Wesley Knepper Email & Phone Number

Chapel Hill, Nc, Us

Denver, Co, Us

Lead the outcome monitoring, provider quality, complaint resolution, and training functions for 6000 providers across 15 states. Established the team and processes for managing the quality, utilization, and outcomes monitoring programs. Negotiated value-based and clinical data-sharing agreement with payors. Led our outcomes research partnership with the University of Denver. Brought the credentialing function in-house and successfully achieved NCQA accreditation.

Durham, Nc, Us

Enhanced patient care outcomes through strategic implementation of quality improvement initiatives and data-driven decision-making. Developed and executed quality assurance programs. Ensured operational excellence and regulatory compliance across outpatient and inpatient settings. Managed data science department to leverage advanced analytics to extract actionable insights and drive innovation in healthcare delivery.

Durham, Nc, Us

Daily operational oversight of the Quality Management program. Managed internal and external performance monitoring against KPIs, strategic planning and quality improvement activities, developing analytic capacity within the agency, developing automated monitoring systems for adherence to procedures and regulatory requirements, and provide outcome monitoring and evaluation of services and programs. Oversaw management of critical incident responses, appeals, grievances, and quality of care concerns. Built systems to ensure that those data streams are integrated into other departmental workflows. Accountable for the initiation and successful execution of MHBO and LTSS NCQA accreditations.

Durham, Nc, Us

Chartered, planned, and executed projects across multiple departments. Projects included: improving Medical Loss Ratio; developing new services; co-locating therapists in primary care settings, coordinating Alliance's supported employment response to North Carolina's settlement with the Department of Justice; leading multiple kaizen events to educate and empowering staff to improve business processes. Developed and delivered a company-wide Lean and Six Sigma and project management trainings. Standardized company templates and workflows for all project management and process improvement efforts.

Durham, Nc, Us

Led multiple agency-wide quality improvement projects including: selecting team members, designing measures and interventions, statistical analysis of results, and presentation to relevant stakeholders. Projects: crisis response times, timely access to care, and care coordination efficiency studies. Coordinated URAC accreditation preparation.

Strategic planning, clinical expertise, process improvement and project management. Identified the needs of organizational partners to create: overall study design, staff training requirements, data collection methodologies, participant selection methods and criteria, and selection of measures based on national standards. Provided ongoing support through implementation. Complete analysis of data with actionable insights and recommendations.

Led outpatient mental health clinical with therapy, psychiatry, and intensive outpatient services. Responsible for all marketing and partnership development.

Morrisville, Nc, Us

Led multidisciplinary team of therapist and psychiatrists. Engaged clinicians to pilot data-driven clinical workflows to improve outcomes of child and adult services. Responsible for ensuring agency-wide quality and developing quality improvement plan.

Master'S Degree, Health/Health Care Administration/Management

Master Of Arts (Ma), Clinical Psychology

Bachelor'S Degree, Psychology