Meredith Smith

Provider Account Specialist @Horizon Blue Cross Blue Shield of New Jersey

Jackson, NJ, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

May 2024 — Present

Provider Account Specialist @Horizon Blue Cross Blue Shield of New Jersey

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Lead provider strategy discussions and cross‑functional initiatives to improve satisfaction, quality outcomes, and adherence to value‑based program standards.Serve as SME in delegated risk models, provider operations, and performance analytics.Facilitate collaboration across Value‑Based Partnerships, CDCT, Health Affairs, and senior leadership teams.

EDUCATION

2023 — 2023

Management and strategy institute

Certification, PMEC

2011 — 2013

University of Phoenix

BA, Health Care Management

2009 — 2011

University of Phoenix

AS, Science in Human Services

2016 — 2018

Colorado State University Global

Master’s Degree, Organizational Leadership

SKILLS

Business Process ImprovementOutlookSpreadsheetsNascoWordEmployee BenefitsHipaaQblueCptMedical BillingHealthcare ManagementExcelProvider RelationsMicrosoft WordPractice ManagementHealthcareMember ServicesU.s. Health Insurance Portability and Accountability Act (Hipaa)Health InsuranceClaimsManaged CarePpoMedicalCpwMedicaidClaimCustomer ServiceMicrosoft OfficeInsuranceProcess ImprovementUtilization ManagementMedical TerminologyUcswMicrosoft ExcelClaims ManagementManagementCase Management

ABOUT MEREDITH SMITH

I am a seasoned healthcare operations and provider strategy leader with 25+ years of experience advancing value‑based care, improving provider performance, and strengthening network relationships. My career has centered on guiding cross‑functional teams, resolving complex issues, and delivering strategic insights that support organizational growth and operational excellence.In my current role, I serve as a subject matter expert in provider operations, delegated risk, and analytics—partnering with leaders across Value‑Based Partnerships, CDCT, Health Affairs, and other key teams. I thrive in roles where I can analyze performance trends, identify barriers, and lead collaborative solutions that drive quality, affordability, and provider satisfaction.Colleagues and leaders describe me as resourceful, analytical, and highly trusted—a go‑to partner for navigating challenges, communicating clearly, and building productive relationships across all levels of the organization.I’m passionate about delivering excellence for providers, members, and internal teams, and I am committed to continuous learning, innovation, and leadership in healthcare operations.

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Meredith Smith — Provider Account Specialist at Horizon Blue Cross Blue Shield of New Jersey in Jackson, NJ, US | Unifers