Jenifer Donahue PhD
Vice President Provider Services and Operations at Ontrak Health- Claim this Profile
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Bio
Experience
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Ontrak Health
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United States
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Mental Health Care
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1 - 100 Employee
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Vice President Provider Services and Operations
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Oct 2021 - Present
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Director of Operations Analytics and Reporting
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Jun 2021 - Dec 2021
Santa Monica, California, United States Responsible for the development and maintenance of enterprise-wide operating procedures and organizational models to drive effectiveness, standardization, harmonization, accountability and improved productivity. Identification of process improvement opportunities, leveraging technology and data to support the organization on procedural development and refinement activities.
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Director of Product Management
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Jun 2019 - Jun 2021
Los Angeles, California, United States With a focus on continually improving organizational performance to meet revenue objectives, I analyze data and evaluate the policies and procedures in place to identify opportunities from market and product gaps to design and improvement of products as a service. I develop product strategies, personas, use cases, and implementation plans to achieve our goals, launching products successfully by managing these tasks via Aha!. Leading launches end-to-end, I Ied and coordinated cross-functional… Show more With a focus on continually improving organizational performance to meet revenue objectives, I analyze data and evaluate the policies and procedures in place to identify opportunities from market and product gaps to design and improvement of products as a service. I develop product strategies, personas, use cases, and implementation plans to achieve our goals, launching products successfully by managing these tasks via Aha!. Leading launches end-to-end, I Ied and coordinated cross-functional and diverse teams, overseeing engineering tasks and managing stakeholders with Jira. While overseeing launch projects, I also ensured our existing and new products met market and end-user needs, writing standard operating instructions, policies, and procedures to standardize processes and maximize efficiency. Backed with less than 40 hours of engineering work and product and project lead experience, I have proven my ability to manage multiple projects simultaneously to positive results.
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Catasys Inc.
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Sr, Director of Network Management
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Aug 2012 - Jun 2019
Greater Los Angeles Area Charged with overseeing growth, I strategized maintenance of the network, managing the relationships with our current clients while identifying and securing new states. I built high-performance teams to efficiently meet network needs, serving as a liaison with clients to identify needs and effectively manage products and services. Using industry standards, I developed and implemented performance metrics to monitor team performance and address potential concerns. With all my tasks in this role… Show more Charged with overseeing growth, I strategized maintenance of the network, managing the relationships with our current clients while identifying and securing new states. I built high-performance teams to efficiently meet network needs, serving as a liaison with clients to identify needs and effectively manage products and services. Using industry standards, I developed and implemented performance metrics to monitor team performance and address potential concerns. With all my tasks in this role, I built solid professional relationships, using the rapport I built via open communication to negotiate contracts for value-based and fee-for-service. I ensured my efforts maintained compliance with organizational values, developing and applying standard operating procedures that govern network development and daily operations. I made a number of significant contributions while serving in this role. I spearheaded efforts that led to achievement of national market financial goals in all 25 active states. Championing change, I developed and implemented changes that fostered improvement, including telehealth, new payor models, and implementation of a third party claim administrator. I enacted a high-level of expectation for both providers and staff, using industry standards to design new metrics for monitoring adequacy levels. Additionally, I served members for non-contracted providers by implementing a single case agreement model. Show less
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WellCare Health Plans
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United States
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Insurance
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700 & Above Employee
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Director, State Management BH
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Mar 2008 - Aug 2012
Tampa, Florida, United States Negotiating with vendors and contractors, I met established budget targets by negotiating fair contracts with FFS and Value-based healthcare services and vendors. Dedicated to helping patients efficiently and effectively get the care they need, I coordinated with non-participating groups and facilities, establishing single case agreements and letter of agreements to allow them access to care they may not otherwise receive. Always working towards improvement of the patient experience, I… Show more Negotiating with vendors and contractors, I met established budget targets by negotiating fair contracts with FFS and Value-based healthcare services and vendors. Dedicated to helping patients efficiently and effectively get the care they need, I coordinated with non-participating groups and facilities, establishing single case agreements and letter of agreements to allow them access to care they may not otherwise receive. Always working towards improvement of the patient experience, I emphasized a focus on process improvement, restructuring procedures for efficiency and designing new SharePoint and Access tools to support staff in daily operations. My leadership and efforts led to achievement of national market goals for behavioral health in all 12 active states. I managed products and projects end-to-end, consolidating network agreements across the organization, accomplishing goals in only six months. Leading an interdisciplinary team of over 100 full-time employees, I achieved performance goals, including implementation of a new line of business in a new state, Kentucky, for Medicare and Medicaid behavioral health. I negotiated provider contracts and disseminated project information to stakeholders in weekly meetings to achieve project goals on-time and under budget. Show less
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Universal Health Care
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United States
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Insurance
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100 - 200 Employee
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Team Lead, Credentialing/Contracting
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Feb 2007 - Mar 2008
St Petersburg Florida Ensuring smooth and continuous operations across the state of Florida, I maintained credentialing and contracting for Medical HMO providers and facilities for all specialties and types. I cultivated unity across interdisciplinary teams, using bi-monthly credentialing and delegation committee meetings to keep stakeholders on the same page. Continually managing change to meet project goals, I oversaw reorganization of files and development of metrics for overseeing contracting and credentialing… Show more Ensuring smooth and continuous operations across the state of Florida, I maintained credentialing and contracting for Medical HMO providers and facilities for all specialties and types. I cultivated unity across interdisciplinary teams, using bi-monthly credentialing and delegation committee meetings to keep stakeholders on the same page. Continually managing change to meet project goals, I oversaw reorganization of files and development of metrics for overseeing contracting and credentialing files that were sent to internal processing. I created standard operating policies, identifying strengths and weaknesses to improve credentialing and contracting processes for internal and external stakeholders. My efforts to increase efficiency in provider onboarding led to an one-month improvement of 50% in provider credentialing. I earned the 2/2007 Employee of the Month recognition for my excellence performance, stellar results, leadership, and dedication to organizational objectives. Show less
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President
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Apr 2003 - Jan 2007
Madison Heights, Michigan Applying my expertise in office management, I consulted up to 47 provider offices with advise on optimizing processes to meet business goals. I used industry standards to build performance metrics, policies, and procedures to optimize daily operations, improving financial performance gathering insights and developing action plans by auditing records, identifying opportunities, and implementing reimbursement changes. I acted as a Subject Matter Expert for credentialing and contracting services… Show more Applying my expertise in office management, I consulted up to 47 provider offices with advise on optimizing processes to meet business goals. I used industry standards to build performance metrics, policies, and procedures to optimize daily operations, improving financial performance gathering insights and developing action plans by auditing records, identifying opportunities, and implementing reimbursement changes. I acted as a Subject Matter Expert for credentialing and contracting services, helping clients deliver high-quality care through comprehensive training programs for provider staff, uniquely tailored to meet the requirements of the providers’ specialties. Show less
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Manager, Sales/Marketing
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Apr 2000 - Jan 2006
Royal Oak, Michigan
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Genius Solutions, Inc
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United States
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Software Development
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1 - 100 Employee
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Technical Support and Electronic Data Interchange Manager
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Jul 1996 - Jun 2001
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Education
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Capella University
PhD, Organizational Management -
Ashford University
MBA, Business Admin -
University of Phoenix
BSIT, Computer Information Technology