Janelle Bowler
Director, Provider Contracting and Implementation at EmblemHealth | New York, New York, United States
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Janelle Bowler currently serves as the Director of Provider Contracting and Implementation at EmblemHealth, where she leverages her extensive knowledge of health plan operations to drive strategic initiatives and enhance provider relationships. With a proven track record in leading teams through the implementation of new vendors, products, and benefits, Janelle has become a key player in the organization’s efforts to transition to value-based care models. Her expertise in negotiating with major healthcare facilities and integrated delivery systems in the competitive New York market has been instrumental in establishing robust partnerships that benefit both providers and members.
One of Janelle's significant accomplishments includes managing global risk and delegated arrangements for over 100,000 covered lives in the Bronx and Westchester counties. Her leadership in negotiating and implementing a full risk agreement with a chiropractic vendor for all Health Insurance Plan (HIP) membership exemplifies her commitment to innovative solutions that enhance care delivery. Additionally, Janelle oversees disease management vendor contracts, focusing on high-risk populations to improve health outcomes and reduce costs.
Her comprehensive understanding of compliance oversight related to delegated functions and government programs further underscores her capability in navigating the complexities of the healthcare landscape. Janelle's skills in network development, Medicare, healthcare consulting, and quality improvement position her as a vital asset in advancing EmblemHealth's mission to provide accessible, high-quality healthcare. As she continues to spearhead key projects, Janelle remains dedicated to fostering collaborative relationships that drive sustainable growth and improve patient care across the organization.
Director, Provider Contracting and Implementation at EmblemHealth in June 1998 to Present
Associate Director Network Contracting at UnitedHealth Group in November 2018 to Present
Director Network Contracting at UnitedHealthcare in July 2021 to Present
Director of Global Risk Contracting and Management at EmblemHealth in May 2015 to October 2018
Implementation Manager at Prudential Health Insurance Company of America in January 1998 to June 1998
Manager, HealthCare Operations at Prudential Health Insurance Company of America in June 1996 to January 1998
Workers Compensation Coordinator at Hermann Hospital in November 1992 to August 1994
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Managed Care
Healthcare
Network Development
Medicare
Medicaid
Health Policy
Contract Negotiation
Provider Relations
HMO
Healthcare Industry
PPO
Disease Management
Healthcare Consulting
Claim
Credentialing
ICD-9
HIPAA
Healthcare Information Technology
Utilization Management
Quality Improvement
Revenue Cycle
Hospitals
EMR
Healthcare Management
Physicians
Health Insurance
Physician Relations
EHR
Healthcare Information Technology (HIT)
Claims Management
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Discover more about EmblemHealthWhat is Janelle Bowler email address?
Email Janelle Bowler at [email protected] and [email protected]. This email is the most updated Janelle Bowler email found in 2026.
How to contact Janelle Bowler?
To contact Janelle Bowler send an email to [email protected] or [email protected]. (updated on September 13, 2024)
What company does Janelle Bowler work for?
Janelle Bowler works for EmblemHealth
What is Janelle Bowler's role at EmblemHealth?
Janelle Bowler is Director, Provider Contracting and Implementation
What is Janelle Bowler's Phone Number?
Janelle Bowler's phone (212) ***-*426
What industry does Janelle Bowler work in?
Janelle Bowler works in the Hospitals And Health Care industry.
Janelle Bowler Email Addresses
Janelle Bowler Phone Numbers
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