PROFILE: Highly experienced and dynamic Healthcare and Operations Management Professional skilled in developing programs to decrease medical cost while maintaining quality of care. SKILLS SUMMARY: * Strong leadership skills, leading large multi-location teams of various healthcare professionals * Strategic Planning for new healthcare programs and expanding existing business * Expertise in reviewing medical records for fraud, waste and abuse * Expert analytical skills, Proficient in Word, Excel, and Power Point * Highly detailed oriented and organized * Proven track record of reliability, dependability and responsibility * Demonstrated knowledge of Gold Standard Clinical Practice * Expertise in presenting to the C-Suite, physicians and HR executives * Proven critical thinker with exceptional problem solving ability Accomplishments: * Assisted in streamlining report requests * Implementation of multiple new programs and vendors * Increased business by 30% * Strategic planning with CEO and COO for grown and development of new business and streamlining old business * Presenting to clients, including presentations to C-Suite executives Accomplishments: * Improved customer satisfaction by improving response time to service requests * Improved relationships with other company departments by improving communication * Successful pre-certification system upgrade and conversion * Successful migration of work to off-shore vendor * P&L responsibility, developing and executing the department budget * Strategic planning with Senior Vice President on expanding existing business and implementing new business.

Highlights:

• Services
• Billing
• Call Center
• Disease Management
• Management
• Medical
• Medical Devices
• Business Development
• Consulting
• Protocol