Emma Elms Email & Phone Number

Eden Prairie , Mn, Us

-Provider Engagement Representative (PER) in the Mid-Atlantic Market (DC, MD, VA).-Managed relationships with Skilled Nursing Facilities (SNFs) across all UHC lines of business, handling provider issues, call quality, and training programs.-Conducted in-person meetings with Institutional Special Needs Plan (ISNP) facilities to support Senior Community Care (SCC) growth.-Collaborated with business units such as Care Transitions and Optum Health to support growth and quality for Institutional and Institutional-Equivalent Special Needs Plans.-Facilitated and coordinated Business Review Meetings, Joint Operating Committees, and Provider Engagement Meetings for SCC.-Developed and maintained relationships with Skilled Nursing and Assisted Living Facilities.-Created and implement programs to improve interactions between the health plan and providers.-Developed and manage strategies for the provider network.-Supported educational initiatives for UnitedHealthcare, including in-person and phone interactions.-Identified network gaps and assist with prioritizing provider contracting needs.-Lead or support meetings with SNF staff to review financial performance, contract details, and reimbursement.-Provide expertise and information on relevant topics.-Identifies and addressed gaps in ancillary providers and support new provider contracting.-Organized and prioritized tasks to meet deadlines across the organization.-Investigated and resolved non-standard requests before escalating.-Maintained and updated the Compass Data Base with information from meetings.-Supported Post-Acute priorities and assist with ISNP business growth initiatives.-Provided education on Medication Adherence and updates on policies and performance.- Recognized for performance and receive guidance for career development.

Washington, District Of Columbia, Us

• Responsibility to review, aggregate and analyze facility-wide data to impact changes to systems and business processes focusing on areas of opportunity for improvement. • Work in partnership to support stakeholders, through site visits, personal coaching, and training to ensure service excellence competency at all levels of the organization. • Connect, encourage and/or inspire internal and/or external clients at a high level such as senior leadership on matters of a technical and/or complex nature providing clear recommendation for client improvements.• Transformed the framework of existing language access and services. Reconstruction language department from the ground up. Introducing tools for workflow of virtual visits for clients during pandemic. Developed efficient schedule and billing programs. Acting liaison with language vendors, contracts and IT support at the clinical level. • Experience in healthcare industry – financial, operational, budgeting, procurement experience.• Developed strategy products for processes of triage workflow for client concerns with extensive knowledge of policies and procedures, and financial programs of healthcare systems.• Analyze stakeholders and healthcare needs to adjust services during the peak of the COVID-19 pandemic to present.• Knowledge of risk management and compliance related to industry and HIPPA guidelines. Support and collaborate with departments to ensure HIPPA practices and patient safety is enforced.• Excellent verbal, writing and creative presentation skills• Ability to complete projects with strict timelines• Work multifaceted projects to meet deadlines of organizational needs.• Project management- EPIC/MyChart platform transition Participate in Concierge medicine scheduling.Interim Director OPX Nov 2022-Jan 2023

• Directed and coordinated production throughout multiple departments. Assisted with the development and implementation of a comprehensive complaint management process and service recovery that would ensure expedited problem resolution across the organization.• Developed, reviewed, and implemented strategic business practices. Oversaw key projects and processing of performance reports. Conducted data analysis of market trends to ensure efficiency while maintaining appropriate Cost of Goods (COGs). Department budgeting maintained by corporate headquarters.• Collaborated with company stakeholders to identify gaps in customer satisfaction and translated insights into recommendations that impacted business results. Analyzed consumer needs and adjusted production• Fully responsible for interviewing, onboarding, training, goal setting, and coaching of staff roles. Created curriculum, orientation/training materials for future employees that aligned with the strategic objectives of company.

• Established relations with underserved communities to promote nutritional health services by developing ans facilitating nutritional demonstrations• Supported professional relationships in Mid-Atlantic farming community• Demonstrated educational practices that encompasses providing a sustainable model of agriculture to new farmers, students and the public through hands-on community engagement• Managed the volunteer and internship standard programs onsite

Dallas, Texas, Us

Bachelor'S Degree, Public Health

Associate Of Arts And Sciences (A.A.S.), Business Administration And Management, General

Associate Of Arts And Sciences (A.A.S.), Culinary Arts/Chef Training

Associate'S Degree