Julia Levina

Healthcare Professional | Doctor of Physical Therapy | Transitioning to a non clinical position in the medical field

Role: Utilization Management Reviewer at Health Network One
Location: Concord, NC, US
LinkedIn followers: 500 followers

Healthcare & Human ServicesView LinkedIn profile

About Julia Levina

Empathetic and enthusiastic Doctor of Physical Therapy with near 20 years of experience…

Experience

Utilization Management Reviewer
Health Network One
Feb 2024 — Present · US
Applying skills acquired as a PT focus to identify key medical cost drivers and then devise reimbursement methodologies and UM programs to eliminate them while preserving patient access and clinical quality. Resulting in significant reduction of direct professional costs, and in several specialties, a significant drop in facility costs as well.

Contact information

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Current company

Health Network One

Hospitals and Health Care · 173 employees · Founded 1999 · Coral Gables, Florida, United States

Specialty care, including specialty medications, is one of the highest drivers of healthcare cost and complexity. Traditional approaches to managing specialty care have focused on denials, frustrating providers and members alike. Health Network One is a value-based specialty management company that aligns providers, clinical programs, and economics to deliver up to 30% savings. We serve as a health plan within a health plan for specialty care and specialty drug management across four integrated programs: Total Eye, covering routine vision and all medical eye conditions, including retinal diseases and glaucoma. Sleep Well managing the full range of sleep disorders including sleep apnea, restless leg syndrome and narcolepsy. Pure Derm, from routine dermatology to skin cancer, psoriasis, and eczema; Thrive Therapy for physical, occupational, and speech therapy for developmental delays and post-surgical rehab and pain management. Our programs rely on value-based reimbursement with providers, offering incentives for high-quality, cost-effective care while minimizing administrative work. We enhance these networks with advanced clinical initiatives targeting specialty drug use, aiming for better outcomes and assured savings. Our highly flexible model allows us to take full clinical, network, financial and operational responsibility for managing the specialty, or a modular approach where we perform select services on an administrative fee basis. Across our solutions, our focus is consistent: lower cost, better quality and strong provider alignment delivering up to 30% savings.

healthnetworkone.com

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About Julia Levina

Experience

Utilization Management Reviewer

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