M. Majelle Yu, Md, Mba

M. Majelle Yu, Md, Mba Email and Phone Number

Lead Medical Director @ Humana
Philadelphia, PA, US
M. Majelle Yu, Md, Mba's Location
Greater Philadelphia, United States, United States
M. Majelle Yu, Md, Mba's Contact Details

M. Majelle Yu, Md, Mba phone numbers

About M. Majelle Yu, Md, Mba

Board Certified Internal Medicine physician with a mission to help improve the health system. As an accomplished Healthcare Executive, I possess a sterling track record of success in physician engagement and helping them transform to value based care, maintaining the quality of our deliverables, reducing costs, elevating service capability, developing leaders, and attaining maximum productivity through strategic and collaborative leadership. I have consistent success in leading healthcare operations which may include CCM, RPM teams, NPs doing home visits to help support practices and managing medical necessity/utilization management teams which involves activities related to medical necessity reviews, peer-to-peer discussions, and appealing denials.Tirelessly involved in formulating strategies to decrease the cost of care and sustainable business continuity, I deliver tangible results by integrating technology and analytics in operations in addition to managing comprehensive projects, developing, and implementing improvement plans, and nurturing a culture of teamwork on a global scale. As a leader, I have developed world-class teams by training and mentoring physicians, healthcare leaders, and associates, serving as an integral link between groups to create shared-goal environments that drive projects and deliver impeccable results. I value people, and as a result, have established a reputation as a reliable and empowering leader, creating alliances to support business initiatives in various healthcare settings. Caring for the public we serve is vital, and I am dedicated to making a difference in people’s lives. AREAS OF EXPERTISE:▷ Value-Based Care▷ Healthcare Operations Management▷ Regulatory Compliance▷ Physician Management & Engagement▷ Change Leadership▷ Process Improvement ▷ Business Intelligence

M. Majelle Yu, Md, Mba's Current Company Details
Humana

Humana

View
Lead Medical Director
Philadelphia, PA, US
Website:
humana.com
Employees:
45742
M. Majelle Yu, Md, Mba Work Experience Details
  • Humana
    Lead Medical Director
    Humana
    Philadelphia, Pa, Us
  • Humana
    Regional Medical Director
    Humana Jul 2024 - Present
    Louisville, Kentucky, Us
  • Vytalize Health
    Chief Operating Officer
    Vytalize Health Jul 2022 - May 2024
    Hoboken, New Jersey, Us
    Vytalize Health is a leading provider enablement platform helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution including value-based incentives, smart technology, and a virtual clinic that enables small and large independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than two hundred thousand Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors. Learn more at www.vytalizehealth.com or email info@vytalizehealth.com
  • Vytalize Health
    Senior Vice President Of Operations
    Vytalize Health Sep 2021 - Jul 2022
    Hoboken, New Jersey, Us
  • Vytalize Health
    Aco Medical Director
    Vytalize Health Jan 2021 - Oct 2021
    Hoboken, New Jersey, Us
  • Vikriti Management Consulting
    Executive Healthcare Consultant
    Vikriti Management Consulting Aug 2020 - Jan 2021
    Minneapolis, Mn, Us
  • Optum
    Senior Vice President Of Operations
    Optum Mar 2019 - Jun 2020
    Eden Prairie , Mn, Us
    Continued all previous responsibilities as Vice President of Operations including the following focused activities:▪ Closely worked with Product and Engineering to develop/refine new SaaS based tool for our client community. ▪ Consulted with key leaders for the development of End to End deals.▪ Led development of Operations Business Intelligence utilizing Microsoft Power BI and Tableau▪ Heightened quality assurance results by conducting in-depth KPI analysis to pinpoint improvement opportunities, partnering with operations and quality teams on retraining and quality metrics retooling, gaining 5 points improvement in quality based on internal scale. ▪ Refined Onsite Physician Advisor Program.
  • Optum
    Vice President Operations
    Optum Apr 2014 - Feb 2019
    Eden Prairie , Mn, Us
    Directed growth and development of daily corporate operations, with P&L accountability. Provided policy and procedural oversight, monitoring KPI’s to develop and implement process improvements and cost-reduction strategies. Collaborated with cross-divisional team leaders to optimize performance margins and transform departments. Directly managed VIP accounts. ▪ Delivered YOY operational cost savings of $10-14M through redesign of operational infrastructure and incorporating AI automation, including robotic process, machine learning, deep learning, and natural language processing. ▪ Collaborated with Engineering and provided solutions to enhance our EHRic (internal operations tool) platform.▪ Led all lines of business: Concurrent utilization reviews, Peer to peer denials, appeals, documentation support reviews.▪ Worked with Regulatory, Compliance, Legal, Finance, Technology, Business & Client Analytics Support, Application Development, Human Resource, Research & Education, Sales, and Account Management divisions to drive business development and continuity planning.
  • Optum
    Director Of Concurrent Operations
    Optum Apr 2011 - Mar 2014
    Eden Prairie , Mn, Us
    Directed concurrent physician teams who perform utilization reviews for client hospitals. Provided oversight on Concurrent Policy and Process Committee. Continued responsibility of providing management support for critical clients.▪ Ensured compliance with CMS Two-Midnight Rule by consulting with experts, modifying process and providing education and training to the clinical teams.▪ Modernized internal systems to improve tracking, reporting, data analytics, and automation processes, creating clinical best-practice templates to streamline and expedite clinical operational team workflows within 6 months.▪ Spearheaded professional development committee focused on developing future leaders through prospect identification, curriculum development, training, and mentorship. Program initiative still adopted to present day.
  • Optum
    Senior Team Leader/Team Leader/Physician Reviewer
    Optum Dec 2006 - Mar 2011
    Eden Prairie , Mn, Us
    Delivered critical support through multiple roles, sourced to lead physicians/physician teams. ▪ Led pilot projects, delivering new initiative training to staff. ▪ Served as mentor and manager to physicians and leaders while overseeing management of critical client health systems. ▪ Provided in-depth case review, employing CMS regulatory and corporate guidelines to deliver sound recommendations based on corporate and IPPS standards. Participant in Recovery Audit Contractors demonstration (RAC) project.
  • Einstein Healthcare Network
    Internist
    Einstein Healthcare Network Nov 2003 - Oct 2006
    Philadelphia, Pa, Us
    Served as medical practitioner for outpatient internal medicine practice affiliated with the Einstein Healthcare Network. Diagnosed and treated medical issues. Completed authorizations for testing and medications, issued referrals, and recorded critical patient medical records and files.
  • Northwestern Medical Associates Pc
    Medical Consultant
    Northwestern Medical Associates Pc Oct 2002 - Nov 2003
    Provided medical consultations for patients, communicating treatment plans to caregivers to ensure optimum levels of patient care.
  • Graduate Hospital
    Division Chief, Hospitalist Service
    Graduate Hospital Aug 2000 - Jun 2002
    Managed team comprised of hospitalists and physician assistants, treating hospital inpatients, performing medical clearances for planned surgeries and procedures. Provided clinical teaching and instruction to residents and interns during medical rounds. Worked closely with case management team for improved utilization of services. Oversaw administrative staff in facilitating processes including medical charting, referrals, records, insurance billing, claims, inpatient/outpatient services, and follow-ups.
  • Friends Hospital & Northwestern Hospital
    House Physician
    Friends Hospital & Northwestern Hospital Dec 1998 - Jun 2000
    Provided medical consultations, evaluating and treating medical issues and attending to emergent medical issues within the hospital.

M. Majelle Yu, Md, Mba Skills

Medicine Internal Medicine Process Improvement Physicians Management Healthcare Industry Leadership Quality Improvement Board Certified Healthcare Healthcare Management Operations Management Primary Care Strategic Planning Training Manage Client Relationships Emergency Medicine Physician Relations Client Education Healthcare Improvement Medicaid User Interface Crm Preventive Medicine

M. Majelle Yu, Md, Mba Education Details

  • Albert Einstein Medical Cente
    Albert Einstein Medical Cente
    Internal Medicine Residency Program
  • University Of The Philippines
    University Of The Philippines
    Doctor Of Medicine (Md)
  • University Of The Philippines
    University Of The Philippines
    Bs Biology

Frequently Asked Questions about M. Majelle Yu, Md, Mba

What company does M. Majelle Yu, Md, Mba work for?

M. Majelle Yu, Md, Mba works for Humana

What is M. Majelle Yu, Md, Mba's role at the current company?

M. Majelle Yu, Md, Mba's current role is Lead Medical Director.

What is M. Majelle Yu, Md, Mba's direct phone number?

M. Majelle Yu, Md, Mba's direct phone number is +161058*****

What schools did M. Majelle Yu, Md, Mba attend?

M. Majelle Yu, Md, Mba attended Albert Einstein Medical Cente, University Of The Philippines, University Of The Philippines.

What skills is M. Majelle Yu, Md, Mba known for?

M. Majelle Yu, Md, Mba has skills like Medicine, Internal Medicine, Process Improvement, Physicians, Management, Healthcare Industry, Leadership, Quality Improvement, Board Certified, Healthcare, Healthcare Management, Operations Management.

Who are M. Majelle Yu, Md, Mba's colleagues?

M. Majelle Yu, Md, Mba's colleagues are Drew Jacobs, Najja Jackson, خــذني بقــايــا جروووح, Lauren Burgess, Jesse Jacquez, Angela Smith, Kori Nolcox.

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