Hear how to turn the power of data into action. Health insurance providers can now leverage evidence-based analytics, benchmarked on the largest complete data set in the industry to solve four critical business challenge:
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Rachael N. Jones
Vice President, Insights Analytics
Rachael Jones oversees the management and growth of client relationships within Insights Analytics, a division delivering market-leading analysis that drive reductions in cost of care and improve clinical outcomes. She leads a team that leverages the commercial experience of Anthem, the nation’s largest Blue health plan, bringing strategic data analysis solutions to health plans across the country. Focusing on a range of health plan needs, these solutions offer critical insights on how to move to value-based payment models, foster provider collaboration, target at-risk members, drive behavior change, optimize diagnoses used in risk adjustment activities, and support a cycle of continuous improvement among many other areas.
Backed by nearly two decades of health care and technology experience, Rachael is well recognized for her expertise in solution sales, delivery and product management, and as an innovator in cost-of-care and provider reimbursement strategies. Prior to her current role, she had financial oversight of payment innovation programs, as well as analytics product development that drove the shift from volume to value-based payment models.
Within the healthcare industry, Rachael has also held leadership roles at Healthfirst, LLC, where she served as Assistant Vice President of Financial Analysis, overseeing regulatory reporting, shared risk/ACO performance analysis and as a leader of the organization’s Data Governance/MDM programs. In addition, she was Director of Product Management for the TriZetto Group, where she helmed a $200 million expansion and new product and service launch for value-based care analytics. Before that, she was the Manager of Contracting Analytics at Empire BCBS, overseeing cost-of-care and contracting analysis for the New York market.
Rachael earned her Bachelor of Science from Montclair State University and a Master of Public Administration from New York University. She is a member of PHAM, the Professional Academy for Healthcare Management.