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 Insurance sales and service,healthcare quality improvement,Medicaid, 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.
Licenses and Certifications
A lifetime of Licenses and Certifications barely scratch the surface of the amount of knowledge and experience that she has gathered over the years.
01 / Insurance
02 / Medical
03 / CSSC
Insurance
Medical
Arizona Life, Health, Property and Casualty licenses
Certified Clinical Medical Assistant
A Lean Six Sigma Green Belt certification trains professionals to identify process inefficiencies, reduce waste, and improve quality by applying data-driven methodologies.
04 / Microsoft
05 / SSGI
06 / Structure
Microsoft
Project Management
Company Structure
Microsoft Copilot for Productivity Certification
SSGI Project Management Certification
Understanding Organizations and the Role of HR
Lean Six Sigma - Green Belt
The professional record.
From clinical practice management to payer-side quality strategy, every role has focused on structural clarity and frictionless execution.
2014-2019
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
2003-2013
Insurance Business
Built and scaled a multi‑million‑dollar insurance agency serving high‑risk clientele, developing standardized processes, training programs, and operational systems that supported consistent service delivery and long‑term growth.
Drove business expansion through innovative community‑based marketing and hands‑on leadership, earning 10 consecutive Manager/Agent of the Year awards and establishing a strong operational foundation that supported sustained performance and scalability.
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.