Operational architecture in action.
A decade of designing compliant workflows, optimizing payer quality metrics, and building high-performing operational infrastructure across clinical networks and major insurance plans.
10+ Years
QI Expertise
10 Awards
Direct leadership in healthcare quality improvement, Medicare Advantage, and operational design.
Proven mastery of HEDIS, Stars, CAHPS, and HOS regulatory frameworks.
Consecutive manager of the year honors for operational excellence and team scale.
The professional record.
From clinical practice management to payer-side quality strategy, every role has focused on structural clarity and frictionless execution.
Payer Operations
Clinical Operations
At BCBSAZ, designed provider engagement infrastructure, authored critical business continuity plans, and built high-performing Quality Improvement teams to optimize Medicare Advantage performance.
Managed clinical workflows at Rinehart Clinic using Lean Six Sigma. Previously established standardized processes and scaled high-performing agencies, earning ten consecutive leadership awards.
Led strategic planning and continuous workflow improvement, aligning clinical networks with strict regulatory metrics.
Coordinated care and supported chronic disease management at North Country HealthCare, ensuring absolute clinical continuity.
“Jane elevates the performance of everyone around her through unmatched attention to detail.” — Executive Endorsement
Measurable operational outcomes.
Translating complex compliance mandates into highly functional frontline workflows that protect member outcomes and secure regulatory readiness.
Regulatory readiness.
Quality Improvement is not just about audits. It is about building the training systems and provider relationships that make compliance the default outcome.
Frictionless execution.
By aligning clinical workflows with payer analytical rigor, we ensure frontline staff can execute strategy within tight clinical windows.
Let's discuss how structured operations can stabilize your quality metrics.