Jennene Jones
Healthcare Operations & Compliance Professional | CMS & NCQA Expertise | Program Coordination & Process Improvement
- Role
- Business Process Analyst - Enterprise Operations at AmeriHealth Caritas
- Location
- Philadelphia, PA, US
- LinkedIn followers
- 500 followers
About Jennene Jones
A highly motivated professional with 25 years of experience in the healthcare field. Knowledge of Medicare Advantage & Commercial Insurance including compliance standards established by CMS and NCQA; Medicare appeals, Compliance, claims processing, operations, & FWA Investigations.Excellent interpersonal, organizational, verbal and written communication skills, coupled with a high degree of customer focused professionalism and the ability to define problems. Ability to adhere to the strong code of professional and business ethics while working independently and as a team player. Independent problem solver with a high definition to detail. Skilled at building relationships with stakeholders across all levels of an organization.
Experience
Business Process Analyst - Enterprise Operations
Mar 2024 — Present · Philadelphia County, PA, US
Education
Temple University
Accounting
1992 — 1993
Cheyney University
Accounting
1995
Skills
- Health Insurance
- Managed Care
- Microsoft Office
- Medical Coding
- Microsoft Excel
- Software Documentation
- Policy
- Healthcare
- Medicare
- Underwriting
- Claim
- Training
- Hipaa
- Hospitals
- Analysis
- Leadership
- Management
- Insurance
- Employee Benefits
- Quality Assurance
- Microsoft Word
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