Laura Thompson Email & Phone Number

United States

Implementation and administration of 3 behavioral health provider/facility incentive programs that are focused on Applied Behavioral Analytics, Substance Use Disorders and Behavioral Health Emergency Department Admissions/Readmissions. Collaborating with internal Medicaid market leadership for recruitment efforts, state level communication, and assessing program’s productivity and success. Leads enterprise level workgroups to analyze yearly data and program functionality for improvements and enhancements. Develops all program collaterals for internal and external distribution. Engages provider technical and clinical teams and other cross functional teams for quarterly and yearly strategy analysis. Develops and designs processes and systems that support business needs as well as leading special projects and initiatives.

Roanoke, Virginia, United States

Worked alongside community champions to drive the adoption of Unite Us by conducting outreach and hosting meetings to create new partnerships. Built relationships with local community-based organizations, non-profits, government agencies, and health professionals/systems. Conducted strategic research related to social determinants of health, statewide/regional health and community needs, and regional resource availability. Launched 44 counties/independent cities in Western Virginia and 7 counties in NE Tennessee to date. Established relationships with community coalitions and key stakeholders such as Ballad Health, STRONG ACC, Virginia Premier and United Ways. Assisted with the development and implementation of various state agency care coordination pilot programs.

Conducted research related to social determinants of health and regional/state needs to identify value-based program design and metrics. Operationalized, implemented, and managed the following programs: Social Determinants of Health Provider Incentive Program and Food & Housing Insecurity PIPs in 17 Medicaid markets/states. These programs utilized a SDoH IT platform as a means for the program to track referrals and provider activity. Throughout the implementation and management of this program, I cross-collaborated with all Anthem Medicaid state teams that included health plan presidents, care managers and provider relations consultants. Developed internal and external facing communications.

Roanoke, Virginia Area

Supported business strategies through an integrated portfolio of projects and initiatives within 7 states for the enterprise behavioral health administration. Managed the development, approval, implementation and compliance of behavioral health pay-for-performance incentives and provider collaboration programs. Ensured program met its stated objectives. Provided subject matter expertise in response to day to day business issues. Researched applicable subject matter practices and remains aware of industry trends. Managed relationships and partners with corporate and regional business areas. Conducted presentations for internal partners and potential external clients. Coordinated training related to the external client facing program. Developed program success measures and performs periodic assessments of external client facing program success. Designated Availity Administrator (provider web portal) for the behavioral health provider collaboration team.

Roanoke, Virginia Area

Developed and maintained positive relationships with provider community, by completing on-site visits, communicating administrative or programmatic changes, and facilitating the resolution of issues. Recruited providers to build a cost effective and high quality provider network. Conducted negotiations and assisted contracting efforts with providers to build and maintain a cost effective, accessible provider network. Researched, analyzed and recommended resolution for contract disputes, non-routine claim issues, billing questions, and other practices. Coordinated communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. Conducted seminars to support the understanding of managed care and Blue Cross and Blue Shield policies and procedures. Facilitated provider trainings. Assisted with behavioral health initiatives.

Roanoke, Virginia Area

VASAP & DCJS: 23rd & 25th Judicial Districts.Assisted Director in the administration and management of the day-to-day operations of the program as necessary to ensure that the mission and objectives of the program were fulfilled. Assessed and analyzed program operations to identify deficiencies in services, aided Director in identifying training needs and developing training resources to ensure effectiveness, supervised staff of approximately 20, provided staff guidance on application of policies and procedures to ensure compliance with state and local directives, and developed and maintained relationships with community professionals such as lawyers, Judges, court staff, and community-based professionals. Supervised a caseload of approximately 150 transfer offenders. Participated in quarterly Board meetings and community initiatives.

Roanoke, Virginia Area

Family Insight, CHIP of Roanoke Valley, NCGProvided direct clinical services to clients on an intensive basis, utilized solution focused treatment strategies during counseling sessions & collaborated with community-based agencies and professionals to develop wrap-around service approach. Assisted management team with audits to ensure Medicaid standards and regulations, developed and maintained relationships with community professionals, and set up, created and facilitated marketing presentations to various community agencies.

Roanoke, Virginia Area

Provided direct services to the presiding Juvenile Judge during court proceedings, conducted immediate and scheduled drug screens for the court, prepared and submitted reports and recommendations to the Judge, provided testimony to the court during trials, and co-facilitated anger management groups for youth in the community. Maintained & supervised a caseload of approximately 100 juvenile offenders.

Bachelor Of Science (B.S.), Criminal Justice

Activities and Societies: ~Summa Cum Laude ~Dean's List

Master Of Arts (M.A.), Management And Leadership (Business)

Activities and Societies: Sigma Beta Delta Program focuses on critical thinking and communication skills, ethics in management, business.