| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name , MHA, MHS-HIALouisville, KY PHONE NUMBER AVAILABLE EMAIL AVAILABLE LINKEDIN LINK AVAILABLE Dynamic, business leader with 25+ years of enterprise-wide experience and knowledge gained from roles in hospital administration, health plans, and medical practice operations. Enthusiastic, motivated leader specializing in collaborative and strategic approaches for relationship management and tactical solutions. Results-focused leader with experience in creating strategies that solve business problems leveraging analytics and technology, inspired by opportunities to develop, innovate, drive change in diverse teams while fulfilling delivery and revenue cycle commitments, as well as, stakeholders expectations. Demonstrates tenacious commitment to excellence by leading, influencing, and supporting operational plans. Collaborates with and engages internal and external stakeholders and partners during process optimization and system implementations. Recognized for servant leadership, excellence in relationship management, and coaching and managing employees with compassion. Brings strategic thinking and impact analysis with a unique combination of operations and systems knowledge for optimal execution. KEY SKILLS Leadership of cross-functional, multi-sitehealth plan and outpatient clinical operations Strategy to tactical operational execution Medical practice operations and clinicalsupport management Revenue cycle management Organizational redesign / Staff efficiencyplanning and implementation Development of internal & external businessalliances / Strategic relationship management Leadership / Staff coaching and development /Personnel management Project / Program / Process management Business process engineering / Six Sigma Change management Business requirement design and implementationof IT solutions Managed care business knowledge from productdevelopment to delivery of care Contract negotiation and vendor management Software application design, implementation andoperational support Process and system integration for M&A Performance, financial (P&L) and qualitymanagementHIGHLIGHTED ACCOMPLISHMENTS Successfully transitioned the operations and location of a clinical outpatient Multiple Sclerosis practice to a hospital-based clinic. Expanded an academic Neurology specialty practice to a multi-site clinic for access optimization and growth opportunity. Directed 180+ personnel staff through comprehensive, efficient reorganization and infrastructure development resulting in increased production, organization redesign and process efficiency. Managed the design-to-operational implementation of region-wide, multi-medical facility (comprised of 15 medical centers) paper chart to electronic medical record (EpicCare) rollout and led the Clinical Content build, training, and implementation teams. Provided program management, leadership and advisory services to develop strategic business and financial plans, to execute system implementations and business process designs, and to drive change management and performance improvement initiatives. (Cerner, Epic, Maccess, EDI, HPR) Delivered specific and achievable business intelligence strategies which drove operational growth, improved process controls, removed process inefficiencies and process gaps, increased revenues, and reduced medical costs, with positive customer service and employee morale focus. Responsible for the Medicare Secondary Payer program which preserved revenue for $400M per year. Responsible for year-over-year increases in front-end claims cost management savings that reduced rework and allowed over $53M to move from back-end to front-end processes. Led numerous efficiency improvements that resulted in over $1.5M in administrative cost savings. Ensured regulatory compliance adherence, effectiveness and efficiencies of clinical-to-financial operational integration and process controls. Conducted credentialing processes and oversight of Physician Executive Committees of 650-physician medical staff according to JCAHO standards and State regulations. Candidate's Name Page 2 of 3PROFESSIONAL EXPERIENCEUNIVERSITY OF LOUISVILLE PHYSICIANS, Louisville, KY 2017 2022 Practice Administrator, Department of Adult Neurology Managed and oversaw the day-to-day clinical operations and administrative services of a multi-location, academic neurology practice with 32 providers (physicians, nurse practitioners) and a medical resident continuity clinic with 12 residents. Provided physician support, worked closely with the Executive Director and department medical chair concerning strategic planning, policy formulation, business development and administrative decisions. Managed the operations and direction of several multidisciplinary clinics: Huntingtons Disease Center of Excellence, ALS Center of Excellence and the Muscular Dystrophy Association Care Center. Monitored revenue cycle, patient volumes, physician schedules and utilization, quality of care and clinical staff performance to ensure effectiveness and opportunities for improvement and optimization. Managed administrative services such as expense management, safety, office equipment procurement, regulatory compliance and purchasing of drugs and medications. SACRED HEART SCHOOLS, Louisville, KY 2013 - 2017Director of Special Events / Development Officer, Office of Institutional Advancement Managed $1.8M Annual Fund and $250K event fundraising effort, across 5 funds and donor relations programs for 4 individual schools on campus. Executed and managed a volunteer and event management program while coordinating a matrix of communication and solicitation strategies. Executed strategies that resulted in 25-37% increased donations with highest net profit in 19 years. HUMANA, INC., Louisville, KY 2006 2012Director, Provider Process and Network Operations / Claims Process Improvement Organization Held accountability for internal processes (Commercial / Group, Individual, and Medicare business sectors) for medical claims policy development and implementations, medical claims process design and improvements, claims and benefit standard coding and code editing implementations, claims systems platform user acceptance and enhancement testing, configuration, and production support, and overall performance of all medical claims processes and cost savings initiatives. KAISER PERMANENTE, Atlanta, GA 1998 2006Senior Strategic Business Consultant, Planning and Strategic Services Department 2002 2006 Oversaw activities and methodologies of 10 consultants on projects, while orienting, training, educating and mentoring new consultants. Provided program management, leadership and advisory services to develop strategic business and financial plans, execute system implementations and business process designs, and lead change management and performance improvement initiatives. Business Consultant, Planning and Strategic Services Department 2000 - 2002 Operations Project Manager, Affiliated Healthcare Operations 1999 2000 Directed 22-employee staff and daily operations of Support Services, Mailroom and Initial Entry Provider System Analyst, Network Services / Provider Contracts 1998 1999 WEST PACES MEDICAL CENTER, Atlanta, GA 1997 - 1998 Medical Staff Coordinator, Administration Managed daily operations and credentialing processes of 650-physician medical staff in 296-bed hospital. Candidate's Name Page 3 of 3TECHNICAL SYSTEM VENDOR EXPERIENCE AND KNOWLEDGEEpic Systems EpicCare Ambulatory / Clinical Content Manager / MyChart, Electronic Medical Record (EMR) Allscripts Electronic Medical Record (EMR), Scan GE Centricity Scheduling SystemBlackbaud - Raisers Edge and Target Analytics, nonprofit fundraising and prospecting system Cerner - Laboratory Information System / Electronic Medical Record (EMR) MACESS - Claims Scanning, Imaging / OCR, EDI, & Workflow Distribution System WebMD / Envoy EDI, Electronic Data InterchangeMcKesson - HPR Code Review and InterQual systemOpenConnect Systems Comprehend Process Intelligence Proficient in SharePoint, Microsoft Office Suite, Office 365, PowerPoint, MS Project, and Excel Experienced and trained in various project management methodologies including Waterfall and Agile Familiar with and practice methods of Six Sigma and Lean Sigma EDUCATIONMedical University of South Carolina, Charleston, SC Master in Health Administration (MHA), Summa Cum Laude, Deans List Recipient, McLees Award for Academic Excellence, Community Service, and Leadership President, American College Healthcare Executive (ACHE) Student Chapter President, MHA / MHS Student Government Association Graduate Assistant, Statistics and Finance Assistant Coordinator, Trident Area SAFE KIDS Coalition (Administrative Internship) Medical University of South Carolina, Charleston, SC Master in Health Information Administration (MHS-HIA), Summa Cum Laude, Deans List University of Kentucky, Lexington, KYBachelor of Arts, Psychology Member, Alpha Gamma Delta Social Fraternity (Offices: Treasurer & Social Chairman) COMMUNITYSacred Heart Academy Alumnae Board, Offices: President, Vice President, Class Representative Supplies Over Seas (SOS), VolunteerForecastle Foundation, Oarsman VolunteerHabitat for Humanity, Volunteer / SupporterSt. Vincent de Paul - Open Hand Kitchen, Volunteer Alzheimers Association, SupporterALS Association, SupporterAmerican Cancer Society, Volunteer / SupporterMuscular Dystrophy Association, Volunteer / Supporter Parkinsons Foundation, SupporterVolunteers of America, Volunteer / Supporter |
