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@lacare.org
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Joan Byrd is listed as Executive Director Health Services at LA Care Health Plan at LA Care Health Plan, based in Simi Valley, California, United States. AeroLeads shows a work email signal at lacare.org, phone signal with area code 503, and a matched LinkedIn profile for Joan Byrd.
Joan Byrd previously worked as Executive Director Health Services at La Care Health Plan and Vice President Clinical Services at Cambia Health Solutions. Joan Byrd holds Mba, Business from Pepperdine University.
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AeroLeads found 2 current-domain work email signals for Joan Byrd. Compare company email patterns before reaching out.
Senior healthcare executive with extensive expertise in health plan management, managed care, care management program development and management, hospital management, product/service development, strategic planning, integrated health systems, ambulatory operations and physician practice management. Demonstrated success in developing and leading high performance teams focused on innovation, achievement of results, business process and performance optimization and service excellence.
Listed skills include Managed Care, Medicare, Healthcare, Disease Management, and 13 others.
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Executive Director responsible for Pharmacy services including Medicare Part D plan, medical and Pharmacy benefit Appeals & Grievance, Utilization Management and Care Management. Includes Medi-Cal, Medicare, Duals, Exchange and commercial plans.
Portland, Or, Us
Responsible for leading health care management and cost stewardship strategy including medical management, unit cost, pharmacy and claims payment initiatives. Leads a team of 300 employees in areas including care management, utilization management, wellness and quality management programs in four states. Developed and executed cost stewardship strategy resulting in over $220 million in incremental health care cost savings annually. Developed and executed health care management strategy resulting in negative trends in admissions, readmissions and bed days. Productivity increased 200%. Led successful initial multi-state health plan accreditation. Developed revitalization and expansion of quality improvement and wellness programs. Led selection and development of medical management systems platform. Developed and managed $30 million operating budget.
Woodland Hills, California, Us
Responsible for leading care management, utilization management and quality management programs across multiple states and product lines. Led a team of over 450 associates in areas including care management, disease management, compliance, HEDIS, credentialing, prior authorization, concurrent review, medical review, medical edits and appeals and grievance. Implemented comprehensive care management programs including complex case management and Special Needs Program model of care. Accountable for overseeing and coordinating health care cost management programs. Streamlined and consolidated redundant corporate and regional health plan functions. Implemented national medical management system consolidation. Accountable for health care reform initiatives including QI/MLR expense allocations, RAF score optimization and STAR improvements. Led national business standardization initiative including key performance measures, reporting, policies, procedures, position descriptions and performance expectations. Achieved improvements in HEDIS measurement results in all business units. Improved credentialing efficiency achieving improved turn-around time and reducing expense.
Responsible for leading pharmacy, utilization management, case management, appeals, facility site review, health education and CME functions, as well as program for children at risk. Responsibilities included the management of internal operations as well as oversight of 5 plan partners and directly contracted provider groups. Streamlined departmental operations, eliminating redundancy and rework. Led development of collaborative inter-departmental work groups resulting in significantly improved communications and teamwork. Led development of plan oversight tools including specific audit criteria and review guidelines. Developed ongoing monitoring capabilities for delegated functions.
Responsible for leading pharmacy, utilization management, case management, appeals, facility site review, health education and CME functions, as well as program for children at risk. Responsibilities included the management of internal operations as well as oversight of 5 plan partners and directly contracted provider groups. Streamlined departmental operations, eliminating redundancy and rework. Led development of collaborative inter-departmental work groups resulting in significantly improved communications and teamwork. Led development of plan oversight tools including specific audit criteria and review guidelines. Developed ongoing monitoring capabilities for delegated functions.
Responsible for leading national operations for ambulatory care clinics in three states including profit and loss responsibility. Led development of standardized national operations platform. Developed and implemented standardized performance metrics, national operations manual, human resources policies, employee handbook, and provider credentialing program. Implemented provider incentive plan incorporating profitability and quality based incentives. Reduced national operating expenses by 18%. Identified acquisition candidates, negotiated acquisition terms, and led operational integration teams. Improved patient retention by 20%, improved revenue per patient visits by 41%.
Responsible for communicating health services strategies, programs and results to sales team and major/national clients. Developed health services strategy for major/national accounts sales process. Identified and explored opportunities to enhance ability to meet employer/broker expectations. Responsible for development of plan-wide performance guarantee standards.
Led ambulatory and medical organization development efforts resulting in ambulatory service growth of 20-30% per year. Directed start-up development and operations of management services organization encompassing network development, contracting, utilization management, credentialing, claims, customer service, membership and enrollment functions. Led corporate strategy and development including growth and expansion targets and new business ventures. Accountable for physician recruitment and compensation. Operational and development responsibility for inpatient and outpatient rehabilitation, medical records and recreational programs, as well as outpatient health centers. Provided leadership for multi-site ambulatory operations and practice management oversight for 40 physician Medical Group and 500 physician IPA. Provided leadership for development of practice guidelines, quality improvement, and customer satisfaction measurement and improvement systems. Led long-range ambulatory development efforts and evaluation of expansion into new region. Directed market research, environmental assessments and competitive analysis efforts.
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Joan Byrd works for LA Care Health Plan.
Joan Byrd is listed as Executive Director Health Services at LA Care Health Plan at LA Care Health Plan.
AeroLeads has found 2 work email signals at @lacare.org for Joan Byrd at LA Care Health Plan.
AeroLeads has found 2 phone signal(s) with area code 503 for Joan Byrd at LA Care Health Plan.
Joan Byrd is based in Simi Valley, California, United States while working with LA Care Health Plan.
Joan Byrd has worked for La Care Health Plan, Cambia Health Solutions, Health Net, Pacificare Health Systems, and Camber Companies, Llc.
You can use AeroLeads to view verified contact signals for Joan Byrd at LA Care Health Plan, including work email, phone, and LinkedIn data when available.
Joan Byrd holds Mba, Business from Pepperdine University.
Joan Byrd is listed with skills including Managed Care, Medicare, Healthcare, Disease Management, Healthcare Management, Health Insurance, Healthcare Information Technology, and Medicaid.
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