Joi Macy, Mba Email & Phone Number

Tulsa, Ok, Us

Addison, Texas, United States

• Serve as the operations lead in the design, planning, and go to market (GTM) execution of launching a new virtual care clinic for the Care Solutions division.• Oversee all aspects of provider recruitment, interviewing, onboarding, hiring, and credentialing.• Provide leadership and direction for multi-disciplinary team to ensure the delivery of safe, effective, and patient-centered care.• Develop, implement, and oversee day-to-day clinical operations, ensuring efficient workflows, resource optimization and adherence to quality standards.• Oversee operational and financial objectives with focus on cost of service and gross margin. • Implement and monitor key performance indicators (KPIs) to measure and improve operational efficiency and effectiveness.• Optimize existing product delivery for scale and operationalize new product deployments.• Define, manage, and support care delivery for all patient facing products and services for multiple revenue generating lanes.• Support and manage escalation priorities for both internal and external key stakeholders.• Identify opportunities for cost containment and revenue enhancement while maintaining high-quality care.• Identify strategic opportunities and support organizational pivots to achieve firm objectives.• Provide training and support to ensure provider success and satisfaction. • Collaborate with quality management personnel to implement best practices and drive initiatives to enhance patient outcomes.• Design and develop policies and procedures, training guides, onboarding processes, and workflows for new products and program participants.• Provide a systematic approach to problem solving and enhancing success.• Partner with board representatives to execute on board approved initiatives.

Addison, Texas, United States

• Transitioned to a consulting role related to COVID-19 adjustments.

Addison, Texas

• Led the development and collaboration to build the project plans and onboarding process for bundle program participants (providers, facilities, and payors) and instrumental in the development of training for key stakeholders.• Played a strategic role and successfully spearheaded the design and development for the spine and orthopedic joint clinical care pathways integrating appropriate treatments and defining metrics to ensure a successful bundle payment program. Collaborated with clinical experts (Surgeons and Physician Assistants) in the field and presented the pathways to the quality committee team for feedback and approval with minimal revisions.• Collaborated with the data analytics project team in developing phase 1 and 2 key metrics to assess quality care to support the bundle payment program by identifying the appropriate data points to ensure quality measurements for the program.• Led the collaboration with the IT Applications Director to establish a standardized process and develop a temporary gap solution for bundled payments by creating a manual workflow to manage claim aggregation.• Directly contributed to designing the bundle program by working side by side with the payor relations and physician network teams in creating the value-based proposition for bundled care. • Key contributor and instrumental in developing a book of BPCI-A provider business and manage the provider relationships handling the Medicare bundle program by providing support resulting in positive shared savings.

Dallas, Texas, United States

• Analyze data and reports for operational and financial insights and trends.• Partner with regional leadership to support operational execution of key levers at sites.• Facilitate site-specific optimization plans, helping to remove barriers to success.• Participate in regional leadership meetings to track progress against program objectives and goals.• Provide direction for daily operations, including patient identification and onboarding, clinical episodemanagement, network management, and performance management.• Build and maintain a preferred post-acute network, including post-acute SNF and home health providers.• Maintain relationships with market-based stakeholders in the region.• Maintain key vendor relationships

Texas And Oklahoma

• Responsible for the operations and management for the rehabilitation departments across 15 Skilled Nursing Facilities supporting 120+ direct employees with high collaboration between cross-functional disciplines to deliver high-quality rehabilitation with focus on value-based care and quality patient outcomes.• Responsible for P&L management for 15 facilities resulting in driving positive revenue generation ultimately increasing profits through continuous process improvement related to labor and overall efficiency.• Responsible for evaluating and implementing any rapid changes relating to Medicare regulatory reimbursement to quickly react and adjust to meet the necessary requirements for proper and maximum reimbursements.• Properly monitor performance indicators, implementing continuous improvement and training to deliver outstanding customer service levels and ensuring high-quality patient care. Analyze monthly, quarterly and yearly customer services metrics.• Collaboratively work with a cross-functional subject matter team and experts on an initiative to improve metrics set by BPCI Networks (Bundled Payments for Care Improvement), i.e. ALOS (Average Length of Stay) 21 or fewer days, monitor and assess why patients RTA (Return to Acute), and ensuring assignment of physicians are met for in-network purposes.• Strategic in developing and implementing human resource and performance management processes by establishing and assessing key performance metrics and expectations by developing, coaching and mentoring team members, measure onboarding effectiveness as well as the entire recruiting and hiring process.• Facilitate informative educational training topics and inservices to all team members on any operational expectations and healthcare regulatory changes, procedural requirements for any insurance reimbursement updates concerning diagnosis and treatment documentation for accurate coding and billing.

Texas

• Responsible for the operations and management for the rehabilitation departments across 16 Skilled Nursing Facilities working with multiple business partnerships in these acquisitions. • Conduct chart review audits for all disciplines and analyze all ADR (Additional Documentation Request) reviews and denials to ensure proper documentation supporting clinical diagnosis and treatment to secure maximum insurance payment for services.• Transitioned 10 existing facilities to Century Rehab.

Master'S Degree, Speech-Language Pathology/Pathologist

Master Of Business Administration - Mba, Mba In Healthcare Management

Completed Lnfa Required Courses, Licensed Nursing Facility Administrator

Bachelor Of Science - Bs, Speech-Language Pathology/Pathologist