Alethea Zack Hill
Healthcare Contracting Specialist at The University of Vermont Health Network- Claim this Profile
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Bio
Experience
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The University of Vermont Health Network
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Healthcare Contracting Specialist
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Oct 2020 - Present
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Strategic Planning Consultant
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Mar 2016 - Oct 2020
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CBA Blue
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Insurance
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1 - 100 Employee
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Client Service Lead
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Apr 2015 - Mar 2016
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MVP Health Care
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United States
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Insurance
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700 & Above Employee
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Account Manager - VT/NH
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2007 - 2015
Develop and grow relationships with brokers and clients in order to provide excellent service to large group clients throughout Vermont and New Hampshire.Recommend plan design and funding arrangement changes to maximize savings and meet the needs of the client.Present benefit changes to groups of various sizes to educate employees and managers.Engage employees in work site health programs through working with MVP's Population Health Management Team. Develop and grow relationships with brokers and clients in order to provide excellent service to large group clients throughout Vermont and New Hampshire.Recommend plan design and funding arrangement changes to maximize savings and meet the needs of the client.Present benefit changes to groups of various sizes to educate employees and managers.Engage employees in work site health programs through working with MVP's Population Health Management Team.
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Tufts Health Plan
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United States
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Insurance
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700 & Above Employee
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Health Care Analyst III
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Jan 2006 - Sep 2007
Quality Health Informatics DepartmentPromoted HCA II to III in May 2007Developed automated employer group clinical reports to support Sales strategy and retention. Analyzed trended impact and ROI of various disease management programs.Managed and presented web-based provider reports on health care quality metrics.Programmed and reported various HEDIS quality measures for NCQA accreditation. Quality Health Informatics DepartmentPromoted HCA II to III in May 2007Developed automated employer group clinical reports to support Sales strategy and retention. Analyzed trended impact and ROI of various disease management programs.Managed and presented web-based provider reports on health care quality metrics.Programmed and reported various HEDIS quality measures for NCQA accreditation.
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Instructor
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2005 - 2006
Taught business and technology courses to students pursuing medical, law and business careers.Developed grading rubrics, examinations and course projects to accomodate various learning styles.Mentored students on career paths. Taught business and technology courses to students pursuing medical, law and business careers.Developed grading rubrics, examinations and course projects to accomodate various learning styles.Mentored students on career paths.
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Market Research Analyst
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2002 - 2004
Managed patient satisfaction survey process for large health care system and developed reporting tools for Senior Management and Board Executives. Trained managers and employees on patient satisfaction and financial benchmark software. Conducted primary and secondary market research. Developed budgeted volume projections for inpatient and outpatient services to support hospital-wide revenue budget development.Analyzed and queried internal and external databases for System strategic planning.
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Tufts Health Plan
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United States
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Insurance
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700 & Above Employee
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Business Analyst/Project Manager (Operations Business Implementation)
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2000 - 2002
Analyzed data and developed reports for corporate operational projects. Managed projects for Operations and corporate interdepartmental teams.Developed analyses and management reports for medical claims promptness and accuracy. Built customized automated MS Access reporting tool for Premium Billing.
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Senior Analyst
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1997 - 2000
Promoted from Analyst in 1998.Developed sales management reports on plan membership, new business and broker effectiveness.Managed workflow of the group by training and assigning projects to analysts.Analyzed and presented cost, utilization and demographic trend data for clients & the network.Developed and presented geographic accessibility reports & maps for health plan networks & clients.
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Business Analyst
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1996 - 1997
Prepared and presented financial and clinical reports to a mental health clinic.Reported level of access to services and community benefits for a for-profit hospital. Prepared and presented financial and clinical reports to a mental health clinic.Reported level of access to services and community benefits for a for-profit hospital.
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Alice Peck Day Memorial Hospital
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Quality Improvement Coordinator
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1995 - 1997
Established and coordinated hospital-wide quality activities and education.Managed patient satisfaction survey process including databases and reports. Responded to patient concerns.Developed database and reporting tools to support quality improvement and risk management. Established and coordinated hospital-wide quality activities and education.Managed patient satisfaction survey process including databases and reports. Responded to patient concerns.Developed database and reporting tools to support quality improvement and risk management.
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Education
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Northeastern University - Graduate School of Business Administration
MBA -
University of New Hampshire
BS, Health Management and Policy