Experience

ClaimLogiq

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Client Success Leader

  • Apr 2022 - Present

  Experienced healthcare professional serving as primary relationship owner, and trusted advisor, for assigned client accounts and their stakeholders. Collaborate with clients to provide knowledge and insight of opportunities that will support their business needs. Responsible for coordinating operational and strategic activities internally to improve client experience and strengthen company processes.

• Account Manager

  • Apr 2022 - Sep 2022

  Primary relationship owner, and trusted advisor, for assigned client accounts and their stakeholders. Committed to providing the knowledge and insight of opportunities that will support client’s business needs. Coordinate, and facilitate, operational and strategic activities internally to improve client experience and strengthen company processes. As the operational expert, develop and execute robust client-specific account plans focused on achieving the mutual goals between ClaimLogiq and the client. Show less



Optum

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

• Director, Client Advocacy and Engagement, Payer West Region

  • Feb 2017 - Apr 2022

  Client advocacy professional committed to building exceptional relationships with external clients, while collaborating with internal stakeholders to exceed sales, client management and marketing goals. Facilitate and lead reference activity between current and prospective Optum clients in the Payer/Health Plan and Provider markets. Partner with Marketing to showcase the voice of the customer in the marketplace and coordinate participation of reference clients in various marketing endeavors: speaking engagements, case studies, videos, testimonials, white papers, etc. Coordinate corporate social responsibility events with Optum employees and Optum clients. Show less



UnitedHealthcare

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

• Sr Healthcare Economics Consultant; UHC Payment Integrity

  • Oct 2015 - Feb 2017

  Analyzed clinical claims and other data from various sources to identify potential areas for medical cost savings and improvement strategies Developed strong relationships, and collaborated with business partners across UHC and Optum to validate feasibility of projects including idea concept, scope and analysis. Developed project presentations, and presented for approval at Payment Integrity leadership meetings.

• Senior Partner Manager

  • Jun 2012 - Oct 2015

  Dedicated, primary interface between internal business segments, corporate partners and UHC Payment Integrity. Successfully managed various PI projects/ programs including Provider Recovery Suspension Process revision, CAQH COB feed corrections, and ICD-10 Early Warning System Provider Communications.

• Senior Provider Relations Advocate

  • Apr 2010 - Jun 2012

  Successfully developed, implemented, and delivered statewide Provider Network training – including development of training program structure, training presentation and various provider reference guides and notification forms. Worked remotely, and on-site, with Long Term Care providers to resolve contracting or claims issues. Identified root cause of issues, implemented solutions, provided education to proactively prevent future service issues.

• Network Manager

  • Apr 2008 - Apr 2010

  Successfully hired, coached, and developed Network Operations staff during initial health plan implementation to support statewide Medicaid Long Term Services program.



McKesson Health IT

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Account Manager

  • Nov 2007 - Apr 2008

  Managed business relationship with 12 specialty clinics, within one of New Mexico’s largest physician group practices, to ensure appropriate services are available and utilized. Conducted client meetings to review Executive Financial Summary Reports to proactively manage practice management issues. Prepared financial analysis of fee schedules, payer trends and AR metrics in order to provide consultative services to physicians in all aspects of revenue cycle management. Managed business relationship with 12 specialty clinics, within one of New Mexico’s largest physician group practices, to ensure appropriate services are available and utilized. Conducted client meetings to review Executive Financial Summary Reports to proactively manage practice management issues. Prepared financial analysis of fee schedules, payer trends and AR metrics in order to provide consultative services to physicians in all aspects of revenue cycle management.



McKesson Medication Management

• Hospitals and Health Care
• 1 - 100 Employee

• Director of Reimbursement

  • Apr 2002 - Apr 2007

  Responsible for the leadership, and development, of centralized Reimbursement department. Responsible for directing all aspects of third-party billing, reimbursement and contracting functions including complete oversight and responsibility for staff development, creation and management of department’s annual budget, policies and procedure development and implementation and annual performance review process. Responsible for the leadership, and development, of centralized Reimbursement department. Responsible for directing all aspects of third-party billing, reimbursement and contracting functions including complete oversight and responsibility for staff development, creation and management of department’s annual budget, policies and procedure development and implementation and annual performance review process.



Gap Inc.

• United States
• Retail
• 700 & Above Employee

• Project Manager

  • Apr 2001 - Apr 2002

  Responsible for establishing and managing project management team for consolidated Human Resource and Financial operations for new Shared Service Center serving 140,000 employees in U.S., Canada and Puerto Rico. Successfully supervised a team of four exempt-level project managers. Managed all training, system implementation and functional upgrade projects for Employee Services department. Responsible for establishing and managing project management team for consolidated Human Resource and Financial operations for new Shared Service Center serving 140,000 employees in U.S., Canada and Puerto Rico. Successfully supervised a team of four exempt-level project managers. Managed all training, system implementation and functional upgrade projects for Employee Services department.



Whittman-Hart / marchFIRST

• Information Technology & Services
• 1 - 100 Employee

• Project Manager

  • Aug 1998 - Nov 2000

  Worked on-site and remotely to develop and deliver end-user training programs during SAP Software project implementations. Project team member responsible for working with clients during requirements gathering phases, configuration and testing of SAP Accounts Payable and Cost Accounting modules. Worked on-site and remotely to develop and deliver end-user training programs during SAP Software project implementations. Project team member responsible for working with clients during requirements gathering phases, configuration and testing of SAP Accounts Payable and Cost Accounting modules.



Allegiance Healthcare

• Medical Equipment Manufacturing
• 1 - 100 Employee

• Project Manager - SAP implementation

  • Feb 1996 - Aug 1998

  Business project manager responsible for the development, testing and implementation of SAP Accounts Receivable module during $100 million ERP project. Worked with IT developers to document requirements, determine gap analysis, review configuration scripts and conduct all system and user testing on AR module within accelerated project timeline. Responsible for the development and delivery of end user training of 200+ users nationwide. Worked closely with CIO to develop and deliver Change Management training. Show less

• Credit Manager

  • Sep 1992 - Feb 1996

  Supervised team of 16 FTEs responsible for $120 million AR portfolio. Consistently achieved DSO results below industry average (30 days or less). As credit coordinator, successfully coached credit team of 10 representatives to research and resolve billing disputes in order to ensure timely collections and reduce bad debt expense. As credit correspondent, successfully managed AR portfolio of $16 million to achieve – and exceed – DSO results and reduce bad debt exposure.



Baxter International Inc.

• United States
• Medical Equipment Manufacturing
• 700 & Above Employee

• Credit Coordinator

  • May 1991 - Sep 1992

• Credit & Collections Representative

  • Oct 1990 - May 1991