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Patricia F. Jones

Principal, Healthcare Management Consultant
Seattle, WA, US

Tel: +1 206 5045581

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Professional Designations

  • NCQA Administrative Surveyor Certified Consultant, URAC
  • Member, URAC National Standards Committee
  • Chair, Minority Management Development Committee of AHIP
  • Board of Commissioners, Commission for Case Manager Certification (CCMC)

Education

  • BS, Nursing, Purdue University
  • RN, Purdue University
  • Masters, Business Administration in Healthcare, Boston University

Current Responsibility

Patty is a principal and healthcare management consultant with the Seattle office of Milliman. She joined the firm in 2003.

Experience

Patty specializes in analysis, strategy development, and designing and improving management, operations, and performance for healthcare management operations. She has more than 20 years of experience in delivery system and health insurance operations and has worked extensively with healthcare organizations involved in commercial, Medicare/Medicaid, and other government programs. This experience includes care management programs, network contracting and reimbursement, health and wellness programs, and information strategies.

Patty has led the process of analyzing data to determine care management opportunities and priorities, conducted assessments of operations and work processes, overseen the selection and implementation of information and analytical tools, and designed reporting and evaluation mechanisms. In addition to specific expertise in medical management and provider network contracting and management, she has extensive experience with data, decision support systems, performance benchmarking, and analytical tools. Patty has assisted clients in developing new and improving existing utilization management, case management, and quality and disease management programs. She has experience designing, implementing, and evaluating medical home and accountable care models.
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman