D. Grant Jones
About D. Grant Jones
D. Grant Jones is a Director of Business Platform at Highmark Inc., with extensive experience in healthcare management and reimbursement development. He has held various leadership roles across multiple healthcare organizations and has a strong academic background in health administration and management.
Current Role at Highmark
D. Grant Jones serves as the Director of Business Platform [Provider] at Highmark Inc. since 2022. In this role, he is responsible for overseeing business operations related to provider services. His leadership focuses on enhancing the efficiency and effectiveness of provider interactions within the organization.
Previous Experience at Highmark
Prior to his current position, D. Grant Jones worked at Highmark Inc. as the Director of Provider Reimbursement Development from 2017 to 2022. During his tenure, he standardized out-of-network reimbursement processes, leading to significant cost savings and improved operational efficiency.
Professional Background
D. Grant Jones has a diverse professional background in healthcare management and administration. He has held various roles, including Service Executive at MedSynergies (Optum) and Director of Clinics and Professional Revenue Cycle at Mary Lanning Memorial Hospital. His experience spans multiple states and healthcare settings, contributing to his comprehensive understanding of the industry.
Educational Qualifications
D. Grant Jones holds a Bachelor of Science in Healthcare Management from Pfeiffer University. He furthered his education with a Doctorate in Health Administration and a Master's in Business Administration with a focus on e-Business from the University of Phoenix. Additionally, he earned an Associate of Applied Science in Respiratory Care Technology from Central Piedmont Community College.
Key Achievements in Healthcare Management
Throughout his career, D. Grant Jones has led significant projects that have impacted healthcare reimbursement processes. He developed the Pricing Traceability program and led the Professional Fee Schedule Rebasing Project, which established new standard fee schedules across multiple states. His work in collaboration with Value-based Reimbursement leadership has contributed to innovative reimbursement models.