Amy Hill

Senior Health Plan Manager at Teladoc
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Contact Information
us****@****om
(386) 825-5501
Location
Nashville, US

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5.0

/5.0
/ Based on 2 ratings
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Kim Husband-Antis, MBA, MHA

I strongly recommend Amy as a confident and brilliant manager of clinical operations and reporting. I have had the pleasure of working alongside Amy for 3 years on the same account team, where she has been entrusted with a great deal of responsibility. I have had the opportunity to observe Amy's professional skills as well as interpersonal style. She is consistently pleasant, and takes on all assignments with enthusiasm and dedication. I wish that all my colleagues had her attitude. Regardless of deadlines or other pressure, Amy always delivers. Her superior organizational skills make her the consummate multi-tasker. Her managerial skills position her as an advocate for those she manages and seem to encourage their best work.

Rhonda Halcomb

I have had the great pleasure to work with Amy for the past 3 years. She has proven her knowledge, skills and abilities in dealing with members, clinical professionals (direct line management), leadership, and is now in a customer facing role. Amy is driven to success, self motivated and always has a positive attitude. She has been a leader in my team and continues to excel in the company. I highly recommend her!

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Credentials

  • Registered Nurse
    State of Tennessee
    Jun, 2003
    - Nov, 2024

Experience

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Senior Health Plan Manager
      • Apr 2014 - Present

      Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Through our award-winning consumer experience brands -- Advance Medical, Best Doctors, BetterHelp, HealthiestYou, and Teladoc – we help millions of people around the world resolve their healthcare needs with confidence. Teladoc Health serves more than 10,000 clients including the world's leading insurers, employers… Show more Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Through our award-winning consumer experience brands -- Advance Medical, Best Doctors, BetterHelp, HealthiestYou, and Teladoc – we help millions of people around the world resolve their healthcare needs with confidence. Teladoc Health serves more than 10,000 clients including the world's leading insurers, employers, hospitals and health systems. Together, we are continually modernizing the healthcare experience and making high-quality healthcare a reality for more people and organizations around the world. Show less Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Through our award-winning consumer experience brands -- Advance Medical, Best Doctors, BetterHelp, HealthiestYou, and Teladoc – we help millions of people around the world resolve their healthcare needs with confidence. Teladoc Health serves more than 10,000 clients including the world's leading insurers, employers… Show more Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Through our award-winning consumer experience brands -- Advance Medical, Best Doctors, BetterHelp, HealthiestYou, and Teladoc – we help millions of people around the world resolve their healthcare needs with confidence. Teladoc Health serves more than 10,000 clients including the world's leading insurers, employers, hospitals and health systems. Together, we are continually modernizing the healthcare experience and making high-quality healthcare a reality for more people and organizations around the world. Show less

    • United States
    • Wellness and Fitness Services
    • 700 & Above Employee
    • Senior Account Manager
      • Sep 2012 - Apr 2014

      Promoted into Senior Account Management role servicing six health plan clients. Developed and nurtured strategic relationships with key stakeholders of national health plans, consultants, and employer groups. Reviewed, analyzed, and presented operations metrics and service details to clients. Supported delivery of disease management, care management, health coaching, health assessments, biometric screenings, complementary and alternative medicine discount networks… Show more Promoted into Senior Account Management role servicing six health plan clients. Developed and nurtured strategic relationships with key stakeholders of national health plans, consultants, and employer groups. Reviewed, analyzed, and presented operations metrics and service details to clients. Supported delivery of disease management, care management, health coaching, health assessments, biometric screenings, complementary and alternative medicine discount networks, chiropractic claims payment and utilization management, and online health support tools. Ensured contractual obligations and performance guarantees were met or exceeded. Secured renewal of contracts with existing clients and used consultative selling skills to pursue opportunities to expand into new programs with customers. Assisted with responses to RFPs for existing health plan clients and new business opportunities.

    • Manager, Account and Clinical Operations
      • Mar 2008 - Sep 2012

      Promoted into a dual role with both account management and clinical operations responsibilities for four health plans. Partnered with clients’ Chief Medical Officers, medical directors, and their senior clinical executives to improve clinical outcomes and elevate customer satisfaction scores. Presented clinical outcomes data to customers’ Physician Advisory Councils. Successfully integrated Healthways’ care planning and disease management programs into clients’ existing… Show more Promoted into a dual role with both account management and clinical operations responsibilities for four health plans. Partnered with clients’ Chief Medical Officers, medical directors, and their senior clinical executives to improve clinical outcomes and elevate customer satisfaction scores. Presented clinical outcomes data to customers’ Physician Advisory Councils. Successfully integrated Healthways’ care planning and disease management programs into clients’ existing care models. Led internal quality improvement initiatives, implemented plans to increase customer utilization of programs, and created new product offerings. Identified and supported new business development opportunities with existing clients. Acted as an internal liaison between Healthways’ account management group and clinical areas of the organization including Medical Integrity, Science and Value, and Accreditation. Led response to clinical audits by delegation oversight committees, consultants, and nationally recognized accrediting bodies

    • Leader Care Manager
      • Jan 2006 - Feb 2008

      Promoted into management role overseeing a 15 person team of member care managers. Initiated case management integration process for clients and provided contract support duties for internal account management on three health plans. Collaborated with case managers within customer organizations to improve coordination of care among the membership Reviewed clinical assessments of team, presented findings to management, and created operational solutions. Developed… Show more Promoted into management role overseeing a 15 person team of member care managers. Initiated case management integration process for clients and provided contract support duties for internal account management on three health plans. Collaborated with case managers within customer organizations to improve coordination of care among the membership Reviewed clinical assessments of team, presented findings to management, and created operational solutions. Developed and implemented quality improvement action plans to improve clinician performance as necessary. Trained and mentored new clinicians and Leader Care Managers.

    • Member Care Manager
      • Apr 2005 - Jan 2006

      Provided chronic condition education, management techniques and preventative health education to help individuals better control their conditions and reduce healthcare expenditures.  Telephonically assessed patient clinical and functional status using motivational interviewing techniques during 25-30 inbound and outbound patient interactions per day.  Identified and intervened with patients at risk for symptom exacerbation and applied Prochaska’s transtheoretical model of… Show more Provided chronic condition education, management techniques and preventative health education to help individuals better control their conditions and reduce healthcare expenditures.  Telephonically assessed patient clinical and functional status using motivational interviewing techniques during 25-30 inbound and outbound patient interactions per day.  Identified and intervened with patients at risk for symptom exacerbation and applied Prochaska’s transtheoretical model of behavior change to set achievable goals.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Staff Nurse
      • May 2003 - Apr 2005

      Registered Nurse in a fast paced critical care environment Patient population included cardiothoracic surgery, otolaryngology, trauma, transplant, and other post surgical specialties Registered Nurse in a fast paced critical care environment Patient population included cardiothoracic surgery, otolaryngology, trauma, transplant, and other post surgical specialties

Education

  • Lipscomb University
    MBA
    2007 - 2008
  • Tennessee State University
    Bachelor's, Nursing
    2000 - 2003

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