PROFESSIONAL SUMMARY:

Experienced healthcare executive with strong leadership and relationship - building skills. Effective strategist and problem solver able to resolve conflict and encourage teamwork. Ability to see "big picture" and provide vision for optimal utilization of fiscal and human capital. Knowledge of federal health and human service policies and practices related to program and financial management, compliance, program integrity and innovative payment models.

CORE COMPETENCIES:

• Strategic planning
• Organizational Development
• Leadership and Team building
• Program Administration

­­­­­­­­­­­­­­­­­­­­­­­­PROFESSIONAL STRENGTHS:

• Revenue enhancement Strategic partnerships
• Program development Organizational change management
• Thought leadership Population health management
• Change management Quality improvement

EXECUTIVE LEADERSHIP:

Chief Health Integration Officer

Confidential, Alexandria, VA

Responsibilities:

• Provides integrated health training and technical assistance consultations for 165-member organizations
• Leading healthcare immersion provider training with seven 1st year Georgetown University Medical School students
• Member of President/CEO’s Strategic Priority leads team, Diversity and Inclusion workgroup, Integrated Health Community of Practice lead, Health Policy and Advocacy primary contact
• Developed an evidence based practice shared repository for licensed clinicians and program executives to access tools, models of Integration, forms template, policy and procedures, contract samples
• Engaged new donors and annual conference vendors contributing in excess of $170,000 during year 1.
• Executing strategy, planning, and implementing effective initiatives that allows Confidential USA to achieve growth and sustainability by focusing on adopting payer mix models, securing quality improvement professionals and utilizing technology solutions to address provider shortages.
• Leading healthcare

Chief Program Officer/Vice President

Confidential, Raleigh, NC

Responsibilities:

• Executed program operations for over 180 employees, managing 6 program directors with a budget of $5,000,000
• Managed compliance training for mid management professionals
• Directed organization in first deficiency free Medicaid licensure survey in 50-year history
• Managed Electronic Health Record (EHR) implementation
• Developed program policies, training and education materials

Director of Care Management

Confidential, Greensboro, NC

Responsibilities:

• Managed team of 25 medical, behavioral health, early intervention, palliative care, substance use care managers and 3 psychiatrists in a managed Medicaid network
• Developed and presented quality improvement presentations participating network physician practices on performance and outcomes
• Contract Management, program evaluation and compliance
• Initiated policy and procedure development in preparation for Confidential national accreditation

Healthcare Consultant

Confidential

Responsibilities:

• Administered final review of all Unified Case Management ( Confidential ) project deliverables prior to submission to Center for Program Integrity
• Developed project deliverable template
• Introduced process workflow standardization
• Conducted Confidential Level 3 Decision Analysis and Resolution audits
• Managed SharePoint site

Business Development Executive Consultant

Confidential

Responsibilities:

• Managed project schedule and tasks supporting the software development and training of Foreign Service Officers
• Documented internal and client-facing web applications
• Managed technical and operational specifications programming to include spreadsheet and reporting tool development, budget and data analysis customization
• Collaborated with federal officials on technical specifications and requirements and participated in the Office of Foreign Service Operations interdepartmental workgroup

Healthcare Consultant

Confidential, Raleigh, NC

Responsibilities:

• Authored Confidential - Confidential proposal awarded $18.6 million on behalf of managed Medicaid network
• Developed content for policies, training and educational materials and line item and narrative budget in collaboration with Budget Analysts
• Negotiated subcontractor rates and developed staffing and work plans and training curriculum for physicians and specialists
• Created behavioral health and pharmacy integration models supporting rural independent physician and specialty practices

Academic Consultant

Confidential, Raleigh, NC

Responsibilities:

• Facilitated graduate and undergraduate courses in Social Policy and Advanced Practice with Organizations and Communities
• Developed course syllabi for all courses, rubric and quantitative assessment creation
• Researched published documents and textbooks to identify reading materials for students

Regional Social Work Consultant

Confidential, Norcross, GA

Responsibilities:

• Led nine Medicaid and Medicare funded hospice agencies in two state territory
• Managed regulatory compliance projects inclusive of revising all policy and procedure manuals, developed new position descriptions to comply with federal and state requirements, created skill competency assessments
• Developed policies related to the administration of Medicaid, and Medicare across three state healthcare networks
• Conducted mock state licensure surveys of hospice agencies