Jamie Clarke

Vice President, TRICARE Provider Networks, East Region

Insurance, Dover, Delaware Area

About Me

Innovative and strategic executive leader with diverse experience in health care, managed care, health plan operations, data analytics and project management. A results-oriented professional who consistently exceeds expectations while developing high performing teams that have a proven track record of improving efficiency and driving profitable results. Career Highlights * In depth knowledge on state and federal funded health insurance programs and the accompanying regulatory requirements, including Medicaid, Medicare Advantage, Duals Demonstrations and TRICARE, providing experience in over 33 states and the District of Columbia * New market provider network development and maintenance responsibility for all provider types (hospitals, IPAs/PHOs, physicians and ancillary, including behavioral health and LTSS) and vendors, including recruitment, network adequacy, provider analytics, system set-up, provider data maintenance, call center operations, value-based payment arrangements, and identification and implementation of cost of care initiatives * Develops collaborative relationships with internal and external stakeholders working within cross functional teams and matrix organizations * Accreditation of Provider Networks and Provider Credentialing * Exceptional communication skills with the ability to easily translate between technical, business users and executive leadership * Successfully develops and manages diverse teams that comprise various departments, located in different states, including telework * Resource allocation, including use of external and contingent labor, time allocation to various departments/projects and staffing reductions * Due diligence on acquisitions of several health plan and companies

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Project : EllieGrid

Comment : Have you thought about populating the prescription name on the pillbox as well? From personal experience, I know my grandmother's physician will instruct her to take an extra pill/dose dependent on results of blood work. In this case, where there is a limited change in dosage, it may be easier for the patients to quickly look at the device to determine which pill to take than to log onto their phone to try to match up to the correct prescription.

Posted on : 15th November, 2016

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Jamie Clarke

Vice President, TRICARE Provider Networks, East Region

Insurance, Dover, Delaware Area

About Me

Interested in solutions for: