✰ Results-oriented senior clinical leader with 10+ years in clinical nursing and 20+ years guiding payers and providers toward transformative solutions - driving operational excellence, financial growth, and optimal patient outcomes based on performance and quality metrics.✰ Innovative healthcare strategist skilled at creating plans, programs, and policies for utilization review, value-based care, and quality management that drive performance to reduce cost, improve quality, and advance patient and provider satisfaction.✰ Respected thought leader recognized for presenting findings at conferences and authoring perspective pieces. Adept at communicating with diverse audiences, leading client discussions, and partnering to advance the company’s mission and objectives.HIGHLIGHTS:✰ Generated $2M in revenue by building new clinical practice service offerings.✰ Estimated to generate $8M in year 1 by working on a team that developed a holistic health insurance plan for a large national health system.✰ Reduced costs by 20% by creating a cost-effective chronic care management program for over 300K members.✰ Improved client performance by 30% and boosted revenue by $1M by developing a patient-centered revenue strategy.EXPERTISE:Strategic Planning & Execution | State Medicaid Program Operations | Medicare Advantage Operations | Reducing Clinical Variation | People Development | Change Management | Relationship Building | Data Research & Analysis | Value-Based Payment Model Implementation | National Committee for Quality Assurance (NCQA) Accreditation | Ambulatory & Hospital-Based Services
Listed skills include Healthcare Consulting, Healthcare Management, Revenue Cycle, Healthcare, and 21 others.