• Implements staff development and clinical staff competency programs incorporating appropriate adult learning principles• Conducts training and education programs for providers, clinic staff, and administrative departments• Work with instructional design staff to ensure all new initiatives, policies and procedures, guidelines, or other necessary updates are incorporated into orientation/training program• Identify innovative training strategies for learners, including distance learners• Leverages creativity and utilizes a wide variety of methods to present education and training programs• Conduct competency skill evaluations at least yearly to ensure ongoing monitoring of skills and performance• Provides job role training to learners for specific behavior and skill development utilizing effective feedback and motivational support techniques• Collaborate with learner's manager and the instructional design team to identify and provide training needs for staff• Ensures team has an in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices• Train team on how to conduct a detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved• Train team on Physician Business Manager responsibilities• Collaborates with Medical Director to monitor utilization trends and profit pools• Regularly meets with cross functional team to create, revise and adjust strategy for assigned Provider Groups to meet overall performance goals• Identifies at risk situations and develops a plan for escalation and corrective action• Represent WellMed/UHG by holding company sponsored Provider events (Summits, Learning Sessions)• Provides information and participate in management meetings as requested• Introduce and advocate company resources to facilitate practice optimization• Serves on committees and work groups

• Educate Providers with the tools they need to meet Quality, Risk adjustment, growth and Total Medical Cost goals per business development plans • Conduct detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved • Ensures the overall strategic plan incorporates interventions with internal departments, subject matter experts, external vendors, and others as needed • Participates in creation and execution of a local network development plan to assure network adequacy as needed • Works at the direction of market need ensuring network adequacy • Conducts new provider orientations and ongoing education• Maintains communication with providers to include solutions for resolution and closure on health plan issues related to credentialing, claims, eligibility, disease management, utilization management, quality and risk adjustment programs • Conducts provider meetings to share and discuss economic data, issue resolution, and implements an escalation process for discrepancies • Collaborates with provider groups to develop, execute and monitor performance and patient outcomes improvement plans • Collaborates with Medical Director to monitor utilization trends and profit pools• Handles appropriate scheduling, agenda, materials, location, meals and minutes of provider meetings as needed • Completes Practitioner Data Forms and Provider Change Forms as needed to ensure provider data is correct and Provider directories include any needed updates • Represent holding company sponsored Provider events• Meets with cross functional team to create, revise and adjust strategy for assigned Provider Groups to meet overall performance goals • Provider support to maintain and develop ongoing value related to their Value Proposition • Introduce and advocate company resources to facilitate practice optimization • Identifies at risk situations and develops a plan for escalation and corrective action

Responsible for the full range of provider relations and service interactions within United Health Group including:Working on end-to-end provider claim and call quality.Ease of use of physician portal and future service enhancements. Training & development of external provider education programs.Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.) and practice managers. Directing and implementing strategies relating to the development and management of a provider network.Identifying gaps in network composition and services to assist the network contracting.Development staff in prioritizing contracting needsIdentifying and re-mediating operational short-falls and researching and claims. Use pertinent data and facts to identify and solve a range of problems within area of expertise.Investigate non-standard requests and problems, with some assistance from others. Provide explanations and information to others on topics within area of expertise.Subject matter expert and trainer for self-service model including Link for the entire central regionUHConAir content producer and responsible for training channels and overall training for healthcare Regional Administrator: Coordinate posting and organization of state channel programming within their region (technical role), and also provides technical support for viewer issuesProvider Expo presenter and trainer for Texas and Oklahoma

Educating providers and office staff on contracts, policies and proceduresManaging the contracting processRoot cause analysis Resolution of problems and issues,Managing monthly provider visits and calendar of eventsParticipating in monthly financial review & strategic planning sessions with senior management Building and communicating internal relationshipsPreparing for and participating in meetings with providers, provider staff, and/or physician leadership, Planning, creating, and delivering presentations. Focus efforts on STARs (HEDIS) & Coding Initiatives.May provide guidance to others in the department.In charge of the North and West Texas region.

Strategic planning to expand the reach in the DFW region.Managed the day-to-day sales efforts of the business Developing and executing on a marketing plan to meet or exceed monthly, quarterly, and annual growth targetsDemonstrated a thorough and complete knowledge of the agency including:the vision, mission and values; the services provided ; and how to differentiate the foundation from other non profits.Identifying, evaluating, and prioritizing potential referral sources within the agency’s territory and surrounding areaExecute marketing campaigns Establishing and maintaining brand awareness through referral source contacts, trade shows, conferences, and community education effortsRepresenting the agency and its services in a professional, competent and responsive mannerWorking effectively with other agency management and staffMaintaining standards of high quality customer servicePreparing weekly reports of marketing/sales activityAttending weekly growth meetingConducted on site interviews for future employeesDeveloped business plan for Rental Kitchen businessAny other duty requested to maintain the operations of the business

Manage all absence requests within appropriate service metrics. Respond to all customer inquiries within time standards. Conduct an evaluation of all absences, including a review of all medical information, and determine whether to approve or deny. Obtain a medical review from a Nurse Case Manager when necessary. Identify when additional information is required to make a decision on an absence request and gather the information. Provide all necessary communication to all parties including employees, policyholders, health care providers and other internal team members. Meet all service & performance metrics and expectations. Adhere to all legal/compliance requirements. Maintain FMLA and absence information in the system, including comprehensive activity notes.Provide reports detailing essential information on open and closed absences. Identify escalated cases and develop a plan to address key issues.

Monitoring work queues and cash activity, providing required client engagement for resolutionHandling complex processing and servicing of transactionsTrade capture, processing, and other various custody recordkeeping functionsParticipate and/or initiate funds transfers and cash wire processesEnsuring all incoming inquiries and subsequent resolution is executed according to established service levelsReconciling, researching, and resolving any cash discrepancies, overdrafts, and long balancesEnsuring all client, risk, and performance related metrics are provided according to established service levelsEnsuring all regulatory and compliance requirements are followed, including maintaining relevant and current procedures, risk items are escalated appropriately, and documents are filed and archived according to corporate policy. Maintaining a controlled environment consistent with JPMorgan Chase standards and accounting policies.

Serviced 6 trust client accounts used by the team on a daily basisTeam lead role in trust operationsCreated new relationship with outside business partners Coordinated the Yardi project within the teamAssigned daily work for the team and coordinated with them should questions or problems arise Participated in the deployment of a major company project worth over $200 million affecting the entire wealth management groupWorked with spreadsheets, ledgers, and web based databasesUsed analytical thinking to clear exceptions from group accountsProvided support to Trust OfficersPACE research Project ManagementTrust accounting experience