Brooke Studer Ma, Bsn, Rn Email & Phone Number

Basel, Baselstadt, Ch

Eden Prairie , Mn, Us

Eden Prairie , Mn, Us

PATIENT SERVICES | PROGRAM LEADERSHIP | REGULATORY COMPLIANCE | VENDOR ENGAGEMENTNEW PRODUCT LAUNCH | REIMBURSEMENT SERVICES | TERRITORY MANAGEMENT• Assume highly-visible network program management position, supervising 12 virtual network program consultants to facilitate 1200 nationwide provider groups, including 100K multi-payer plan members.• Lead high-performing virtual team of 12 network program consultants, instrumental in executing Medicare risk and quality value-based program while ensuring strict compliance with network payer requirements.• Cultivate robust processes, systems, and technologies to optimize operational excellence and efficiency.• Develop, maintain, and service a high-quality provider network across the national territory.• Collaborate with provider groups to cultivate, implement, and monitor performance improvement plans.• Educate and mentor providers while delivering comprehensive care services to diverse patients.• Oversee marketing initiatives, coupled with value-based evolution execution and virtual team expansion.• Conceptualize and implement best-in-class strategies to drive value and goal achievement.• Meet quality, risk adjustment, and total medical cost goals in alignment with business development plans.• Manage multiple programs virtually while maximizing clinical plan value and focusing on comprehensive care.• Create and execute strategy for provider groups to meet performance goals and objectives.

Eden Prairie , Mn, Us

TERRITORY DEVELOPMENT | CONSULTATIVE & VALUE-BASED CARE | RISK MANAGEMENT QUALITY ASSURANCE | CONTRACT & RESOURCE MANAGEMENT | HEALTHCARE REIMBURSEMENT• Operated as a main contributor, managing a successful field-based territory in New Jersey while establishing mutually beneficial consultative relationships with providers and medical teams.• Crafted an effective program management framework, including project prioritization, resource management, and reporting processes while ensuring program completion on time and in alignment with requirements.• Steered education initiatives to improve value-based care, Medicare advantage, quality measurement, and risk adjustment while anticipating and managing key program risks to facilitate with provider groups.• Designed robust provider-specific plans to increase risk performance while improving quality documentation, coding specificity, and care value efficiency by following industry best practices.• Oversaw client territory management, field healthcare reimbursement, and value-based care payer landscape.• Assisted providers with a wide range of risk adjustment, quality measures, and educational initiatives.• Analyzed data to create strategic initiatives while establishing and maintaining robust processes and systems.• Delivered effective services to members, including contract management and execution.• Worked with the marketing team to achieve business development goals and objectives.• Coordinated cross-functionally with various departments to devise comprehensive program budget/plans.

Cranford, New Jersey, Us

ADVOCACY & SUPPORT SERVICES | LEARNING & DEVELOPMENTSTAKEHOLDER ENGAGEMENT | NURSING SERVICES• Leveraged advocacy services, coupled with communication and direction for ‘Licensed Practical Nursing’ students in Robert Wood Johnson Accelerated LPN, BSN Pathway, and Professional Nursing Grant Program.• Educated, mentored, and coached nursing students on the grant process as a single point of contact.• Provided in-depth insights regarding relevant nursing courses to facilitate diverse students.• Steered and directed strategic advisory meetings with stakeholders regarding the grant program.• Proficiently completed and submitted grant reports and budget summaries with precision and accuracy.

Summit, New Jersey, Us

TEAM LEADERSHIP | CASE MANAGEMENT | MEDICARE/MEDICAID | VENDOR ENGAGEMENTREIMBURSEMENT SERVICES | OPERATIONAL TRANSFORMATION | RFP PROCESS LEADERSHIP• Served as a Founding Member of newly formed internal department, maintaining responsibility for delivering critical customer-focused solutions to achieve maximum satisfaction and success.• Employed advanced leadership capabilities to build diverse teams, including 8–14 direct reports.• Created #2-ranked oncology patient assistance program in the U.S. —Rated by office practice managers.• Launched first-ever oral medical access support program from concept-to-execution.• Partnered with executive leadership to create, plan, and re-configure reimbursement services.• Acquired in-depth knowledge regarding hospital, pharmaceutical, biotech, and insurance business from a patient-focused perspective while facilitating operational transformation by revamping systems.• Showcased pharmacy benefits/medical-based insurance coverage insights, including Medicare, Medicaid, managed Medicaid, self-insured plans and national/regional insurance structures.• Exhibited broad exposure in managed care drug utilization management techniques, including PA and appeal work, with hands-on experience involving Medicare carriers & MAC coverage methodology.• Represented corporation across internal/external settings, including PAP/professional conferences, medical meetings, corporate events and personal interactions.• Displayed vendor management expertise, including reimbursement services, IT, marketing, specialty pharmacy, co-pay assistance (501c3 and manufacturer) and logistical operations.• Executed HR management best practices by interviewing, onboarding and training new hires.• Led RFP process for securing new reimbursement vendor for “Patient Support and Reimbursement Program" as a main knowledge repository for reimbursement insights.• Secured vendors for program reimbursement services, new projects & program launches.

New York, Ny, Us

MULTIDISCIPLINARY TASK FORCE DEVELOPMENT | DATA MANAGEMENT | PROGRAM LEADERSHIPORGANIZATION GROWTH | REGULATORY COMPLIANCE | HOSPITAL POLICY DEVELOPMENT• Administered inaugural Foundation for Accreditation for Cellular Therapy (FACT) Transplant Accreditation across the hospital to deliver value-added services to diverse patients, along with conceptualizing robust policies, processes, and standards of care.• Steered multidisciplinary efforts to prepare the Blood and Marrow Transplant Program for successful inspection & institutional accreditation from Foundation for Accreditation of Cellular Therapy (FACT) (2005).• Developed multidisciplinary task force and “Quality Management Committee” to drive expansion of data management activities while creating comprehensive documentation tools —Utilized by BMT program.• Served as an active member of multiple subcommittees, orchestrating and drafting survey documents for third-party payers as well as ensuring compliance with regulatory and institutional specifications.• Acted as a liaison for MSKCC, outside agencies, and payers as an expert representative of the BMT program.• Successfully facilitated organization growth initiatives to improve and standardize patient practices.• Collaborated with Attending Physician KOL, managing and coordinating entire hospital organizational effort to achieve formal Transplant Accreditation (FACT).• Administered mentoring and coaching initiatives to motivate personnel towards achieving business goals.• Performed an integral role, designing SOPs regarding case management, customer interaction, REMS consultation, and regulatory compliance matters, including HIPAA and OIG.• Adapted seamlessly to change through quickly learning new tools within a rapidly evolving work environment.• Orchestrated reimbursement training programs for cross-functional departments within the company.

New York, Ny, Us

NURSING CARE SERVICES | CLINICAL ADVISORY SERVICES | TRANSFORMATIONAL PLANNINGQUALITY ASSURANCE | EVIDENCE-BASED RESEARCH & ANALYSIS | CORPORATE STRATEGY• Delivered best-in-class nursing care to patients while providing clinical advice to nursing staff.• Crafted and executed transformational plans for Pediatric Unit processes, staff and patient education, standards of care, and policies to meet strategic unit objectives.• Participated in hospital-wide committees, including quality assurance, evidence-based research practices, and professional protocols while coaching nursing staff on existing trends across Pediatric Oncology.• Conceptualized robust strategies to execute educational programs and enhance patient care.• Educated patients/families on post-transplant discharge plans and coordinated a smooth transition home.• Leveraged strong clinical pedigree, coupled with hands-on leadership and reimbursement experience.• Improved specialty distribution business segment awareness, with an emphasis on hematology/oncology.• Remained updated regarding all facets of oncology and hematology space and payer trends.• Designed patient assistance program (PAP) guidelines to ensure continuous achievement of patients’ needs.• Cultivated mutually beneficial relationships with reimbursement vendors, specialty pharmacies, 501(c) 3 co-pay assistance foundations, patient advocacy foundations, reimbursement vendors, and manufacturer co-pay.• Strategically coordinated vendor interaction for reimbursement and PAP, achieving cross-functional success via internal partnerships, including clinical development, national accounts, and trade department.

Master Of Arts (M.A.), Nursing Administration And Management

Marketing Strategy Certificate

Bachelor Of Science (B.S.N.), Nursing