Jennifer Hayes
About Jennifer Hayes
Jennifer Hayes serves as the Director of Risk Adjustment Programs at Carelon, where she has worked since 2021. With over 25 years of healthcare experience, she has held various managerial roles and is a board-certified Family Nurse Practitioner.
Work at Carelon
Jennifer Hayes has been serving as the Director of Risk Adjustment Programs at Carelon since 2021. In this role, she is responsible for overseeing risk adjustment initiatives and ensuring compliance with healthcare regulations. Her position is based in Cerritos, California, where she has contributed to the development and execution of programs aimed at improving healthcare quality and outcomes.
Previous Experience in Healthcare
Prior to her current role, Jennifer Hayes worked at Walgreens as the Manager of Medical Coding from 2014 to 2017. She then transitioned to Highmark Inc., where she served as the Manager of Strategic Risk Adjustment Programs from 2017 to 2021. Her extensive experience in these positions has equipped her with a deep understanding of risk adjustment processes and healthcare coding.
Education and Expertise
Jennifer Hayes holds a Doctor of Nursing Practice (DNP) from The University of Alabama, which she completed from 2011 to 2013. She also earned a Master of Science in Nursing (MSN) with a focus on Family Nurse Practitioner from the University of Pittsburgh between 1994 and 1996. Additionally, she obtained a Bachelor of Science in Nursing (BSN) from Duquesne University from 1988 to 1993. Hayes is a Board Certified Family Nurse Practitioner and has expertise in coding, quality improvement, and HEDIS.
Background in Education and Compliance
Jennifer Hayes has a background in education and compliance, having worked at the University of Pittsburgh as the Coordinator of Compliance & Research from 1996 to 2008. In this role, she was involved in student health services and student affairs. Furthermore, she has served as adjunct faculty at various universities, providing lectures to nurse practitioner students, thereby contributing to the education of future healthcare professionals.
Professional Skills and Leadership
With over 25 years of combined healthcare experience, Jennifer Hayes possesses a proven ability to develop and execute high-quality educational programs. She is skilled in leading healthcare providers to achieve company quality goals through influence and effective communication. Her experience and skills position her as a leader in the healthcare field, particularly in risk adjustment and quality improvement.