Jeanine Downie

Jeanine is the Payor Relations Operations Manager and came to Boston Children’s Hospital in April 2022 with the newly developed Payor Relations Team. She started her career on the payor side of the business, working in provider relations for Blue Cross Blue Shield of Massachusetts and Kaiser Permanente. Through that experience, she became acutely aware of the intricacies, nuances, and challenges providers faced through the healthcare delivery system. Jeanine has a long history of recognizing the payor obstacles and administrative burdens encountered by providers. Her work is focused in payor policy and reimbursement advocacy, as well as identifying the root cause and tackling areas for process improvement. Her efforts for breaking down barriers and reaching favorable outcomes are rooted in payor/provider engagement, collaboration, and transparency.

Focus areas: payor payment policy interpretation and advocacy, provider education, reimbursement escalation/resolution, process improvement