Regional Vice President Of Health Services/Chief Medical Officer
CurrentChief Medical Officer of Humana Healthy Horizons in Florida responsible for clinical oversight of the Florida Medicaid and Long Term Care health plan
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Traci Thompson Md, Mba is listed as Regional Vice President of Health Services/Chief Medical Officer at Humana | Entrepreneur at Humana, based in Tampa, Florida, United States. AeroLeads shows a work email signal at humana.com and a matched LinkedIn profile for Traci Thompson Md, Mba.
Traci Thompson Md, Mba previously worked as Regional Vice President of Health Services/Chief Medical Officer at Humana and Founder and CEO at Dr. Traci'S House, Inc.. Traci Thompson Md, Mba holds ★ Doctor Of Medicine (M.D.), Medicine from Johns Hopkins School Of Medicine.
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★ Dr. Traci Thompson is a highly accomplished and seasoned healthcare executive with 18+ years of progressive experience in combining clinical expertise with compassion to meet challenges facing today’s healthcare organizations including targeted engagements as well as clinical and economic outcomes. During her tenure, Traci has gained advanced expertise in managing complex clinical operations and has maintained healthcare leadership responsibilities as a Medical Director. She seamlessly develops and drives strategic clinical initiatives & plans, monitors key programs, oversees organization population analytics, and enhances care management. She excels at leading cross-functionally and interdepartmentally while connecting on all levels with professionals and programs by utilizing a complete understanding of the healthcare arena and integrated networks.★ Dr. Thompson has exceptional business insight coupled with the ability to ascertain and analyze needs, forecast goals, streamline operations, and envision new program concepts. She has a track record of achieving high standards of quality. As an operations management professional, Traci provides strategic direction and leads from the front on all aspects of management including systems development, operations & processes, finance, R&D, and regulations. Her excellent communication and interpersonal skills serve as a foundation for effective networking, collaboration, negotiations, and positive partnerships with physicians, vendors, and stakeholders.★ Dr. Thompson has served as chief advisor and educator for medical staff ensuring accurate clinical judgment applying to all major medical decisions within the clinical arena. She has completed a Doctor of Medicine (MD) from Johns Hopkins University School of Medicine and a Master of Business Administration (MBA) from Howard University School of Business. She has published several healthcare articles and is completing the Certified Physician Executive (CPE).
Listed skills include Leadership, Quality Patient Care, Team Building, Collaborative Problem Solving, and 46 others.
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Louisville, Kentucky, Us
Chief Medical Officer of Humana Healthy Horizons in Florida responsible for clinical oversight of the Florida Medicaid and Long Term Care health plan
Dr. Traci's House, Inc. is a non-profit 501(c)(3) organization dedicated to improving the health, wellness, and sustainability of communities through early childhood and art education, holistic healthcare services, advanced career opportunities and comprehensive community development. --Strategically focused to address the social determinants of health through multistakeholder engagement--Comprehensive healthcare provider advocating multi-generational impact through education, healthcare services and community revitalization
Tampa, Florida, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Promoted to the executive leadership role to provide overall business strategy and organizational direction while ensuring the delivery of affordable and high-quality healthcare services♦ Responsible for strategy development and implementation of innovative clinical programs that engender collaboration with strategic business partners♦ Direct health service functions including concurrent review, complex case management, quality improvement, health & wellness, and disease management♦ Oversee and manage adherence to compliance and regulatory standards while maintaining working knowledge of legislative changes that may potentially affect utilization trends, practices, and standards♦ Collaborate with healthcare lobbyist in a consulting role to facilitate healthcare support to mediate racial and socioeconomic disparities in the Medicare system
Tampa, Florida, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Identified opportunities to collaborate and develop clinical integration opportunities with owners and other health delivery systems to achieve affordable outcomes♦ Provided oversight and expertise in utilization management and case management activities for all lines of business, including Medicare, while working in close coordination with matrix partners♦ Monitored physical and behavioral health staff of 180 FTEs responsible for Medicare Advantage and Medicaid beneficiaries in 17 states; chaired medical policy and related health plan committees♦ Spearheaded quality improvement & accreditation initiatives while focusing on pharmacy utilization, quality and cost management of the provider network, and reduction of medical costs
Tampa, Florida, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Efficiently developed and implemented strategic goals related to quality improvements, management programs, and accreditation standards♦ Led clinical operations including care and utilization management, network and provider relations, quality improvements and overall administration including legal and financial♦ Supervised all operations of 4 medical directors encompassing 12 states as well as the entire utilization management clinical team of 150 staff members
Tampa, Florida, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Oversaw operations regarding long-term care facilities and coordinated various interdisciplinary teams to execute clinical policies, systems, and agenda♦ Highly instrumental in managing 20% of Plan activity – 270,000+ Medicare/Medicaid enrollees in 6 states with 36,000+ physician provider network♦ Responsible for training, continuing education, and promotion of subordinate staff, managed facility budget, liaised with other medical / non-medical departments, and ensured compliance of all federal and state regulations and codes♦ Supervised, reviewed, and adjudicate requests for medical necessity decisions according to medical policy♦ Assisted in creating and improvising medical strategies by providing expert guidance and evaluated medical practices at corporate, state, and site level to ensure superior care
Tampa, Florida, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Administered $1.5 billion health plan with over 569,000 Medicaid enrollees and utilized clinical expertise to assist in the development of care improvement programs to revitalize health-related outcomes for membership population♦ Leveraged key negotiation skills to procure 3 year contract extension for Medicaid and Medicare worth $4.5 billion in medical premium revenues♦ Led organizational development efforts and supervised a team which addressed public grievances and complaints
Fort Lauderdale, Fl, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Performed a pivotal role in managing a hospital center comprised of a 1,780 bed system spanning 8 facilities with a Level 1 Trauma center and 290,000+ annual ED visits♦ Stayed well informed of all technological developments and recommended innovative methods in the detection and prevention of disease as well as the restoration of health♦ Understood and empathized with similarities and differences among many diverse cultural groups, a quality that results in better serving of patient needs
Knoxville, Tn, Us
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Directed and steered clinical operations for 15-60+ inpatients at a 210-bed full service community Medical Center♦ Provide strategic planning of administrative, clinical, and operating processes to enhance quality, manage costs, and align healthcare services within the context of an integrated care delivery system♦ Effectively tripled patient volume by fostering relationships with physicians & specialists of outpatient/inpatient groups ♦ Standardized early discharge process and achieved 70%+ discharge orders by noon on day of discharge♦ Additionally responsible for divisional direction and strategic management, development of new services & operations, revenue performance, and enhancement strategies
Boca Raton, Fl, Us
Florida Atlantic University - UM Miller School of MedicineACHIEVEMENTS & RESPONISIBILITIES♦ Taught biomedical sciences at the UM Miller School of Medicine♦ Monitored individual student clinical progress toward competency and graduation as well as assuming the timely treatment of each patient and their needs
HEALTHCARE LEADERSHIP ACHIEVEMENTS & RESPONISIBILITIES♦ Promoted as Lead Hospitalist Physician at the community hospital from June 2006 until January 2008♦ Led multi-discipline healthcare delivery system encompassing program management and specific responsibilities for patient evaluation, management, and supervision♦ Ensured healthcare program operated safely, cost-effectively, and medically appropriate for patients♦ Rendered services as a team Hospitalist physician at Fort Myers, FL (July 2004 – October 2004), and Boca Raton, FL (November 2004 – June 2006)
21201, Md, Us
ACHIEVEMENTS & RESPONISIBILITIES♦ Rendered teaching and lecturing services to the Internal Medicine Residency Program at Maryland General Hospital♦ Additionally responsible to perform Hospitalist duties including admitting & ICU unit privileges, supervision of 12 internal medicine residents on the general medicine service, and clinical curriculum development♦ Reviewed and discussed sub-clinical hypo and hyperthyroidism, community acquired pneumonia, iron deficiency anemia, and pharmaceutical treatments for diabetes with students and interns
ACHIEVEMENTS & RESPONISIBILITIES♦ Supervised certified trainers to ensure proper care of injured competitors♦ Performed critical role as Medical Consultant to Judo officials/athletes
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Traci Thompson Md, Mba works for Humana.
Traci Thompson Md, Mba is listed as Regional Vice President of Health Services/Chief Medical Officer at Humana | Entrepreneur at Humana.
AeroLeads has found 1 work email signal at @humana.com for Traci Thompson Md, Mba at Humana.
Traci Thompson Md, Mba is based in Tampa, Florida, United States while working with Humana.
Traci Thompson Md, Mba has worked for Humana, Dr. Traci'S House, Inc., Wellcare Health Plans, Weatherby Healthcare, and Teamhealth.
You can use AeroLeads to view verified contact signals for Traci Thompson Md, Mba at Humana, including work email, phone, and LinkedIn data when available.
Traci Thompson Md, Mba holds ★ Doctor Of Medicine (M.D.), Medicine from Johns Hopkins School Of Medicine.
Traci Thompson Md, Mba is listed with skills including Leadership, Quality Patient Care, Team Building, Collaborative Problem Solving, Hiring Personnel, Provider Relations, Stakeholder Management, and Public Speaking.
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