Jacqueline Dupuis

Conveyed with Cigna Medicare Advantage (MA) plans for continued support of Medicare line of business. Completed all tasks associated with new networks and current network maintenance, creating and updating supporting documentation for system implementation. Served as the point of contact for the National Contracts team and for weekly PDQA reports, collaborating cross-functionally for fallout reduc

Designed network solutions for Medicare Advantage (MA) plans as part of a migration initiative to strategic provider data and network platforms. Collaborated cross-functionally with Admin and Market personnel to ensure network designs supported capitation & risk arrangements and claim payments in accordance with CMS requirements. Facilitated meetings to ensure network design accuracy and led a cro

Served as Business Enablement Lead for Network Management initiatives within the Provider Data Innovation (PDI) multi-year project. Collaborated cross-functionally with Business & IT departments to provide system support, workflows, and training initiatives for provider demographic and network system releases and enhancements. Acted in a Product Owner capacity to streamline network system function

Managed a contract assignment as a Business Project Manager for a Fortune 5 Healthcare organization. Updated workstream slides for key migration departments for weekly touchpoint meetings. Collaborated with the Business Ops Readiness department to develop an onboarding process for new platform users.

Served as Migration Lead for the Provider Network Tool (PRONTO) project, successfully migrating pilot network providers to a new web-based application. Facilitated training events for market personnel, providing essential learning foundations for immediate use. Delivered value to customers through continuous improvement, identifying areas for improvement and developing action plans.

Managed and led business projects and programs for West Region Network & Operations departments, serving as a leader for business project initiatives and resolutions. Provided business guidance for system issues impacting the West Region from Legacy to Strategic database migrations. Managed annual filings for CA PPO-based networks and providers to the Department of Insurance (DOI), ensuring timely

Served as Subject Matter Expert (SME) for Aetna Workers’ Comp Access (AWCA) contracting methodology and system setup. Provided sworn affidavits and depositions for AWCA client attorneys as part of the legal resolution process. Led the Provider & Payor Regulations initiative, documenting source information for AWCA Live states, and researched provider contracting, network, and repricing information

Led a Business Implementation Operations department of twelve employees for the Aetna Workers’ Comp Access (AWCA) contract quality and audit program. Advocated Aetna Collaboration & Teamwork values daily for optimal morale and work conditions. Accountable for the professional growth and development of all department personnel, and was selected as an Employee Survey Champion.

Completed a Master of Business Administration with a specialization in Healthcare Management. This advanced degree provided a comprehensive understanding of business principles within the healthcare industry.

Earned a Bachelor of Arts in English. This program developed strong analytical, critical thinking, and communication skills.