• Provided strategic leadership and facilitated collaboration as the corporate liaison between HAP and the Michigan Department of Health & Human Services (MDHHS) for the Medicare/Medicaid Demonstration Project.• Leveraged strong interpersonal skills and program management abilities to systematically gather resources along with recruiting key internal and external stakeholders to ensure alignment with state-level contractual agreements, deliverables, reports, and analytics. • Led strategy development and outcome measurement with MDHHS and the Michigan Association of Health Plans (MAHP) to promote interdisciplinary care coordination and team collaboration, driving effective development of nursing practices based on MI Health Link Program goals and targets. • Developed and rolled out training initiatives to support MI Health Link Program deliverables in addition to implementing improved member-centric policies and mentoring procedures.

• Instructed and guided nursing students through clinical practice rotations as an Adjunct Faculty member, creating an interactive learning environment that promoted engagement, participation, and learning outcomes.• Assisted students in developing critical thinking approaches relative to patient diagnosis, centric care plan development, and evidence-based care standards. • Supported the Michigan State Board of Nursing’s “Earn to Learn” start-up clinical alternative program which allowed students to gain real-world experience by working at their place of employment.

• Served as a corporate liaison responsible for providing operational oversight for the development of seven key account health plans in the Central and Western regions of the United States. • Established and grew partnerships with Health Plan leadership through a clinical consultative approach which built collaboration with key stakeholders, business units (BUs), and cross-functional teams. • Employed Nursing expertise to facilitate operational review, education, and appropriate onboarding to capture goals and objectives of various health care programs.• Collaborated with individual health plans to promote health/wellness within their membership while also encouraging and emphasizing positive outcome metrics.

• Oversaw five home-based primary care offices located within Western Michigan and Northern Indiana, ultimately holding responsibility for 150+ cross-functional team members and an extensive patient population.• Managed the corporate direction and education to practice managers and clinical teams, ensuring office growth and increased efficiency related to physician, mid-level practitioner, and office staff productivity.• Tracked customer experience outcomes, valued based care metrics, emergency room visit reduction, and acute care re-admission key performance indicators (KPIs).• Improved intracompany relationships with continuum partners, resulting in increased referral and metric outcomes within Hospice, Homecare, DME, and Radiology disciplines.

• Supported seamless clinical operations and care management implementation for a start-up Humana Population Health MSO division with Part B utilization management oversight, leading re-engineering which resulted in improved policies, procedures, systems, processes, and efficiencies. • Nurtured and grew relationships with Transcend and Physician Practices through value-based office visits, educational training, and customer-centric goal planning. • Developed Regional Acute Care Inpatient Rounds which drove awareness in patient utilization, identified high-risk populations, and created appropriate patient-centric action plans.

• Led development of a Medicaid Retro Authorization Review Program across 19 hospitals in Kentucky and Arkansas, developing end-to-end processes and clinical relationships with HMOs to drive re-capture of unbilled revenue, ensuring program sustainability.

• Strategically developed and led a newly implemented team of clinicians to provide revenue cycle solutions across a large-scale, national acute health care system for programs initiatives such as case management, commercial/managed care, government dispute management, appeals, and retro authorizations.

• Led cross-functional team of RN and Social Workers in day-to-day care management operations for startup health care delivery plan consisting of 72K High Acuity Medicare/Medicaid members in the state of Texas. • Directed all facets of dual-eligible program involving community-based resources (i.e., CBA, DAHS, PHC, and MFP), care coordination, and case management for assigned patients.