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Julie Kessel

National Medical Director for Coverage Policy

HealthCare Coverage Policy, Implementation & Analytics Insights

Saint Petersburg, Florida

Section title

Julie Kessel's Email Addresses & Phone Numbers

Julie Kessel's Work Experience

CIGNA Healthcare

National Medical Director for Coverage Policy

WAH Florida, Main Office in CT

JBKessel Consultation Services

Consultant

Tampa/St. Petersburg, Florida Area

CIGNA Healthcare

Director of Operations for Behavioral Health Gievances and Post Service Clinical Review

January 2009 to May 2011

WAH: team of 26 in multiple sites across the country

Julie Kessel's Education

New College of Florida

BA, Biology and neuroscience

1979 to 1982

University of Miami Leonard M. Miller School of Medicine

MD, Medicine

1983 to 1987

About Julie Kessel's Current Company

CIGNA Healthcare

Oversee development of medical, prevention, pharmacy and reimbursement policy for Cigna Healthcare, as well as clinical coding; ensure implemenation of coverage policy; oversee identifiecation of codes on prior authorization. Team of 32 across the United States. Interface with Product, Sales, Service and Clinical Operations, PBM, Finance

About Julie Kessel

📖 Summary

National Medical Director for Coverage Policy @ CIGNA Healthcare Oversee development of medical, prevention, pharmacy and reimbursement policy for Cigna Healthcare, as well as clinical coding; ensure implemenation of coverage policy; oversee identifiecation of codes on prior authorization. Team of 32 across the United States. Interface with Product, Sales, Service and Clinical Operations, PBM, Finance WAH Florida, Main Office in CTConsultant @ JBKessel Consultation Services Forensic consultative services. Specialty in capital offenses. Past work in civil and other forensic services. Work in pharm industry in program development. Tampa/St. Petersburg, Florida AreaDirector of Operations for Behavioral Health Gievances and Post Service Clinical Review @ CIGNA Healthcare Oversee behavioral health denial, grievance and post service review program. Team of 26. Cigna Behavioral Health Outpatient Medical Director From January 2009 to May 2011 (2 years 5 months) WAH: team of 26 in multiple sites across the countryMedical Director & VP Clinical Services @ Magellan Health Services VP Clinical Services and Medical Director. Eastern Pennsylvania Region. Commercial Business. 3.2 M covered lives. Responsible for team of 12 FTE MDs, 87 clinical and non clinical staff. Liaison to Health Plan. Chair of Quality, Medical lead for two successful NCQA BH accreditations. From 2000 to 2005 (5 years) Lead Medical Director and National Medical Director of Outpatient Behavioral Health @ CIGNA Healthcare Manage UM in CBH Eastern Region (Chesapeake and Tampa sites, 4 MDs). Responsible for UM, Quality across sites. From 2007 through 2009, assumed role fo Medical Director for National Outpatient and Case mnagement Programs for Cigna Behavioral Health. During those years, also served as Medical resource to Program Development team, workign on CM, LMP, UM and QIA programs. earned Green Belt Certificatio in Six Sigma. From 2005 to 2009 (4 years) Tampa/St. Petersburg, Florida AreaVice President Medical Services, Eastern Pennsylvania @ Magellan Behavioral Health VP Medical Services Magellan behavioral Health, Led behavioral health clinical organization managing the behavioral health program for multiple commercial employers, 3.2 million members, across three Northeastern states. Responsibilities include UM, QI, Clinical content oversight and budget management, New Tech, BH P&T input, and Health plan medical liaison functions. Oversaw team of 92 clinicians: medical doctors, nurses, social workers, and support staff From May 1996 to November 2004 (8 years 7 months) Greater Philadelphia Area


Julie Kessel’s Personal Email Address, Business Email, and Phone Number

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Frequently Asked Questions about Julie Kessel

What company does Julie Kessel work for?

Julie Kessel works for CIGNA Healthcare


What is Julie Kessel's role at CIGNA Healthcare?

Julie Kessel is National Medical Director for Coverage Policy


What is Julie Kessel's personal email address?

Julie Kessel's personal email address is j****[email protected]


What is Julie Kessel's business email address?

Julie Kessel's business email addresses are not available


What is Julie Kessel's Phone Number?

Julie Kessel's phone (305) ***-*103


What industry does Julie Kessel work in?

Julie Kessel works in the Hospital & Health Care industry.


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Julie Kessel's Personality Type

Extraversion (E), Intuition (N), Feeling (F), Judging (J)

Average Tenure

5 year(s), 0 month(s)

Julie Kessel's Willingness to Change Jobs

Unlikely

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