Jason Humphrey
Vice President, Health Networks & Government Programs - Wellmark Blue Cross and Blue Shield
- Role
- Vice President, Health Networks & Government Programs at Wellmark Blue Cross and Blue Shield
- Location
- Des Moines, IA, US
- LinkedIn followers
- 500 followers
About Jason Humphrey
Seasoned healthcare executive with over 27 years expertise in the payer and provider market segments. Direct industry experience across network management and development, contracting, alternative and value-based payment models, financial, marketing, product development, clinical and population health strategy, business strategy, program management and operations functional areas. Significant interest in obtaining corporate, national/regional or field leadership position with a Fortune 500 health and well being company.Specialties: Organizational leadership, P&L management, contract negotiation and strategy development, alternative and value-based payment models, business and strategic planning, network development and management, network analysis, government program requirements, account management, business development, project and program management, financial analysis, healthcare economics, competitive analysis, operations and process improvement.
Experience
Vice President, Health Networks & Government Programs
Wellmark Blue Cross and Blue Shield
Nov 2022 — Present
Senior Executive Healthcare leader responsible for all aspects of health networks strategy, value-based programs, Medicare Advantage stars/risk/quality, network economics and analytics, network relations, payment integrity and network operations. Oversee a team of 100+ team members focused on delivering total cost of care value for Wellmark’s members.
Education
University of Northern Iowa
B.A., Business Administration
1994 — 1998
University of St. Francis
M.S., Health Services Administration
2001 — 2005
Skills
- Risk Analysis
- Project Management
- Hedis
- Healthcare Reimbursement
- Healthcare Analytics
- Health Insurance
- Project Planning
- Managed Care
- Medicare/Medicaid Reimbursement
- Hipaa
- Physician Relations
- Claims Resolution
- Competitive Analysis
- Hmo
- Contract Negotiation
- Provider Relations
- Credentialing
- Hospitals
- Financial Analysis
- Physicians
- Network Development
- Account Management
- Health Policy
- Claim
- Employee Benefits
- Revenue Cycle
- Business Planning
- Healthcare Industry
- Staff Development
- Provider Network Development
- Health Plan Operations
- Strategic Partnerships
- Medicaid Managed Care
- Medicaid
- Capitation
- Tricare
- Claims Management
- Business Relationship Management
- Team Building
- Medicare
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