Improving Health Outcomes and Realizing Millions in Cost Savings
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As a resourceful and passionate healthcare leader, I have led the operational strategic vision for healthcare solutions and care/case management teams helping organizations innovate, create patient-centric solutions that improve healthcare, and realize millions in cost savings. I spearheaded a start-up Care Coordination business segment and built out Clinical Service departments and Operational Markets. Within a Fortune 500 health plan for employer groups, I led cross-functional strategic development, clinical design, and execution of innovative and transformational digital healthcare solutions. With operational and clinical service oversite for employer groups of preventative and episodic care, I mitigated operational risks and adverse dispensing outcomes to patients.
Areas of Expertise
Areas of Expertise
Healthcare Strategy | Healthcare Solutions | Executive Leadership | Visionary Planning | Organizational Development & Transformation | Clinical Program Innovation & Scaling | Proof of Concept Planning & Execution | ROI Optimization | Population Health Management | Value-Based Care Strategy | Integrated Care Delivery Models | Enterprise-Wide Quality | Performance Improvement | Clinical Governance | Patient-Centered Care Advocacy | Optimizing Patient & Client Experience | Mentoring & Coaching | Operational Excellence | Process Innovation | Telehealth & Virtual Health Integration | Enterprise Technology Solutions (Epic, Salesforce) | Strategic Change Management | Cross-Functional Collaboration | Situational Leadership | Service Implementation & Scalability | Critical Thinking | Strategic Problem Solving | Data-Driven Decision-Making | Results Oriented Execution | Collaborative Leadership | Pragmatic & Agile Approach | Care Coordination Optimization | Cost Containment | Resource Optimization | Health Equity Advocacy | Health Promotion | Wellness Initiatives
Work Experience
Work Experience
Primor Health Solutions 2024 - Present
TCARE 2023 - 2024
Series A startup leveraging an evidence-based protocol to reduce caregiver burnout through personalized, high-touch care management that connects caregivers to community services and maximizes MCO benefits.
Vice President Operations
Executive leader responsible for day-to-day operations, 10+ direct reports, overarching strategy, clinical system advancement, clinical program design, population health protocol development, infrastructure installation, quality assurance, workforce development, revenue, P&L, and data and analytics.
Help at Home Care Coordination, LLC 2022 – 2023
A new business segment delivering in-home personal care by connecting caregiver insights with a care management team to enable early interventions preventing hospitalizations and reducing costs.
Director Operations and Clinical Services
Senior cross-functional leader responsible for Market’s proof of concept staffing model, evaluating program validity and effectiveness, productivity, employee performance, and reporting achievements to senior ELT. Led strategy and development responsible for Clinical Information/Management Systems, Quality, Operational Clinical Programs, Learning and Development, and Population Health Management.
Cigna 2013 – 2022
U.S. Commercial health plan serving private employer relationships and health care needs of more than 15M medical customers.
Clinical Program Senior Advisor (2019 – 2022)
Cross-functional leader responsible for design, development, recommendations, execution, RFP procurement, and cost containment of operating expenses with Agile methodology for Digital Disease Management and Case Management clinical programs.
Operations Manager and Health Services Advisor (2018 – 2019)
Responsible for Health Center Implementations, Senior Vendor and Operational Management and Liaison, and oversee new business implementations.
Complex and Catastrophic Case Manager (2017 – 2018)
Lead Clinician (2015 – 2017)
Acting Operational and National Committee for Quality Assurance, Coronary Artery Disease Subject Matter Expert, and team lead overseeing 15 members
Sr. Nurse Analyst (2013 – 2015)
Provided telephonic disease management, engagement, retention, population health, and delivered performance guarantees
Nursing 2008 - 2013
St. Anthony’s Medical Center/Mercy, SSM, Memorial Hospitals
Education
Education
MBA - DeVry UniversityMSN Nurse Executive/Administration - Chamberlain UniversityBSN - Chamberlain College of Nursing
Certifications
Certifications
Nurse Executive Advanced Board Certified by the American Nurses Credentialing Center
Progressive Care Certified Nurse Alumnus by the American Association of Critical Care Nurses
Cognitive Behavioral Coach by ACE Fitness
Impact and Value Add
Impact and Value Add
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