Janice Johnson

Experience

1. VP Managed Care

   Creative Solutions In HealthCare

   Nov 2013 — Present · Austin, TX, US

   Contract Negotiations with Medicare Advantage, Managed Medicaid and Commercial Health plans. Government contracting for VA contracts. Post Acute agreements including ACO, PAC, BPCI and VBP.*Manage and oversee credentialing process.*Provide assessment and recommendations for contractual operation and clinical management of managed care patients.*Provide managed care and marketing educational training for the field to manage costs and assist in cost analysis.*Provide assistance to the accounts receivable team to ensure a cohesive process for claims management.*Assess and Implement Care Management Programs for manage care patients which includes integration of therapy services.*Assist administrators and rehab directors with utilization management to ensure highest level of functional outcome.*Participate on several STAR+PLUS MCO Nursing Facility Advisory boards to promote collaboration with key stake holders.

Education

• Angelo State University

  Healthcare RN Program

  1995