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Healthcare consultant and business operations project manager with a certification from California State University East Bay. Specializing in driving operational excellence within the healthcare industry through strategic planning, technology implementation, and process optimization. Experienced in navigating complex healthcare regulations and operational integration. Skilled in overseeing complex projects, system integrations, and leveraging data analytics to inform decision-making and promote value-based care.Computer SkillsStandard Microsoft Suite • MS Project • MS Visio • Large Virtual Meetings • ChatGPT • UIPath Robotic Automation (RPA) • AI Workflow Integration: data analysis, content creation, planning, and video productionPracticesCritical Thinking • Persuasion • Building & Executing Vision • Business Analysis • Data Analysis • Continuous Improvement •
Molina Healthcare
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Molina HealthcareClayton, Ca, Us -
Business ConsultantElevance Health Apr 2023 - PresentIndianapolis, Indiana, UsSupport the Staff Vice President of Stars / Quality & Patient Experience managing multiple projects and work streams simultaneouslyProjects / Consulting Automation and Efficiency: Designed and implemented robotic process automations to enhance employee efficiency and optimize quality bonus programsData-Driven Decision Making: Completed high-impact reports to streamline workflow, reduce manual tasks, and support strategic objectives for Medicare and Medicaid programs.Survey Data Analysis: Successfully neutralized and analyzed survey data from 100% of participating providers, identifying key improvement opportunities against CAHPS standards.Automations:The objective of the automations was to streamline complex and repetitive tasks within the healthcare operations, focusing on improving data accuracy, reducing digital manual labor, and enhancing compliance with healthcare standards. This involved the implementation of robotic process automations (RPA) to update rosters, manage HEDIS (Healthcare Effectiveness Data and Information Set) pharmacy-related tasks, and handle HEDIS Open Gaps projects efficiently.Program ManagementNational Flu Campaign:Project managed the national flu campaign to increase influenza vaccination rates across the country to reduce the incidence of flu-related illnesses, hospitalizations, and deaths.National Gift Cards Management:Working with compliance, operations and vendors in cross functionally. Manage the incentive program aims to improve healthcare quality and patient engagement. The goal is to address gaps in care, enhance preventative health measures, and increase compliance with recommended health screenings and visits.Maintained the Provider Incentive Program:Managed program that aimed to drive network providers to adopt the CAHPS (Consumer Assessment of Healthcare Providers and Systems) compliant provider survey. -
Senior, Strategic Implementation ConsultantPrimed Physicians Aug 2021 - Jan 2023Dayton, Ohio, UsSupport the Manager of Business Development managing multiple projects simultaneously● Jumped in to organize and manage ramp up “Community Health Advocate POD Program” and ramp down the existing structure. Cross functional coordination with operations and the health plans● “Automated Calls and Reporting” tasked to develop and execute project plan working cross functionallywith information systems, call center, compliance and contracting● “Care Management Reorganization” tasked to develop the business plan into an executable project planwith subject matter experts to define approach and execution of a regional reorganizational alignment -
Service Line Project ManagerSutter Health Jan 2019 - Aug 2021Sacramento, California, UsSupport the Imaging Executive of the Diagnostic Imaging Service Line and manage multiple projects simultaneously● Successfully organize and manage monthly enterprise wide “Radiological Management Advisory Team Meeting”. Recommending body for enterprise wide initiatives. Cross functional coordination with operations and ancillary service line support services; i.e. information systems, pharmacy, contracting ● “Specialty Reading Worklists Development” tasked to develop and execute project plan working cross functionally with information systems, local radiologist medical group and centralized worklist scheduling back office● “USP 825 – Policy Development and Adoption” tasked to work with subject matter experts to define the problem for unit dose radiological pharmacy compliance with USP 825. Drove system wide adoption of USP 825 policy throughout affiliates● “Radiation Shielding Policy Adoption” tasked to work with radiologist subject matter experts to develop and socialize a system wide radiation shielding policy● Successfully initiated, vetted and assisted funding cyclical acute & ambulatory capital projects from $1.5M-10M● Business Analysis navigating matrixed resources throughout the enterprise -
Project ManagerSutter Health Feb 2017 - Jan 2019Sacramento, California, UsSupport the VP of Operational Integration and manage multiple projects simultaneously● Successfully organized and managed “Sutter East Bay Hospitals Merger” regional project team of 15 employees in three east bay hospitals simultaneously● “Provider Directory for Referrals” tasked to create governance team, technical team, and design team. While guiding work from executive sponsor’s ideas to tangible goals for execution● Successfully initiated, vetted and assisted funding approval for 6 hospital based capital projects from $1.5M-4M● Created, documented and drove adoption of an enterprise wide diagnostic imaging capital process to over 100 hospitals and foundation sites● Effectively pushed the enterprise wide adoption of patient directly schedule mammography visits to over 100 sites● Brought together 5 medical directors across the system to work on proof of concept TiRADS stratification standard work. Developed requirements for information systems synthesized from physician input -
Regional Service Line Project Management AssistantSutter Health Jun 2015 - Feb 2017Sacramento, California, UsNeuroscience Service Line Support for all East Bay Regional Hospitals● Training and employee satisfaction project that was researched, coordinated and implementation Electroencephalogram (EEG) Program from development of executive idea to first year pilot. ● Used LEAN approach to create and implement the executive’s strategy for creation of stroke steering committee for Alta Bates and Summit Campuses● Successfully reduced training costs by using an innovative video project that create a virtual lecture to be used as supplemental education for stroke competencies● Effectively managed Quarterly Neuroscience Research Meetings event coordination for their meetings bringing together the facilities, medical professionals, and research -
Application Analyst IiSutter Health Feb 2013 - Jun 2015Sacramento, California, UsHome Health Care Provider 3rd Level Support Services● System administrated new hires and effectively reduced on-boarding time by 50%● Successfully rolled out WebEx client to consumer tablets for 900+ users● Efficiently facilitated system wide upgrade to EHR software to all back office workers● Facilitated Hospice Operations Meetings● Project support with analysis -
Operations Support Coordinator (Hospice)Sutter Health Jan 2011 - Feb 2013Sacramento, California, UsCoordinates the creation and communication of all the necessary paperwork. • Streamlined the workflow of the back office to bring into in compliance with policies• Runs the back office handling full call volume, supply ordering and scheduling. • Used HCHB reports to use quantitative approach to assign case managers territories• Fully utilized the tablet technology for communication between back office and clinicians. • Member of the EOW and Safety Committees• Above and Beyond Recipient 2011 -
Office Coordinator (Concord Branch)Sutter Health 2011 - 2012Sacramento, California, UsCoordinated the creation and the workflow of the clerical staff • Adapted to an environment that changed constantly as new processes and requirements were implemented. Actively looked to take on new responsibilities to meet the needs of the branch, such as the Office-Coordinator Weekly Update, which provided the branch administrator with a snapshot of the current state of the branch, analysis of positive and negative trends, and follow up on previously identified issues.• Off-loaded responsibility from the supervisors for making sure clinical paperwork was completed in a timely fashion.• Modernized chart creation by removing unneeded bureaucracy and creating a simple system that utilized the HCHB software potential.• Fully trained on DME ordering, office supplies ordering, phone systems, medical supply ordering and Lawson. • The specific roles I can confidently jump into are receptionist, intake, scheduling, and medical record functions. -
Operations Support Coordinator (Concord Branch)Sutter Health 2009 - 2011Sacramento, California, UsCoordinated the creation and corrections of plan of care paperwork. Facilitating daily communications with doctors and related organizations. • Took over the 485 creation from the Utility Manager• Provided support for clinicians for how to use email, Horizon, and to properly fill out their paper work• Modernized received fax communications from doctors by scanning and emailing to clinicians• Cross trained on supply ordering, DME ordering, receptionist, intake & scheduling functions, and CRS functions. -
Data Entry And Intake (Emeryville Branch)Sutter Health 2008 - 2009Sacramento, California, UsEnter data for various disciplines and forms in a timely and efficient manner for record keeping and billing. Weekend processing of new patients and customer service.• Modernized the paper system for archiving patients records using a searchable dynamic database in excel• Cross trained in intake, scheduling, ODE, and general office administration.
Peter Avery Skills
Peter Avery Education Details
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California State University - East BayCorporate Management And Marketing Management -
California State University - East BayProject Management
Frequently Asked Questions about Peter Avery
What company does Peter Avery work for?
Peter Avery works for Molina Healthcare
What is Peter Avery's role at the current company?
Peter Avery's current role is Business Consultant at Elevance (Carelon Health)Healthcare Consultant & Business Operations Project Manager | CSUEB | Practical use of AI for Enhancing Efficiency in Healthcare Systems.
What is Peter Avery's email address?
Peter Avery's email address is pe****@****ail.com
What is Peter Avery's direct phone number?
Peter Avery's direct phone number is +192538*****
What schools did Peter Avery attend?
Peter Avery attended California State University - East Bay, California State University - East Bay.
What skills is Peter Avery known for?
Peter Avery has skills like Healthcare Information Technology, Ehr, Project Management, Healthcare, Hipaa, Marketing, Analysis, Ambulatory, Informatics, Social Media, Integration, Documentation.
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