Jane Scott joins the company as senior vice president of professional services, and will bolster the organization’s consulting practice in providing care management and health care policy expertise to clients.
Health Integrated, the leader in Precision Empowered Care Management, today announced that Jane Scott has joined the company as senior vice president of professional services, and will bolster the organization’s consulting practice providing care management and health care policy expertise to clients. Scott is a recognized leader in health care for her expert knowledge of Medicare requirements, Star ratings, special needs plan population management and models of care. She has more than 33 years of industry experience, and most recently served with Gorman Health Group in Washington, DC, where she was senior vice president of clinical and provider innovations.
In her new role, Scott will counsel health plan clients on quality measures affecting revenue and care model design, the quality bonus program (Star ratings) and regulatory compliance requirements. She will represent Health Integrated as an industry thought leader and integrated care advocate through blogs, speaking engagements and conference appearances. Scott’s expertise will also play a key role in identifying market trends and opportunities as part of the strong culture of innovation at Health Integrated.
“We are very excited to have Jane join our team,” said Shan Padda, chairman and CEO of Health Integrated. “Her industry knowledge and expertise will be especially beneficial to our clients as they navigate the constant change in compliance and quality regulations associated with serving at-risk populations.”
While at Gorman, Scott was responsible for leading the Star ratings optimization program, facilitating assessments and strategic plans to drive plan scoring. Exceptionally knowledgeable about the Centers for Medicare and Medicaid Services (CMS) quality bonus payment program, Scott also guided plans in developing model of care and quality improvement programs. Prior to joining Gorman in 2003, she served as the Medicare compliance officer at Health Net of Arizona, and later as their director of Medicare program management for government programs from 1996 and 2004. Under her leadership, Health Net increased its total Medicare program revenue by more than 6 percent annually. To complement her managed care expertise, Scott has more than two decades of clinical nursing experience, including in case management and utilization management.
“Jane’s deep knowledge of health plans’ challenges with meeting quality and compliance expectations, in combination with her clinical background, truly enhances the value we bring to our clients,” said Zachary Fritz, chief revenue officer at Health Integrated. “We look forward to her immediately demonstrating expert value as a resource to them.”