Julie Martinez

Julie Martinez Email and Phone Number

Population Health Leader | Value-Based Care | Business Development | Driver of Innovations & Process Improvements| WBL member
Julie Martinez's Location
Dallas-Fort Worth Metroplex, United States, United States
About Julie Martinez

During my 18+ years serving in healthcare leadership roles, I have leveraged my natural talent leadership abilities to skillfully manage large scale operations, solve complex problems, and optimize business performance. My clinical knowledge and operations expertise enables me to engage with organizational leaders and quickly earn their trust in identifying growth opportunities and implementing process improvements. What I enjoy most about being a leader is bringing my passion for system design to successfully lead cross-functional teams in case management, quality, coding, and referral management. By assembling, developing, and leading high performing teams, I have been successful in consistently meeting and/or exceeding annual goals to improve the health of our population.I believe my success in managing large clinical operations has a lot to do with my focus on collaboration, integrity, and innovation. By asking questions, challenging beliefs, and always treating people with great respect, I bring out the best in people so that together we achieve more. For professional networking or to discuss future opportunities, I can be reached at juliermartinez@yahoo.com.

Julie Martinez's Current Company Details

Population Health Leader | Value-Based Care | Business Development | Driver of Innovations & Process Improvements| WBL member
Julie Martinez Work Experience Details
  • Better Health Group
    Vice President, Health Services
    Better Health Group Jan 2023 - Mar 2024
    Tampa, Florida, Us
    Provide leadership, direction and oversight to all of the Health Services areas (Case Management, Utilization Management, Quality Education, Behavioral Health, Social Determinants of Health, Pharmacy and Process Improvement), and vendor(s) to ensure achievement of organizational, departmental and individual goals and maximize health outcomes for health plan members.
  • Wellmed Medical Management
    Vice President, Cin Clinical Outcomes
    Wellmed Medical Management Jun 2016 - Dec 2022
    San Antonio, Tx, Us
    After initially working with clinics through the behavioral health tele-health pilot, I was promoted to create a new population health program within this large, 400+ Primary Care Practice group. During this period, I managed all interventions that directly or indirectly influenced medical spend, quality measures and HCC Coding. By leveraging my analytical competencies, I have been able to identify cost drivers, assess utilization trends, and implement new interventions to help reduce costs and monitor progress towards achieving financial and service performance goals. One of my proudest achievements occurred during the height of the Covid 19 crisis when I focused our efforts on improving quality scores by cross-training team members and leveraging their individual strengths. These initiatives resulted in $21M in shared savings for plans, and all around improvement in quality scores with one plan receiving a perfect quality score.
  • Humana
    Strategic Consultant, Business Development- Brain Health And Tele-Psychiatry
    Humana Oct 2015 - Jun 2016
    Louisville, Kentucky, Us
    My passion for and expertise in building startup organizations and creating highly functioning teams led to me taking on this business growth and development position. During this 9 month period I identified new business development opportunities by expanding our clinical footprint beyond Utilization Management, EAP and Case Management. I created and implemented pilot opportunities and evaluated those opportunities for ultimate new product development. By customizing value propositions for every audience, I earned their trust and respect. I was able to creatively explore potential underlying issues with them and garner their enthusiasm for viable solutions to problems they hadn’t yet fully acknowledged. The strategy and operational supports I developed ensured repeatable processes within the newly assembled Product Development team.
  • Humana
    Director, Case Management
    Humana Apr 2011 - Oct 2015
    Louisville, Kentucky, Us
    I was promoted into this role because I had volunteered to create an entirely new Case Management program offering for the organization. As the duties of this new role increased, I was promoted to take on those additional responsibilities. I was responsible for ensuring that our Case Management offering had year over year growth, with participation and savings goals established annually. I led a team of nearly 100 associates, the largest department in my business segment.
  • Humana
    Manager, Case Management
    Humana Jan 2007 - Apr 2011
    Louisville, Kentucky, Us
    Advancing from Frontline Leader to Manager role enabled me to take on ownership for developing and implementing strategies to improve Integrated Medical Behavioral Health program interventions. During these 4+ years, I spearheaded process improvement initiatives and implemented Integrated Medical Behavioral Health to both Medicare and Commercial populations. As a result of my efforts, our division was awarded URAC Case Management Accreditation, establishing our credibility among health plans and payers for advancing collaborative care and patient advocacy.
  • Humana
    Clinical Frontline Leader, Utilization Management
    Humana Jan 2005 - Jan 2007
    Louisville, Kentucky, Us
    Exceeding productivity goals and keeping an eye open for growth opportunities led to this promotion. Provided direction and leadership to team of 15 Clinical Advisors, guiding their performance of utilization management services for contracts across the United States. Highlights of my accomplishments included improving efficiency of certification processes, turning around underperforming areas by implementing training initiatives, and amplifying work productivity to support business expansion into new markets.

Julie Martinez Education Details

  • The University Of Texas At Arlington
    The University Of Texas At Arlington
    Social Work
  • West Texas A&M University
    West Texas A&M University
    Psychology

Frequently Asked Questions about Julie Martinez

What is Julie Martinez's role at the current company?

Julie Martinez's current role is Population Health Leader | Value-Based Care | Business Development | Driver of Innovations & Process Improvements| WBL member.

What schools did Julie Martinez attend?

Julie Martinez attended The University Of Texas At Arlington, West Texas A&m University.

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