Responsible for providing clinical sales presentations to prospective customers and existing clients. Also provides operational support to executive leadership, as well as various business functions, including Implementation, Client Support, Account Management, Product Management and Application Development. Drives the design and execution of strategies for securing new sales opportunities, as well as increased overall client satisfaction. Works with cross-functional teams on optimizing product offering to align with client prospect needs and industry standards. Holds direct accountability for sales support across strategic partners, clinical consulting, account management and product management. Partnered with fellow Sales team members in closing some of the company’s largest accounts. Served as valuable resource for parent/sister companies and global strategic partners, including Centene Corporation, Centene UK, MCG and Change Healthcare.Delivered consultations on clinical operations for prospective and existing clients; leveraged expertise in Utilization Management, Appeals and Grievances, Case/Disease Management, Population Health, Value Based Care, CMS, NCQA, ODAG and URAC requirements to support clients in improving their clinical operations. Assisted software engineers with developing new applications and enhancing existing products by gathering functional requirements, testing applications and providing internal/external support.Co-developed an Opioid Substance Use Disorder program content package for the TruCare platform.

Provided leadership of the implementation process for new Casenet customers onto the TruCare platform from planning through go-live. Partnered with diverse clients, including commercial, Medicare and Medicaid health plans, TPAs and at-risk provider groups to align implementation plans with their needs and expectations. Delivered end-to-end leadership of the implementation process, including identifying customer business requirements, system and user acceptance testing (UAT), developing test scenarios and creating implementation plans. Partnered with leadership on the development of PMO methodologies and standards, ensuring adoption by all team members across the Implementation team. Led the end-to-end implementation, including configuring TruCare application, organizing testing activities, preparing documentation and developing and delivering end user system training. Provided clinical solution consulting for external and internal sales opportunities.Ensured customers were well-versed in CMS, NCQA and URAC regulatory requirements. Helped the team to deliver 98% of projects on-time and within budget, resulting in 92% customer satisfaction rating.

Advised and guided clients through the implementation of healthcare solution, CareAdvance, to drive operational and efficiency improvements. Worked closely with clients consisting of Commercial, Medicare and Medicaid health plans to develop and execute strategies for implementing and utilizing CareAdvance to meet their business needs. Collaborated with clients on the development and rollout of workflow processes within their new application to meet clinical requirements and industry best practices. Provided leadership of the full implementation process, including developing business requirements, outlining implementation plans and configuring new system. Educated clients on regulatory requirements, including CMS, NCQA, URAC and state agencies to ensure their overall compliance at the state and federal level. Delivered ongoing system support for clients, tracking software issues and deploying appropriate resolution, which resulted in improved client satisfaction.

Delivered project management and consulting services for new customers during the full implementation process for the MIDAS+ Quality/Utilization Management information system. Partnered with clients and internal resources through the planning and installation of new systems across the US. Oversaw all project functions, including gathering business requirements, developing implementation plan and ensuring successful rollout. Conducted in-depth operational assessments on client processes, recommending new solutions and/or process improvements that aligned with best practices and standards for Utilization Management, risk management, patient relations, infection control and quality management Served as subject matter expert (SME) for MIDAS+, providing training and support for new customers, as well as guiding technical analysis and project managers through all implementation projects.

Provided clinical system support for Akron General Medical Center, Massillon Community Hospital, Lodi Community Hospital, Visiting Nurse Service and the HomeTown Health Plan with administering and maintaining MIDAS+ Quality/Utilization Management information system. Led the implementation of MIDAS+ across 20+ different departments spanning 5 different campuses. Redesigned processes to align with industry best practices, resulting in cost savings, as well as improvements to quality of care, safety and operational performance. Created dashboards and statistical process controls to support clients in tracking operational performance.