Jairy Hunter

Experience

1. Medical Director

   Navihealth

   Apr 2017 — Present · Charleston, SC

   naviHealth partners with health plans, health systems, and post-acute providers to manage the entire continuum of post-acute care. We utilize evidence-based protocols to optimize care and bundled payment methodologies to align all stakeholders. The result: optimized care and outcomes, reduced inpatient days, reduced hospital readmissions, and increased patient wellness and satisfaction. Provide daily utilization oversight and external communication with network physicians and hospitals. Responsible for daily UM reviews, both authorizations and denials. Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting. Conduct Peer-to-Peer conversations for clinical case reviews. Conduct provider telephonic review and discussion, on-site visits, share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care. Communicate with network and non-network providers to ensure successful administration of naviHealth services. Respond to clinical inquiries and serve as medical contact point for various healthcare providers Contribute to development of action plans and programs to implement strategic initiatives and tactics. Medical Advisory Board participation.

Education

• Haslam College of Business at the University of Tennessee

  MBA, Business

  2008 — 2009

• Furman University

  BA, English

  1985 — 1989

• Medical University of South Carolina College of Medicine

  MD, Medicine

  1989 — 1993