Tiffany Hines,  Executive Mba, Mis, Pmp

Tiffany Hines, Executive Mba, Mis, Pmp Email and Phone Number

Healthcare Strategy & Consulting Expert | Innovator in Value-Based Care & Operational Implementation | Thought Leader & Relationship Manager | Sr. Director CINQCARE @ CINQCARE
Tiffany Hines, Executive Mba, Mis, Pmp's Location
Fairburn, Georgia, United States, United States
Tiffany Hines, Executive Mba, Mis, Pmp's Contact Details

Tiffany Hines, Executive Mba, Mis, Pmp work email

Tiffany Hines, Executive Mba, Mis, Pmp personal email

n/a

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About Tiffany Hines, Executive Mba, Mis, Pmp

Experience:Strategy Program Director at Optum: Pioneered key healthcare programs, resulting in substantial savings and operational excellence.Research Leader: Directed an independent study on Social Determinants of Health, focusing on underprivileged Atlanta communities.Partnership Builder: Fostered strategic collaborations across community hospitals and academic medical centers.Transformation Specialist: Led value-based care delivery initiatives, streamlining health systems and advancing patient care.Thought Leader: Regularly engaged with professional societies, contributing to the advancement of healthcare sector knowledge.Client Relations Expert: Maintained deep, productive client relationships, consistently achieving project objectives and ensuring client satisfaction.Team Developer: Emphasized people development, coaching, and retention, leading teams to success and nurturing growth.Specialist: National management consulting, Healthcare excellence, Strategy direction, Quality champion, Master’s in Computer Information Systems (MIS), Business administration, Value-based care, Community hospitals, Social Determinants of Health, Strategic partnerships, Unity and alignment, Client relationship management, Growth driver, Collaborative culture, People development, Networking, Presentation skills, Consult with Purpose, Healthcare sector innovations, Executive MBA, Consulting Senior Director, Project Lead, Senior Director, Vice President of Operations, Experienced Consultant, performance improvementLooking for an experienced Consultant with Healthcare and IT expertise? Contact: hinesta72@gmail.com or 470.432.6867.Roles Seeking: Experienced Consultant, Vice President, Senior Manager, Project Lead, Expert Consultant

Tiffany Hines, Executive Mba, Mis, Pmp's Current Company Details
CINQCARE

Cinqcare

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Healthcare Strategy & Consulting Expert | Innovator in Value-Based Care & Operational Implementation | Thought Leader & Relationship Manager | Sr. Director CINQCARE
Tiffany Hines, Executive Mba, Mis, Pmp Work Experience Details
  • Cinqcare
    Senior Director Program Management
    Cinqcare Nov 2023 - Present
    New York City, Us
  • Optum
    Home & Community Program Strategy Director
    Optum 2022 - 2023
    Eden Prairie , Mn, Us
    Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) Affordability Program• Pioneered the Maryland innovative affordability program, achieving measurable medical expense cost reductions of $70M by 2025, encompassing pre-hospital, in-hospital, and post-hospital care services.• Led the development of a new per diem in-hospital program to ensure patients receive the most appropriate length of stay as medically indicated, resulting in a projected reduction of unnecessary hospital stay costs by $77M over the next 3 years.Non-Emergent Transportation (NEMT) Program• Successfully orchestrated the operational integration of a new Non-Emergent Transportation solution, projected to reduce transportation costs by $12M over 6 years, with an initial savings of $1.4M in year 1. This initiative has potential for nationwide expansion.• Successfully orchestrated the operational integration of a new Non-Emergent Transportation operations team, enhancing standard processes, preventing resource costs of $300K, and driving best practices across the organization.Merger & Acquisition Integration Program for Dual Eligible Special Needs Plans (D-SNPs)• Developed and executed a comprehensive program strategy, governance policies, and performance tracking initiative to support the large-scale integration of one end-to-end full service and operational model for the merger with two acquired Optum companies, resulting in $5M in savings from clinical staff hiring.• Oversaw 6-person project management team that collaborated across 51 stakeholders, successfully delivering on new clinical model readiness, operational readiness, and cross-functional change management across the organization.
  • Optum
    Chief Of Staff - Sr. Community Care | Home And Community
    Optum 2021 - 2022
    Eden Prairie , Mn, Us
    • Acted as key voice and trusted advisor for the Senior VP of Senior Community Care, providing strategic counsel and operational guidance to drive the organization’s success to reach annual goals.• Provided strategic coaching to a national administrative team, enhancing support mechanisms for m• Spearheaded the development and implementation of a comprehensive cross-functional communication strategy, ensuring seamless information flow between executive leadership department heads, and frontline staff; resulted in enhanced collaboration, improved decision-making processes, and a 15% rearket vice presidents and resulting in a 30% improvement in cross-functional collaboration and operational efficiency.• Centralized market-led administrators and billing operations into a unified national team, enhancing leadership support and streamlining processes; this initiative boosted employee engagement and resulted in a 20% increase in the employee experience index.
  • Optum
    Executive Director
    Optum 2019 - 2021
    Eden Prairie , Mn, Us
    • Directed and optimized operational processes, driving efficiency and resource allocation, leading to substantial cost savings while upholding the highest standard of care.• Led the refinement of business development approaches and optimized sales strategies for Medicare Advantage plans, boosting operational efficiencies by 25%.• Oversaw the seamless integration of change management strategies within Medicare Advantage plans in Georgia, resulting in enhanced healthcare operations, a 20% increase in plan efficiency• Implemented performance management metrics and tracking systems, enabling data-driven decision-making for strategic adjustments, which culminated in significant growth in organizational performance.• Demonstrated strong leadership during the COVID pandemic by delivering a comprehensive disaster recovery portal, providing critical support to clinical and operational front-line staff, and ensuring seamless continuity of care.
  • Unitedhealthcare Community & State
    Director Of Pmo, Strategy & Transformation Programs - Unitedhealthcare Community & State
    Unitedhealthcare Community & State 2010 - Mar 2019
    Minnetonka, Minnesota, Us
    • Pioneered the establishment and operationalization of a PMO, assembled and led a team of 12 project managers, oversaw a $20M budget, and successfully managed the intake of 50+ projects annually.• Implemented Agile development methodologies within the PMO team, leading to streamlined project execution; subsequently achieved Agile certification through UnitedHealth Group, solidifying expertise in modern project management techniques.• Spearheaded the development and implementation of a CEO business analytics dashboard, providing critical insights into key performance indicators (KPIs) and identifying areas of business opportunities across all Community & State markets.• Fostered a culture of excellence and achievement, driving the employee engagement score for a 200+ team to reach an unprecedented 90+%, the highest ever recorded within the organization.
  • Unitedhealthcare Community & State
    Program Director - Unitedhealthcare Community & State
    Unitedhealthcare Community & State 2007 - 2010
    Minnetonka, Minnesota, Us
    • Successfully led a large cross-functional team, collaborating with state partners, in the end-to-end implementation of a new Medicare plan in Indiana, from RFP response to RFP win, ensuring seamless integration throughout the process.• Spearheaded the development of a groundbreaking initiative by creating member credit account, the first of its kind, enhancing members access to services and benefits.
  • Unitedhealthcare Community & State
    Project Manager - Unitedhealthcare Community & State
    Unitedhealthcare Community & State 2002 - 2007
    Minnetonka, Minnesota, Us
    • Successfully led a team of developers, ensuring the timely delivery of analytic results to national C&S business units. • Effectively managed an ongoing queue of business analytic requests, prioritizing tasks, and maintaining clear communication, resulting in high client satisfaction.• Pioneered the development of a key data warehouse attribute, enabling claims business analysis to view pricing at a whole claim level rather than individual line level. This improvement significantly enhanced data accuracy and provided opportunities for insightful data analysis.
  • Accenture
    Consultant (Media & Entertainment Contracts)
    Accenture 2000 - 2001
    Dublin 2, Ie
    Lead Designer – Disney• Conducted a comprehensive feasibility study to integrate three knowledge repository management application with an existing enterprise portal. Resulted in a best-fit recommendation that significantly reduced cost and time, optimizing system efficiency.Lead Designer/Developer – Electronic Arts• Modified an existing accounting system to accurately measure and forecast business by FY2001, resulting in a remarkable 60% increase in key performance indicator efficiencies.• Recognized with a Merit Award for outstanding achievement, acknowledging the significant impact and value brought to Electronic Arts through the successful implementation of the accounting modification.
  • Tallan
    Consultant (Telecommunication Contracts)
    Tallan 1999 - 2000
    Hartford, Connecticut, Us

Tiffany Hines, Executive Mba, Mis, Pmp Skills

Health Insurance Managed Care Healthcare Medicare Hipaa Healthcare Information Technology Medicaid Business Analysis Process Improvement Sdlc Healthcare Management Vendor Management Visio Healthcare Industry Insurance Data Analysis Health Policy Program Management Capital Budgeting Business Process Improvement Project Management Strategic Planning Business Strategy Management Consulting Management Planning Budgeting And Forecasting Team Building Budget Management

Tiffany Hines, Executive Mba, Mis, Pmp Education Details

  • Emory University - Goizueta Business School
    Emory University - Goizueta Business School
    Executive Mba
  • Hampton University
    Hampton University
    Computer Science
  • American University
    American University
    Computer Information Systems

Frequently Asked Questions about Tiffany Hines, Executive Mba, Mis, Pmp

What company does Tiffany Hines, Executive Mba, Mis, Pmp work for?

Tiffany Hines, Executive Mba, Mis, Pmp works for Cinqcare

What is Tiffany Hines, Executive Mba, Mis, Pmp's role at the current company?

Tiffany Hines, Executive Mba, Mis, Pmp's current role is Healthcare Strategy & Consulting Expert | Innovator in Value-Based Care & Operational Implementation | Thought Leader & Relationship Manager | Sr. Director CINQCARE.

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What schools did Tiffany Hines, Executive Mba, Mis, Pmp attend?

Tiffany Hines, Executive Mba, Mis, Pmp attended Emory University - Goizueta Business School, Hampton University, American University.

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Tiffany Hines, Executive Mba, Mis, Pmp has skills like Health Insurance, Managed Care, Healthcare, Medicare, Hipaa, Healthcare Information Technology, Medicaid, Business Analysis, Process Improvement, Sdlc, Healthcare Management, Vendor Management.

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