Carolyn C. Tinsley, Mha Clss Gb

Carolyn C. Tinsley, Mha Clss Gb Email and Phone Number

Value Based Care | Health Industry Consultant | Interim Executive | Business Transformation to Drive Revenue @ INspire Business Experts
indiana, united states
Carolyn C. Tinsley, Mha Clss Gb's Location
Greater Indianapolis, United States
Carolyn C. Tinsley, Mha Clss Gb's Contact Details

Carolyn C. Tinsley, Mha Clss Gb work email

Carolyn C. Tinsley, Mha Clss Gb personal email

n/a
About Carolyn C. Tinsley, Mha Clss Gb

I build efficient, effective organizations to maximize profit and improve customer results. As COO, I increased efficiency 25% and improved profitability 118% in the first 18 months. My method? Identifying and removing barriers to success, coaching employees to their strengths and using metrics based management tools.I believe that informed and empowered employees solve problems and make the best decisions. Every step eliminated between issue and resolution saves the company money and improves the customer experience.Steven Covey said “Seek first to understand, then to be understood”. Though I assess and act quickly, it is imperative to first understand a problem and how it occurred before you fix it. Otherwise, you are just throwing things against the wall to see if they stick.Throughout my career, colleagues have described me as an insightful problem solver who cultivates organizational efficiency. I implemented new products that met clients’ needs and entered new markets which grew the bottom line over 1200% in five years.If you ever want to talk about business transformation, strategic leadership or maximizing operational efficiency, I’m only a message away.

Carolyn C. Tinsley, Mha Clss Gb's Current Company Details
INspire Business Experts

Inspire Business Experts

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Value Based Care | Health Industry Consultant | Interim Executive | Business Transformation to Drive Revenue
indiana, united states
Website:
inspirebx.com
Employees:
3
Carolyn C. Tinsley, Mha Clss Gb Work Experience Details
  • Tinsley Consulting, Llc
    Independent Consultant
    Tinsley Consulting, Llc Feb 2015 - Present
    Independent Consultant with industry experience and knowledge in healthcare and insurance. Deep expertise in:► Problem Solving - using root cause analysis to determine cause of problems► Team Building and Change Management - involving stakeholders in process change for a better outcome► Operations Improvement | Process Re-engineering | Certified Lean Six Sigma, Yellow Belt - business transformation through improved value stream and best practices► Managed Care | ACO | Contract Negotiations - from negotiating contracts with payors to implementing mechanisms to track results► Strategic Planning - detailing plans that focus on goals of business and help bring those to fruition► Medical Management | Cost Containment - best practices to meet quality and financial objectives or plans or provider contracts ► Developing Client Relationships - collaborative relationships with clients, identifying value and ensuring processes are in place to deliver value to clients
  • Inspire Business Experts
    Chief Operating Officer
    Inspire Business Experts May 2017 - Present
    Indianapolis, Indiana Area
    Simplifying the complex. Optimizing operational performance. INspiring business performance.My current focus is operations improvement and strategic planning. Is your business reaching the level of success you hoped? CALL ME! We provide a no-cost initial review of your business. Reach me at 317-371-7802.
  • The Executive Consortium, Llc
    Executive Managing Director
    The Executive Consortium, Llc Jul 2015 - Oct 2017
    Indianapolis, Indiana Area
  • International Medical Group
    Evp & Coo Of Akeso Care Management And Vp Care Management, Img
    International Medical Group Apr 2002 - Jan 2015
    Indianapolis, Indiana Area
    Executive and Operational oversight for Akeso Care Management, Inc (ACM), a medical management and cost containment company; wholly owned subsidiary of IMGKey accomplishments included:• Developed & launched 7 new products• Increased bottom line in greater 12X over 5 year period• Diversified client mix and product line revenue stream• Re-engineered processes, increasing efficiency 25% while improving customer results• Expanded state licensure from 3 to 42 states & obtained URAC accreditation• Responsible for P&L, business plan, strategic planning, staffing, daily operations and all other business functions
  • Consultant | Entrepreneur
    Owner
    Consultant | Entrepreneur Apr 2000 - Apr 2002
    Indianapolis, Indiana Area
    Independent consultant working primarily with 2 start-up companies - Care Partners, LLC & Server Partners, LLC.Key accomplishments included:• Created strategic & business plans for both start-up companies• Conducted HIPAA assessments • Developed operating procedures• Achieved grant funding for development of physician based disease management system
  • American Health Network, Inc. (Owned By Anthem 1994-1998)
    Vp Managed Care
    American Health Network, Inc. (Owned By Anthem 1994-1998) 1998 - 2000
    Indianapolis, Indiana Area
    Managed full risk business for 200+ physician group. Included claims management, capitation accounting, medical management, provider contracting and network development.Key accomplishments included:• Improved processes resulting in over $1 million savings in 6 months• Implemented staff development for retention resulting in 97% staff retention vs. 68% in other divisions• Collaborated with key senior management & physician leaders to develop managed care strategic direction• Provided leadership for Medical Management, Network Development, Payor Contracting, Claims, Customer Service, Audit & Analysis departments• Ensured compliance with regulatory and payor requirements• Member of Senior Executive Team and Indiana Executive Committee (governing body of executive and physician leaders)
  • Anthem, Inc.
    Director, Network Development, Contracting; American Health Network (Owned By Anthem 1994-1998)
    Anthem, Inc. 1995 - 1998
    Indianapolis, Indiana Area
    Oversight and leadership for provider contracting and network development for a 13 state region.• Developed payer negotiation strategy for full risk, partial risk & fee for service lines• Provided leadership for claims management, actuarial analysis and capitation accounting• Negotiated participation with a staff model HMO – first time the HMO permitted non-employed physicians to participate• Built provider network of > 400 physicians & 12 hospitals in 4 months• Created network development department and processes
  • Coresource
    Director Development & Consulting; Manager Primary Care Networks
    Coresource 1992 - 1995
    Anderson, Indiana
    Developed and managed locally based primary care networks, providing a mechanism for collaboration among primary care physician and self funded employers.Key accomplishments included: • Provided leadership for Utilization Management, Network Development and Managed Care Information System departments• Created corporate project management tool to monitor and communicate project status to team members• Developed education program on provider contracting for staff• Created methodology for provider profiling & employer health plan performance• Developed provider network orientation & education materials• Routinely presented results to large clients and providers• Responsible for project timelines, budget, strategy, resource allocation and overall success• Served on corporate credentialing and standards committee• Led task forces to improve EOB format and provider relations
  • Community Hospital Anderson
    Planning Analyst
    Community Hospital Anderson Sep 1990 - Dec 1992
    Anderson, Indiana
    Designed and developed market research methodology to evaluate hospital performance. Key accomplishments included: • Initiated automated reporting process for physician led quality assurance task forces• Developed project specifications tool for data analysis • Evaluated payer contracts & hospital reimbursement
  • Community Hospital Anderson
    Supervisor Nuclear Medicine
    Community Hospital Anderson Apr 1985 - Aug 1990
    Anderson, Indiana
    Directed operations, staffing, budget, and clinical quality of departmentKey accomplishments included: • Reversed $150K loss to $500K gain in 18 months• Passed Nuclear Regulatory Commission inspection with no violations, ranking in the top percentile nationally• Direct Patient Care experience

Carolyn C. Tinsley, Mha Clss Gb Skills

Leadership Healthcare Operations Management Health Insurance Executive Management Team Building Managed Care Strategic Planning Change Management Process Improvement Coaching Training Healthcare Management Medicare Healthcare Consulting Value Stream Mapping Root Cause Analysis Lean Six Sigma Project Management Sop Kaizen Insurance Business Transformation Medicaid Dmaic 5s Health Policy Network Development Healthcare Industry Claims Management Negotiation Healthcare Information Technology Hipaa New Business Development Budgets Medical Management Executive Coaching Business Process Improvement U.s. Health Insurance Portability And Accountability Act Management Strategy Consulting Hospitals Working With Physicians

Carolyn C. Tinsley, Mha Clss Gb Education Details

Frequently Asked Questions about Carolyn C. Tinsley, Mha Clss Gb

What company does Carolyn C. Tinsley, Mha Clss Gb work for?

Carolyn C. Tinsley, Mha Clss Gb works for Inspire Business Experts

What is Carolyn C. Tinsley, Mha Clss Gb's role at the current company?

Carolyn C. Tinsley, Mha Clss Gb's current role is Value Based Care | Health Industry Consultant | Interim Executive | Business Transformation to Drive Revenue.

What is Carolyn C. Tinsley, Mha Clss Gb's email address?

Carolyn C. Tinsley, Mha Clss Gb's email address is ca****@****bal.com

What schools did Carolyn C. Tinsley, Mha Clss Gb attend?

Carolyn C. Tinsley, Mha Clss Gb attended Indiana University Indianapolis, Indiana University Indianapolis, Value Stream Consulting, Lean Six Sigma Class, Allegra Learning Solutions.

What are some of Carolyn C. Tinsley, Mha Clss Gb's interests?

Carolyn C. Tinsley, Mha Clss Gb has interest in National Parks, Lean Six Sigma, Cost Containment, Health Care, Education, Process Improvement, Process Re Engineering, International Medical Management, Medical Management, International Insurance.

What skills is Carolyn C. Tinsley, Mha Clss Gb known for?

Carolyn C. Tinsley, Mha Clss Gb has skills like Leadership, Healthcare, Operations Management, Health Insurance, Executive Management, Team Building, Managed Care, Strategic Planning, Change Management, Process Improvement, Coaching, Training.

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