Joanna Balogh-Reynolds
Senior Consultant and Director of Clinical Consulting, Segal
Joanna Balogh-Reynolds is a Senior Consultant, Director, Clinical Consulting in Segal’s National Health Practice. Based in Pittsburgh, she serves as a national resource on clinical and operational issues regarding population health management.
Ms. Balogh-Reynolds has a wide range of experience and expertise on clinical issues, including case and utilization management, wellness and behavior modification programs. Her expertise includes helping plan sponsors with specific healthcare issues pertinent to medical coverage, plan design, quality of care, wellness and associated incentive programs, EAP and behavioral health, prescription drugs, disease management and telephonic nurse triage programs. She will provide clinical review, input and commentary on such tasks as pay-for-performance evaluation, utilization review and reporting, impact of wellness/ preventive services and audits of vendor clinical management programs.
Ms. Balogh-Reynolds has a strong background in managed care. Most recently, she was the Operational Director of Oncology Case Management for Cigna Healthcare. In this role, her responsibilities included oversite of 160 Clinical Case Managers, and serving as an expert on product and program development to meet the evolving needs of Oncology care. She first joined Cigna in 2010 and served in various roles as a Case Manager, Case Management supervisor, and four years as a Clinical Consultant working with large National and Regional clients in three markets.
Ms. Balogh-Reynolds received her Doctor of Nursing Practice and Master’s Degree in Nursing Education and Leadership from Carlow University and her BS in Nursing from Duquesne University in Pittsburgh, PA. She is a Registered Nurse and Board Certified Case Manager with clinical experience in Transplant and Critical Care.
Ms. Balogh-Reynolds sits locally on the Advisory Board for the Albert Schweitzer Fellowship program, assisting advance degree health care students in the development and implementation of population health programming for predominantly underserved communities in Pittsburgh. She also remains as Adjunct faculty in Carlow University’s Nursing and Healthcare Administration programs.
