Julian Jerome, the son of notorious crime figure Victor Jerome, desired to take his father's place at the helm of the family business. Julian believed he had secured his spot as his father's successor but his sister Olivia disagreed. She also had her sights set on running the family business and made an unsuccessful attempt at killing Julian. However, Julian was on to his sister and with their father's help they faked Julian's death. Victor died soon after which left Julian alone to deal with his sister. He eventually used Olivia's obsession with Duke Lavery, a member of the family's organization, to set her up for Duke's murder. When Olivia figured out Julian's plan, he killed her.
After Olivia's death, Julian was the sole boss of the family but he was concerned with a man named Jonathon Paget, although the man claimed to be Duke Lavery, a man who was believed to be deceased. Jonathon and Julian engaged in a shoot-out and were both presumed deceased. After Julian was believed to be killed, his lover Cheryl Stansbury was revealed to be pregnant with his child. She gave birth to a son and he was adopted and raised by Tony Jones and Bobbie Spencer.
The Jerome family was not heard of again until several years later. Julian's sister Ava and her daughter Kiki took up residence in Port Charles. Julian arrived shortly after using the name Derek Wells. He and Ava discussed how they planned to take over the territory which used to belong to the Jerome family. The territory was currently held by Sonny Corinthos and Ava used their online gambling ring to connect Sonny's son with her daughter. Julian was pleased to learn that Kiki and Morgan were engaged but reminded his sister that she needed to gain access to ELQ as well. In the meantime, Julian went after Sonny's girlfriend, Connie Falconeri, by asserting his power as owner of the Port Charles Press, which included Crimson magazine.
While using the alias Derek Wells, Julian met Alexis Davis and her daughter Sam Morgan. Sam's son required a bone marrow transplant and Julian was a match. He agreed to be a donor and learned that Alexis could not contact Sam's father because Sam had been the product of a one-night stand while Alexis was a teenager. When Alexis spoke about the night she had become pregnant, Julian realized that he was Sam's father. Afterwards he contemplated if he should reveal his connection to Sam and Danny.
Meanwhile, Julian and Ava continued to plot Sonny's demise but feared they had lost the element of surprise after one of their henchmen was captured by Sonny's organization. However, the man revealed that he worked for Julian Jerome, not Derek Wells, and Sonny remained unaware of the presence of the rival mob family. Julian and Ava stepped up their efforts and started to attack Sonny's business. As Sonny pondered the identity of his new rival, Ava's former son-in-law and lover, Morgan Corinthos, overheard a conversation in which Julian revealed his identity. Julian planned to have Morgan killed before he could share the knowledge with his father Sonny. However, Morgan vowed to keep silent and promised to help Julian take down Sonny.
With Morgan's assistance, Julian learned that Sonny knew his real identity and planned to have him killed outside of Ava's art gallery after Franco's show. When Sonny confronted him at the gallery, Julian admitted his true identity and apologized for his deception to both Sam and Alexis. Julian reminded everyone that he had saved his grandson's life by donating bone marrow and that Danny could suffer in the future if the cancer returned and Julian was no longer alive to serve as his donor. Sam begged Sonny to spare Julian's life for Danny's sake and he agreed but challenged Julian to bank his bone marrow instead of hiding behind a child. Sam begged Julian to prove he cared for her and Danny as more than a bargaining chip against Sonny but he refused to make and advanced donation. Alexis also tried to convince Julian on Sam's behalf but he silenced her with a kiss.