Build and strengthen the relationships between 18 practices and THN system to drive performance in the areas of inpatient utilization, cost of care, and patient engagement.Identify individual practice needs and offer creative solutions to remove any barriers and improve engagement. Developed a pilot program based on practice feedback that aims to increase engagement through weekly action items rather than data overload. Analyze gaps to 5-star ratings as well as payor data from 10 different contracts to determine opportunities for improvement and create strategic plans for performance.Understand the needs and preferences of the practices by communicating effectively, which in turn supports the delivery of quality patient care.Monitor reports on inpatient utilization and cost of care and partner with other departments to build workflow.

Managed full program development, including documentation platform development, standard work creation and revision, and orientation. Oversaw the hiring and direct daily supervision of a team of 33 staff members across service lines.Effectively demonstrated the ROI for the program and successfully expanded from 3 practices to 22.Created baseline, target, and stretch goals and subsequently tracked monthly metrics for individuals and team.Recognized for having the team with consistently high completion rates of Annual Wellness Visits.Analyzed patient satisfaction results to determine areas of opportunity for quality improvement.Educated providers, staff, and other entities to promote program integration and expansion.

Developed standard work for completion of Medicare annual wellness visits and transitional care management. Communicated with providers and patients to develop personalized preventative care plan. Collaborated with provider practice leaders to break down barriers to successful metrics gap closure.