Maxwell Tucker Email & Phone Number

• Collaborate with Clinical Leadership and Operations to identify credentialing and operational needs to support new and expanding clinical programs. Manage an internal team to process, quality check, and prepare all provider credentialing files in line with aggressive and evolving deadlines. Leverage technology and data to continually review, analyze, and optimize internal workflow processes to industry-defying timeframes and efficiency. • Drive delegated credentialing agreements between numerous large payers/health systems. Review, negotiate and execute Delegated Credentialing contracts with new Health Plans as a means of garnering business. Lead and conduct all delegation audits while juggling multiple moving timelines associated with establishing new delegated relationships. • Deliver monthly, quarterly and semiannual reporting of department operations to clients and various stakeholders in accordance with contractual obligations. Report on department processes and output using qualitative and quantitative metrics. Describe and demonstrate trends, ongoing monitoring summaries, and process improvement initiatives. • Direct Credentialing Committee meetings while serving as Secretary. Work closely with Medical Directors and Committee members to manage ongoing regulatory compliance and clinical quality oversight for a network of more than 10k medical providers. • Manage and expand credentialing program to maintain compliance with current NCQA standards. Work alongside CMO and Medical Directors to provide ongoing development of credentialing plan and policies to ensure compliance with NCQA, URAC, TJC, CMS, and various state Medicaid programs.• Successfully directed full NCQA Reaccreditation audit survey with a perfect score. Executed reaccreditation process from start to finish by strengthening procedures, leading an Internal Quality Improvement Committee, conducting audits, preparing Survey Tool, and leading survey with governing board administrators.

Boston, Massachusetts

Boston

Greater Boston Area

● Support and assist clinical efforts to achieve patient engagement with MyChart portal.● Taught patients and medical staff about enrollment and usage of MyChart website and mobile app services in various inpatient and outpatient settings.● Coordinate with Nursing and Practice Managers of inpatient and outpatient clinics to develop daily patient rounds.● Manage and maintain all patient activity, usage and feedback data for website and mobile app service reporting and improvement. ● Manage patient and provider inquiries over phone and email, tracking all correspondence and progress in databases.

Greater Boston Area

● Supported in the management and regulation of more than $15 million worth of NIH funded research grants. ● Calculate, synthesized and managed monthly budget reports for all research grants and supporting staff members.● Worked extensively with Microsoft Excel and Word while providing assistance to center administrative staff.

Greater Boston Area

● Assisted researchers and epidemiologists with the Birth Defects and Pregnancy Health Interview Study.● Helped to manage, coordinate, update and enter data into the vaccination records database.● Formed and maintained relations with hospitals and healthcare offices nationwide to facilitate in the transmission of data and medical records between institutions and research offices.

Geneva, Switzerland

● Assisted in the assessment and management of health risks in an effort to formulate evidence-based norms and guidance on major environmental hazards to health all around the world.● Helped to edit and finalize a landmark report on climate change, environmental health, and sustainable energy within the health sector. ● Researched, compiled, purchased and managed photos for major sections of the publication, from inception through to the final stages prior to publication.

Concord, New Hampshire

● Served as a main facilitator for the entire jury selection process. Responsibilities included evaluation and processing of all jury summons, review and answer all candidate correspondence, perform expansive and tedious data entry, and served as courtroom assistant during jury trials.