Experience

Devoted Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Risk Adjustment Provider Program

  • Aug 2021 - Present



Cigna Healthcare

• Hospitals and Health Care
• 700 & Above Employee

• Operations Director, National Star and Risk Adjustment Market Operations

  • Jul 2020 - Aug 2021

  Birmingham, Alabama, United States

• Clinical Program Director

  • Jul 2018 - Jul 2020

  Birmingham, Alabama As Clinical Program Director, I lead care and utilization management programs for AL, MS, GA, FL, SC, and NC markets. I have reduced management personnel costs by $500K/year, helped develop new care management programs to be implemented in Q3 2020 and redesigned operations to improve quality from ~50% case passing to 100% IVA passing.



Cigna-HealthSpring

• Clinical Program Senior Manager

  • Aug 2016 - Jul 2018

  Alabama In my role as Clinical Program Senior Manager, I led care and utilization management programs focused on strategic operational development across markets. My major achievements included leading management teams towards continuous improvement, creating collaborative environments with internal/external partners and developing a culture of compliance.

• IPA Administrator / Physician Network Operations Manager

  • Apr 2013 - Aug 2016

  Birmingham, Alabama Area During my tenure as IPA Administrator / Physician Network Operations Manager, I developed and managed physician networks for three regions in central Alabama. A few of my accomplishments included managing ~50M in annual revenue across seven counties, leading physician recruitment and contracts and improving the CMS Star rating from 2 to 4.