Irene Wong Email & Phone Number

Dallas, Tx, Us

New York, Ny, Us

Woodland Hills, California, Us

Identify potential partnerships with provider systems + IPAs for enhanced collaborative relationships focused on improved quality and member/provider experience with mutually beneficial ROICultivate collaborative relationships with corporate Centene partners to scale and optimize corporate tools for California marketBuild + roll-out corporate provider-facing SaaS analytics solutions to medical group partners while leveraging industry and organizational standards to design efficient external-facing UI

Solano County, Ca, Us

MedASTUTE Consulting, LLC. is a firm focused exclusively on healthcare. Through our consulting and support services, we partner with healthcare organizations like hospitals and health plans to address a myriad of issues affecting them every day. Our team of experts, with more than 100 years of combined healthcare experience, are passionate and committed to elevating our clients to achieve and maintain success.

Richardson, Tx, Us

Core member of new business unit to build new revenue stream targeting adoption, engagement, and cost savings opportunities for new and existing clients- Engagements result in renewal and expansion opportunities- Analytics identified savings of $3.00 to $8.00 PMPM for large commercial health plans

Richardson, Tx, Us

Management of west coast payer clients consisting of over 5 million commercial & 1.5 million Medicaid livesPrimary duties include user adoption/engagement, account stickiness, and leveraging data and analytics to identify a client’s unique business problems and areas of opportunitySolution expertise includes:- Medical management analytics: identification & tracking of chronic members, high cost utilizers, frequent flyers, and member profiling- Network management analytics: provider cost & utilization variations, supporting contracting needs- Operational transparency: facilitation of sharing of claims data between health plans and its contracted providers/medical groups to reduce denials, appeals, claims reprocessing, and administrative costs

Richardson, Tx, Us

Led consulting engagement at multi-state health plan that, by leveraging data and analytics, identified over $20M in cost-savings for the Medicaid line of business alone. Conducted multiple analyses covering various focus areas, including dual population, avoidable admissions and ER visits, readmissions, contract rate variations, and high-cost elective procedures across commercial, federal, and state plans. Provided process recommendations and cost-savings strategies to network management and medical management executives.

Richardson, Tx, Us

Manage the daily account operations of a multi-state health plan. Responsible for client engagement and relationships across the California business.

Richardson, Tx, Us

Manage the implementation and adoption of real-time and batch analytics solutions, specializing in HL7 integration. Responsible for relationships with executive level client sponsors, engaging client for design and definition of product, capturing requirements from client and translating to technical specs for developers and engineers, coordinating efforts across multi-disciplinary team of Product Management and Engineering, and hands-on training of all end users. Manage integration of 3rd party services within MedeAnalytics solutions as defined by client. Lead User Acceptance Testing and training efforts and direct all operations during Go-Live periods.Implementations:NHS (United Kingdom) - Managed technical implementation of commissioning and challenge modules for 5 Primary Care Trusts using UK standard SUS data feeds. Captured requirements to appropriately build application that supports reporting of data at monthly first and final reconciliation points, monthly challenge process, budget monitoring, and benchmarking across PCTs and practices. Multi-Facility Health System (Maryland) - Implemented front-end real-time registration and financial counseling solution across 5 inpatient facilities to manage self pay population, increase point-of-service collections, reduce bad debt, and identify potential charity write-offs. Worked closely with client and Product Management to capture requirements to enhance further builds of solution.Acute Care Hospital (California) - Implemented front-end patient estimation solution using managed care contracts and automated insurance verificationAcute Care Hospital (Washington) - Implemented batch revenue cycle solution with daily ATB and transaction file loads to improve coding and collections post-dischargeAwards:Communication Pillar Award 2011CEO Performance Excellence Award 2010

Richardson, Tx, Us

Managed daily operations of revenue cycle solution for 7 client systems, comprising 9 inpatient facilities and 1 regional business office. Directed engineering activities to meet client expectations with changes and advancements to Mede applications. Collaborated with clients to optimize use of software to reach performance goals.

Us

Implemented patient throughput solution in support services departments of inpatient hospitals ranging in size from 250 - 450 beds in Cincinnati, Denver, and Boston. Specialized in implementation and optimization of patient tracking tools, such as TeleTracking and Premise. Directed department managers in daily staff supervision, department performance, and interdepartmental communication to develop managerial abilities. Worked closely with front-line staff via hands-on training and shadowing to change workflow and processes and increase consistency of system usage from 30%-60% to over 90%. Conducted staffing analyses and restructured departments to align resources to periods of peak demand. Nominated by client for hospital-wide Customer Service Award (2008)

Master Of Health Services Adminstration, Health Management And Policy

Bachelor Of Science, Management Science