Kia Gaines Email & Phone Number

Freed engages with leading healthcare organizations as a consulting firm to make a positive difference in the healthcare landscape. Freed staffs well-rounded healthcare veterans to focus on delivering results in four key areas: Applied Analytics & Technology AdvancementDigital ExperienceOperational TransformationRevenue & Finance Optimization

Business consultant in National Medicaid department assisting with project management and IT / Operations process improvement initiatives.

ATTAC Consulting Group (ACG) is a healthcare management consulting firm that provides services in operations and performance, auditing and training for government and private clients.

Special FUSE Project: Creating an Integrated Delivery Model to Improve Public Health by Implementing a Common Intake Database SystemFUSE is a national nonprofit that partners with local government agencies on a range of issues, including economic and workforce development, healthcare, public safety, climate change, and education. FUSE’s approach centers around a year-long executive fellowship program, which embeds fellows with city and county agencies. FUSE fellows help to craft new policy, roll out new public services, and improve existing programs in order to better serve communities.Established in 1906, the Long Beach Department of Health and Human Services (Health Department) has been improving the health of the Long Beach community for over a century. The Health Department strives to create a safe and healthy community for all to live, work, and play. Long Beach is one of only three city-run health departments in California, allowing for better engagement with its people, neighborhoods, businesses and community partners, and a greater understanding of the city's strengths and needs. With 300 employees located in nine sites throughout the city, the Health Department operates with a $117 million annual budget, 99% of which comes from Federal, State, County and private funds.

Healthcare consulting professional with experience in project management, process improvement, business strategy, financial analysis, and IT implementation.Top Tier Consulting, a Cognizant Company, provides strategy, operations and information technology consulting to healthcare organizations. Our healthcare industry clients include health insurers, providers, technology & services vendors, and life sciences organizations.

Greater Los Angeles Area

Strategy consultant for nonprofit clients.

- Led consumer experience and retention programs to increase customer engagement by 5%. Designed and initiated IT and process improvement projects with collaboration from clinical, sales, IT and customer service teams.Project manager for offshore IT web development team, overseeing 5 different projects (Agile Product Owner) - Project manager for major operations automation and website redesign project for mail order pharmacy- Working on multiple data analysis and strategy consulting projects across various IT and Operations departments within Humana Pharmacy and RightSourceRx in an effort to reduce costs, like: customer service call routing analysis, drug product returns, fax pre-authorizations process analysisNominated and accepted into a corporate development program for high performing leaders, starting Spring 2013.Expertise: Agile processes/Version One, IT Implementation, Process Improvement/Visio flow charts, PowerPoint, Relationship management, Executive Interface PMP certified

- Operations consultant for Humana Military working on new business development/operations, mergers/acquisitions, strategic planning and cost/benefit analysis for a wide variety of projects involving improving healthcare services for government employees under the Dept of Defense - Supervising claims operations - Documenting best practice documentation for a major new contract with Dept of Interior. - Also worked on various internal projects for Humana Inc HR senior leadership regarding employee productivity and leadership development.Certifications: Fellow, Professional Academy for Healthcare Management (AHIP); Six Sigma Yellow Belt, Public Trust Government ClearanceI am part of Infusion, a competitive leadership development program for high potential associates.

ECG is a healthcare consulting firm with 5 locations in the U.S., serving public hospitals and medical centers as clients.Designing and developing project plans, workflow diagrams, and training materials to document best practices for new business ventures; Researching new business opportunities and presenting strategies to top level executives Collaboration: Working across multiple departments in IT, Services, Operations, HR, and Real Estate for cost reduction project for VP of Strategy. Identifying potential strategy to save upwards of $100,000 in real estate costs through workforce planning.Analysis: Collecting and analyzing cost data using statistical tools to prepare report for Senior VP outlining potential areas for cost savings; Creating a process to effectively quantify associate qualitative metric data; Six Sigma Yellow Belt.Research and Data Modeling: Developing model for Infusion using internal and external research metrics to predict turnover and evaluate program effectiveness; Presented to Senior VP to assist in recruitment/retention and development strategies.; Communication: Composed data summaries, exhibits, and charts for use in client proposals, reports, and presentations Presentations: Researched and analyzed relevant client issues related to hospital financing trends and presented to entire company as part of professional development program, findings may eventually be published Financial Modeling: Designed and implemented a valuation model used in negotiations to calculate the effects of a $60MM medical center acquisition proposalTeamwork: Worked closely with senior consultants, managers and senior managers on multiple short and long term work assignments as needed to fulfill client requests

Toyon Associates is a privately owned heatlhcare financial consulting firm based in the San Francisco Bay Area.Analysis: Increased hospital revenues up to $1MM by calculating and appealing for Medicare reimbursement settlement dollars, applying knowledge of latest Medicare regulations Database Management: Collected and organized large quantities of data from medical centers and government agencies to prepare yearly cost reports within strict fiscal deadlines Communication: Coordinated with federal government audit departments to calculate reimbursement amounts in order to maintain high standards and avoid penaltiesTraining and Mentoring: Trained new employees in project reports, Medicare laws, and audit procedures

Determining qualifications for SSI and Medi-Cal disability claims.Project Management: Managed a project load of 200 distinct client cases for federal Medicare program in the San Francisco region. Determined precise disability claim assessments within 90 day deadlines Research and Quality Assurance: Assembled medical evidence from patients, physicians, advocates, and attorneys to prepare written analysis of disability decision recommendation. Received multiple quality awardsProfessional Development: Studied federal and state disability guidelines, national job descriptions, and medical journals to expand knowledge base and maintain high work efficiency; Served as team leader when manager was out of the office.Leadership: Served as team technology leader. Attended monthly leadership meetings and assisted colleagues with new computer programs to improve overall team productivity and performanceWon Disability Evaluation Quality Award 2004/2005

Spent a month in Accra, Ghana researching issues surrounding setbacks to political and economic development particular to the country.

Mba, General Management With Concentrations In Strategy, Operation, Int'L Mgmt & Org. Behavior

Activities and Societies: Tepper Black Business Association (Vice President), Graduate Business Association- Community Outreach Committee.

B.S., Haas School Of Business

Activities and Societies: Cal Berkeley Habitat for Humanity (VP of Finance); CalServe (member)Won Chancellor's Community Service Award.