Summary A dynamic and results-driven senior healthcare clinician with extensive experience in managed care environments, including the design and implementation of training programs for front-end users. Recognized for leading clinical teams to achieve measurable results in administration, physician/health maintenance organization relations, and patient care. Strengths include strategic planning positioning in anticipation of industry trends community, physician, employee, and industry relations. Matches versatility and flexibility with extensive knowledge in case management. Leverages attention to detail and ability to prioritize responsibilities to meet key business needs. Key Accomplishments * Earned multiple Key Contributor Awards for TriZetto Clinical CareAdvance (CCA) implementation project, SharePoint site revision for clinical operations, and successful NCQA survey. * Developed competency tools to ensure newly hired care management staff met departmental standards for satisfactory performance of position-specific job responsibilities. * Designed and implemented training program for CCA (Clinical Care Advance) disease and care management documentation system for clinical operations staff of 100. * Contributed to workflow development and implementation to achieve excellence in: case management, utilization management and hospice care. * Supported clinical managers in developing strategies to address job performance concerns and provided reeducation as needed.

Highlights:

• Behavioral Health
• CCA
• Clinical Management
• Documentation
• HR
• Human Resources
• Management
• McKesson
• Procurement
• Training