Ruth Rose Email & Phone Number

St. Louis , Us

As a key leader in the organization representing clinical/care pov across technology, I collaborate with technology-, product- and medical- partners to embed patient-centric clinical insights into technical platform-oriented solutions that are aligned to strategic objectives. Serving as a proxy for the patient/customer in experience design, clinical product solutions, and attending to the active inclusion of SDOH and principles of DE&I, I facilitate dialogue and action to bring excellent healthcare solutions to everyone.

St. Louis , Us

Interim executive leadership Executive strategy designOrganizational redesign Business process management (operations and technology)Project leadership for critical and/or struggling projectsStaff turnaround, growthProduct management for software and services with a clinical perspectiveRemote and on site leadership & support

Bloomfield, Ct, Us

IT Executive responsible for Clinical platforms/applications/services. Lead a strong team of Senior Directors and seasoned IT leaders to support and enhance the Cigna clinical strategies with technology solutions.

Bloomfield, Ct, Us

Design/Delivery of traditional and innovative technologies in health management operationsProvide leadership and execution of operations technologies to deliver on Consumer Health Engagement, Collaborative Provider relationships.

Rockville, Maryland, Us

Oversees all aspects of TruCareTM product development including product management, technical architecture, application development and quality assurance.Casenet, Inc. provides a comprehensive suite of care management software solutions designed for health management organizations to support high and low touch care interventions across segmented populations. Casenet’s TruCare product suite, built on its Differential CareTM functional architecture, includes fully integrated Case Management, Disease Management, Utilization Management, Provider Portal, Member Empowerment Portal, Employer Portal, Reporting and Analysis, and its industry leading TruMobileTM. For more information, please visit www.casenetinc.com.

Us

Reporting to the President of HMC, responsible for the strategic and tactical delivery of services for implementation of new clients and services, creation of and conversion from a print/mail fulfillment operation to a technology based member specific and population based multi channel distribution operation including paper, e-channels and telephony methods. Implementation services moved from a 60% effective implementation rate to 83 % within one year. Fulfillment services is a 2009 addition to responsibilities with an aggressive turnaround plan. Technology services includes infrastructure, network, helpdesk, PCLan, robust telephony, application development and IT security. Responsible for the strategic and tactical services of this division. Large projects include development of new applications for contract-product management for the company, design and development of a full replacement (in situ) for the application that manages the wellness and care management services, expansion of telephony services for more users, and additional telephony IVR services for care services. Accountable for the deployment of new e-channel services and member portal.Budget responsibilities greater than 50 million, FTE's >200 staff, with a management team of 14 (4 directors, 5 managers, 3 Program Directors, 1 Security Director and 1 Admin)Executive sponsor for projects in HMC as well as for Wellpoint initiatives.

Reporting to the President (ViPS), responsible for providing domain expertise, strategic and tactical direction for the healthpayor division of this analytic and decision support company. Chair multiple product design teams and strategic planning groups. Responsible for new channel business development, as well as integration of analytic services with other Business Services offerings. Provide direct and indirect leadership for corporate marketing efforts, product sales, and internal and external consultancy. Conduct focus groups for market assessment for current and future customers. Provide leadership for sales team and client service divisions to create and close sales (average value $0.3-5 million), as well as support on going implementation and client support. Accountable for management and development of sales support (product specialists) and account management teams, as well as product management team. Sales are typically product and service combinations and cross out of the traditional payor space into Employer, TPA and Regional markets in addition to the health insurance payor market.

Reporting to the CEO (Landacorp), CTO(SHPS) responsible for providing clinical domain expertise for all divisions of this strategic healthcare solutions company, with revenues in excess of $45 million dollars and climbing. Chair multiple product design teams and strategic planning groups. Provide direct and indirect support for corporate marketing efforts, product sales, and internal and external consultancy. Conduct focus groups for market assessment; provide product demonstrations for clients.Provide leadership for sales team and client service divisions to create and close sales (average value $1-10 million), as well as support on going implementation and client support. Responsible for on-site consultations and report generation for clients purchasing medical management software and disease management services, to include business re-design, communication planning, and change management issues. Provide collaboration and facilitation for Users Group from organization start up. Actively participated in IPO activities, Active leadership role in integration of new company products acquired post IPO including organizational development and change management. Serve as Corporate HIPAA Compliance and Privacy Officer. Active project management for : Strategic IT Planning, Product Development Meetings and Business and Technology Assessments.

Reporting to the CEO and Senior Medical Director, responsible for the start up and development of strategic planning for all care management activities within this physician organization and, in FY 2000, for developing more effective partnerships within MedStar (formerly Helix Health) hospitals. Provided leadership and team activity for enterprise-wide case management process improvement (hospital and physician side). Achieved cost savings in excess of $4 million dollars / year in hospital utilization through strategic utilization measures. Assured readiness for managing global risk contracts, with activities as diverse as Utilization Management, Case Management, Personal Health Coordination, specialized Disease Management and Population Based programs, Outreach Services and Outcomes Management. Accountable for the results of State and payor partner audits/reviews of effectiveness and readiness to provide care management by this division, including the implementation of NCQA guidelines. Responsible for the initial and ongoing development and implementation of MaxsysII MC, a patient-centric care management software system as well as the integration of other information system solutions to manage care. Additional areas of responsibility include Ask a Nurse, IT services, Member Services, Quality Management and Risk Management. The global risk membership of 100,000 covered lives included Medicare, Medicaid and Commercial members. Direct reports include 4 Directors, and a staff of 100 nurses, social workers and clinical support staff.

Olney, Md, Us

Strategic planning and implementation of services related to Outcomes Management, Case Management, Utilization Management, Physician Practice Improvement, and Social Work Services across the network of acute, chronic and primary care services within the Montgomery General Health System. Facilitated and directed MGH care management network involvement with Maryland Health Network; including utilization management, quality improvement activities and physician practice review. Participated in marketing and advertising strategic planning for both the network and hospital.Provided consultative and facilitative services to CQI teams within the organization. Position reported to the CEO.

Responsible for the startup and operation of this unit within Patient Financial Services. Department processed over $30 million in audits per year, with responsibility for denial responses, data collection and the state Medical Assistance length of stay certification process. Achieved cost savings of over $6.3 million in FY 94; reduced operating cost by 50% from contract provider. Provided cost analysis for new products and services, made recommendations for charge practice policies and clinical and operational process improvements. Assisted with the development of service lines for Solid Tissue and Bone Marrow Transplantation in collaboration with the Managed Care division. Frequent speaker for clinical and financial education issues; active participant in organizational improvement and change management initiatives within UMMS. Provided consultant and direct service support to UMMS Network, a self-insured managed care plan and to UMMS grant programs for disease and pharma work.

Ms, Healthcare Administration

Bsn, Nursing