J
Jaclyn Parker
About
Detail
Senior Vice President, Clinical Program Operations
San Diego, California, United States
Résumé
Jobs
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Senior Vice President, Clinical Program OperationsAmerican Specialty HealthJun 2023 - Current (3 years 3 months)- Council Member/Secretary - Student Site CouncilPoway Unified School DistrictOct 2020 - Current (5 years 11 months)
- Vice President, Specialty Network OperationsAmerican Specialty HealthAug 2019 - Jun 2023 (3 years 11 months)
- Vice President, Claims & EligibilityAmerican Specialty HealthJun 2019 - Aug 2019 (3 months)
- Associate Vice President, Claims and EligibilityAmerican Specialty HealthJun 2017 - Jun 2019 (2 years 1 month)
- Senior Director, ClaimsAmerican Specialty HealthMar 2015 - Jun 2017 (2 years 4 months)
- Director, ClaimsAmerican Specialty HealthJul 2012 - Mar 2015 (2 years 9 months)Advanced to Director of Claims to provide management team leadership in high-level operational work, ensuring quality, productivity and efficiency throughout the operational unit. Led in a collaborative, inclusive style excelling at timely communications with cross-functional work groups. Held full accountability to the Executive Management Team, and COO/President. • Responsible for oversight of 100+ employees across corporate locations (CA, TX, and IN) • Core development team member for expansion plans and launch of three additional corporate sites • Successfully spearheaded efforts to improve core competencies • Maintained 100% department performance across all categories for externally reported performance standards for direc
- Senior Manager, ClaimsAmerican Specialty HealthJun 2011 - Jul 2012 (1 year 2 months)Hired to invigorate staff members in under-performing department with 30 open requisitions to assure successful positioning for corporate growth while augmenting and elevating current client satisfaction • Improved externally reported performance standards from 98% performance for direct- pay clients within six months of hire; maintained 100% performance going forward • Promoted and fostered a culture of employee satisfaction through employee development resulting in the advancement of 27 team members including 7 into leadership positions within Claims and other operational units • Selected as key contributor to the URAC Claims Advisory Committee in 2012
- Manager, Operations ProcessingMedImpact Healthcare Systems IncMay 2007 - May 2011 (4 years 1 month)• Promoted to unite two departments struggling with operating profit losses and lackluster performance • Oversaw 60 employees within three teams across two states (CA and AZ) • Decreased paper claim transactional turnaround times by 50%; exceeded Prior Authorization inter-rater reliability and internal service level agreements for accuracy (98%+) • Developed yearly strategy maps & business plans in conjunction with the VP, Operations and VP/Medical Director, Clinical Services • Identified and implemented efficiency improvement tactics, including the formation of a cross-functional team to field non-production tasks/inquiries o Decreased response time from 5 days to 24 hours o Removed distractio
- California Accelerated LeaderProgressive InsuranceAug 2004 - Mar 2007 (2 years 8 months)• Performed in and supervised a production floor measured by tight accuracy and timeliness guidelines • Devised/implemented branch customer service initiative; increased customer service indicators twofold within two months • Planned and directed all incoming case assignments to branch staff of 40+ • Identified impediments to internal/external customer satisfaction; coordinated a cross-functional forum to discuss and define measurement criteria to resolve obstacles • Liaised between state committees and the branch to voice local customer perspectives and execute new programs • Managed three vendors: ensured corporate/governmental compliance, guided merchants to consistently deliver services prior to
Education
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- UUC EAPUC EAP
- Bachelor of Arts, Classical and Ancient StudiesUniversity of Melbourne
- Bachelor of Arts, Classical History and LanguagesUNIVERSITY OF CALIFORNIA BERKELEY