Ms. Stacey Jordan brings over 25 years of experience in healthcare operations, specializing in third-party administration, stop-loss claims management, and health plan compliance. Her expertise includes overseeing claims operations, financial analysis, regulatory compliance, and client service management for health plans and hospital networks.
Experience
Ms. Jordan has held leadership roles in healthcare insurance and third-party administration, where she has managed medical claims, stop-loss reimbursement, and high-cost risk analysis. She has extensive experience working with hospitals, self-funded plans, and reinsurance providers, ensuring compliance with healthcare regulations and optimizing financial performance.
She has successfully led teams in benefit administration, claims auditing, provider contract negotiations, and regulatory compliance, helping organizations streamline operations and improve cost efficiency. Her expertise in stop-loss risk management and financial forecasting has been instrumental in mitigating risks and enhancing the stability of healthcare plans.
Areas of expertise are in healthcare operation with Third-Party Administrators in collaboration with clients monitoring medical and prescription plan performance, benchmark utilization & cost per service rates. Special focus on high-cost medical claims, eligibility, open enrollment, client and employee communications, auditing, project management, new client implementation, training, and health plan contracts.
Education and Certifications
Ms. Jordan earned her Bachelor of Science in Healthcare Administration and an Associate of Arts in Liberal Studies.
Areas of Special Focus
Health plan operations, third-party administration, stop-loss claims management, provider contract negotiations, financial risk assessment, regulatory compliance, and client service management.