Jerryleneq John

Develop and execute provider acquisition strategies across Medicare Advantage and Medicaid, operationalizing initiatives and prioritizing health systems, hospitals, CINs, and physician groups based on network needs, market opportunity, and VBC alignment.

Handled 40+ high priority calls daily with discretion and professionalism, and created reusable client communication templates.

Led and developed a team of five customer-facing professionals, redesigned the client onboarding program, and managed customer escalations to ensure successful client outcomes.

Served as primary relationship manager for leased network vendor partnerships, managed vendor performance and contract compliance, and led resolution of escalated provider and member issues.

Negotiated contract language and fee arrangements for 11 clients, launched the Alternate Level of Care program, and led development of HARP, FIDA, and Residential Redesign initiatives.

Initiated, negotiated, and generated physician and multi-specialty contracts, and led provider education on coding best practices to enhance HEDIS scores.

Increased physician network by developing relationships with new providers, and conducted quarterly meetings with consultants and physicians to manage medical cost trends.

Performed network recruitment and developed contract arrangements, and managed a high volume of inquiries, claims appeals, and grievances.

Provided project management, provider recruitment, data analysis, and administrative support, and audited provider database for accuracy.

Grade: n/a

Activities and societies: Cybersecurity awareness

Certified Cybersecurity Awareness Professional (CCAP) obtained in September 2026.

Grade: n/a

Activities and societies: HIPAA Privacy & Security Expert

Certified HIPAA Privacy & Security Expert (CHPSE) obtained in August 2026.

Bachelor's degree from Adelphi University from 1998 to 2002.