Jaelene Fayhee, AVP, Client Solutions for UniMed Direct, is a regulatory expert who works hand-in-hand with clients and the technology department to deliver technology and medical solutions to clients. Jaelene is focused on using technology to ensure compliance with current and upcoming regulatory requirements and delivering prompt and appropriate decisions to expedite medical decisions for injured workers.
She is responsible for ensuring the quality of medical data in the ReviewStat system and partners with internal and external customers to integrate regulatory compliant features into the software. Throughout her career, Jaelene has strived to balance regulatory compliance with quality and efficiency.
Jaelene’s experience in the industry is broad; having worked for an insurance carrier, a national and state trade association, a regulatory agency and a pharmacy benefit management company. A passionate advocate for efficient and effective regulations that balance the needs of injured workers and employers, Jaelene focuses on understanding the perspective of each stakeholder.
She has been on the cutting edge of several public policy initiatives including adoption of treatment guidelines and formularies, medical networks, Medicare-based fee schedules, and utilization review licensure requirements. She and UniMed Direct founder Lisa Hannusch have spent many hours collaborating and analyzing the benefits and potential consequences of regulatory reform proposals.