Aimée Bailey, Msn, Mha Email & Phone Number

Informed by trusted health data and real-world industry insights, my mission is to champion affordable, equitable, high-quality healthcare through innovation and technology. —Noteworthy Skills: • Account Management & Client Services: Exceptional ability to understand and meet customer needs with a consultative approach. Employs both qualitative and quantitative data analysis to set goals and implement solutions that exceed expectations.• Clinical & Case Management: Board-certified in Nursing Case Management (CMGT-BC) by the ANCC. Skilled in developing and coordinating care plans across multiple disciplines — with a focus on leveraging digital tools for Chronic Care and Transitional Care Management (CCM & TCM). Experience spans cardiology, oncology, and primary care, emphasizing evidence-based interventions and Value-Based Care (VBC) principles.• Data Analytics & Healthcare Informatics: Proficient in analyzing clinical, claims (payor), and social determinants/drivers of health (SDoH) data to drive insights and outcomes. Expertise includes clinical and claims coding (e.g., CPT, DRG, HCC, HCPCS, ICD, LOINC, SNOMED), predictive modeling, and risk adjustment using NLP and ML technologies (e.g., semantic interoperability). • Healthcare Finance & Policy: Deep understanding of various insurance models including commercial, Medicare (original, Med Advantage), Medicaid, and self-funded plans, including stop-loss. Specializes in strategies for patient and provider engagement, Utilization Management/Utilization Review (UM/UR), VBC reimbursement models (e.g., ACOs, BPCI-A), and risk management. • Strategic & Operational Leadership: Demonstrated ability in agile planning and leading transformative initiatives within diverse organizational settings, from Fortune-5 companies to startups. Experienced in building, managing, and mentoring high performing teams. • Technology & Innovation: Advanced skills in data visualization tools (e.g., SQL, Tableau), alongside proficiency in agile product development, product management (Pragmatic-Certified), and implementation of Electronic Health Record (EHR), Remote Patient Monitoring (RPM), and telehealth platforms.—LinkedIn posts and reactions are my own and do not reflect the opinions of my past, current, or future employers.

Listed skills include Nursing, Healthcare, Healthcare Management, Nursing Documentation, and 55 others.