and maintain non-duplication efforts across state and federal regulatory entities.
  • Served as a public policy consultant, content expert and primary contact for Public Policy related issues.
  • Participated in collaborative and integrative projects with other areas such as: public speaking engagements, education planning committees, Surveys, and Surveyor training requirements.

Product Manager

Bright Health Group
10.2022 - 03.2023
  • Conceptualized and deployed enhanced product features and optimized implementation.
  • Established criteria for each milestone within product roadmap as means to measure developmental progress.
  • Documented user stories, specifications and product features into detailed work order to communicate across teams and build out mandatory requirements.
  • Collaborated effectively with team members to deliver updates on project milestones and deadlines.
  • Analyzed metrics to measure product performance.
  • Prioritized roadmap in order to achieve product goals and metrics.
  • Developed product documentation to communicate upcoming features and products to internal teams.
  • Set goals and formalized policies to maximize team performance and keep project on-task.
  • Compiled product and customer data to generate informed profit projections.
  • Monitored market trends and competitor performance to update and enhance product offerings.

Product Innovation Analyst

Magellan Health
07.2021 - 09.2022
  • Manage Patient Assistant Program (PAP) and Coupon Assistance Program (CAP) which includes reporting, client management, and clinical drug research.
  • Manage pricing and conduct competitive intelligence for product offerings
  • Work with product development team to define and implement customer change requests to enhance product functionality.
  • Support development team in generation of technical requirements and product documentation to achieve process commonality.
  • Evaluate internal products and recommended revisions to improve functionality via ongoing departmental surveying and data analysis
  • Attend weekly development team meetings and assisted in identification and resolution of issues to maintain timeline and budget integrity.
  • Assist in development of new product development and creating client portals
  • Create customized marketing materials to increase product awareness across internal stakeholders.
  • Collaborate with product development team to improve Sharepoint portals with vendors managing claims and member issues.
  • Write engaging and successful marketing newsletters for company distribution quarterly.
  • Track key metrics and develop spreadsheets and data models with use of SQL and internal data warehouses for ongoing product management

MFLC Business Analyst Intern

Magellan Federal
01.2021 - 02.2021
  • Analyzed organization's Military and Family Life Counselor (MFLC) program for quality improvements in Videoconference/Telephonic Non-Medical Counseling (VTC). Program improvement recommendations were sent to program director and CEO for consideration
  • Recommendations on building interpersonal skills and technology knowledge best practices were disseminated to supervisors and MFLCs through supplemental document

Education

Master of Health Administration - Health Systems Management

George Mason University
Fairfax, VA
05.2021

Bachelor of Business Administration - Marketing

James Madison University
Harrisonburg, VA
12.2015

Skills

  • SQL
  • Agile & Scrum Methodology
  • Confluence & JIRA
  • Product Alignment
  • Product Portfolio Management
  • Revenue and Growth Modeling
  • Product Information Management
  • Data Analytics
  • Market and Competitive Analysis
  • Strategic planning
  • Communications management
  • Adobe, Microsoft and Google Proficient
  • CRM
  • SharePoint
  • Regulatory Documentation
  • Program Implementation
  • Document Reviews
  • Process Management
  • Process Development
  • Internal Audits

Certification

Certified in Project Management, MindEdge (2022)

Certified Medical Assistant (2018)

Certified Family Readiness Group Leader (2017)

Timeline

Policy Manager

National Committee For Quality Assurance
05.2023 - Current

Product Manager

Bright Health Group
10.2022 - 03.2023

Product Innovation Analyst

Magellan Health
07.2021 - 09.2022

MFLC Business Analyst Intern

Magellan Federal
01.2021 - 02.2021

Master of Health Administration - Health Systems Management

George Mason University

Bachelor of Business Administration - Marketing

James Madison University

Certified in Project Management, MindEdge (2022)

Certified Medical Assistant (2018)

Certified Family Readiness Group Leader (2017)

Jessica Busche