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Summary

Ten year career in Healthcare Marketing, Federal Healthcare contracts, and Business Development.

Strategic thinker, motivational leader, fluent in program development and execution. 

Experience

July 2017Present

Practice Manager

InterMed PA
  • Oversight and P&L responsibility for Care Management, Clinical Development and Health Information Management Departments of Maine's largest physician group.
  • Provide servant leadership, financial accountability, and career development to over 130 clinical and non-clinical staff members.
  • Drive strategic direction and planning in collaboration with executive leadership, physician leadership, and Board of Directors.
  • Lead build out of triage staffing model, IT and training systems overhaul.
  • Partner with Quality Improvement, Risk, and Compliance organizations to ensure process improvement, ethical, legal, and medical compliance, and ongoing risk mitigation efforts.
Jun 2016July 2017

Program Manager, Risk Adjustment Consulting

OPTUM
  • Manage New England senior market, consulting providers on improving quality of care and risk adjustment through Optum tools and programs focused on  Medicare Advantage market.
  • Utilizing data analysis, identify and target providers who benefit from Medicare Risk Adjustment training and documentation/coding resources.
  • Partner with physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships.
  • Develop comprehensive, provider-specific plans to increase their RAF performance.
  • Train providers on Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices.
  • Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts.
Aug 2015June 2016

Manager- ACA SHOP

National Government Services (Anthem Inc.)
  • Hired, coached, and empowered team of customer service all stars for the federally funded ACA SHOP Call Center.
  • Stood up Portland, ME SHOP Call Center location to partner with virtual team.
  • Built and developed staffing model to ensure contract performance against call volume forecasts.
Jun 2014Aug 2015

Senior Account Management Analyst

Anthem Blue Cross Blue Shield
  • Created, tested, and implemented marketing strategy for Business Solutions Team.
  • Support change management within Business Solutions Team's Strategy and Account Management office.
  • Drive adoption of IT solutions and processes through increased IT literacy.
Aug 2009Jun 2014

Senior Account Consultant

Anthem Blue Cross Blue Shield
  • Strategic focus on market analysis and content delivery to member level decision makers.
  • Grow and maintain a membership of over 75,000 lives across Maine and New Hampshire with over 99.5% rate of retention.
  • Mentor, train, and empower team of Open Enrollment Marketing Consultants to promote enrollment growth initiatives.
  • Lead consultant on Go to Market healthcare strategy and market segmentation committees.
  • Winner of the 2012 Blue Cross Blue Shield Association Rookie of the Year Award.