Danielle McGee, MBA

Founder at Black Business Boom
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Contact Information
us****@****om
(386) 825-5501
Location
Nashville, Tennessee, United States, US

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Kevin Marcus Miller

Danielle is such a pleasure to work with as a client. Danielle builds community. We both are invested in uplifting the black business community and often share best practices. Danielle is a pioneer and I look forward to continuing our partnership.

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Credentials

  • Certificate of Managed Care
    Saint Xavier University
    May, 2012
    - Nov, 2024

Experience

    • Advertising Services
    • 1 - 100 Employee
    • Founder
      • Sep 2018 - Present

    • United States
    • Higher Education
    • 700 & Above Employee
    • Adjunct Professor
      • Aug 2020 - Present

      Teaching Entrepreneurship and Business Consulting/Entrepreneurship to students who are the future of Black business. Teaching Entrepreneurship and Business Consulting/Entrepreneurship to students who are the future of Black business.

    • United States
    • Insurance
    • 700 & Above Employee
    • Provider Engagement Executive
      • Jul 2018 - Jul 2020

    • United States
    • Insurance
    • 700 & Above Employee
    • Senior Manager of Provider Operations
      • Jun 2015 - Jul 2018

      • Held accountable for demonstrating leadership, problem-solving skills and extensive managed healthcare knowledge to oversee and direct day-to-day provider operations of the metrics-based team responsible for the loading and audit of physician, hospital and ancillary contracts, billing updates, and provider directory updates. • Provides solutions to business challenges/needs involving compliance with Medicaid and CMS requirements around provider contracting, credentialing, loading and terminations.• Performs workflow analysis and prepares audit reports by collection, analyzing and summarizing data. • Serves on interdepartmental project teams to assist with provider issues by performing root cause analysis and implementing project plans.• Establishes effective departmental policies and best practices to increase efficiency and productivity. Notable achievements: Engaged providers with innovative outreach including web-based orientations and training Implemented workflows to efficiently track requests, cleanse provider directory data and eliminate backlog of provider requests Developed training program to up-skill staff and increase productivity Decreased data submission errors by 50%

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Manager of Managed Care Operations
      • Nov 2013 - Jun 2015

      Manager of Managed Care Operations • Provided strategic leadership, compliance, financial and administrative oversight of managed care contracting with commercial and government-sponsored payors. • Evaluated and recommended financial parameters and reimbursement methodologies advising finance and operations staff. • Worked with payors to resolve operational and billing related issues as they arise.• Analyzed and reported on trends, managed care utilization, and referral patterns. Notable Achievements: Successfully executed and implemented seven new Medicaid managed care contracts as 68% of patients were transitioned into MCOs. Developed process for examination and analyzing of bad debt and claim denials. Implementation of referral processing workflow that eliminated 1200 referral backlog in 3 months.

    • Manager of Business Development & Contracting
      • Apr 2011 - Oct 2013

      Manager of Business Development & Contracting • Responsible for the negotiation, implementation and management of fee-for-service and capitated contracts with commercial and government-sponsored payers. • Strategized to successfully launch a marketing and community outreach program to market home health services and create awareness with health plans, medical groups and key managed care organizations.• Created awareness with key call points by hosting productive weekly calls and lunch meetings to develop strong relationships promoting home health services.Notable Achievements: Successfully processed application for Medicare certification to enable agency to accept payments from CMS for the treatment of Medicare patients considerably broadening revenue streams. Formed relationships with local primary care physicians, clinics and social service agencies which increased referrals to the agency by 25% within my first quarter of employment. Cultivated relationships and executed contracts to grow business by 100% over 2 year period.

    • Financial Services
    • 700 & Above Employee
    • Relationship Banker
      • Jul 2007 - Mar 2011

      Maximized depth and profitability of customer’s relationships by partnering with sales specialists in lending and investments. Monitored sales targets and developed strategies to grow client base and implemented appropriate sales plans for personal bankers and tellers. Ensured a high level of customer service to increase customer loyalty and retention. Responded to and resolved escalated customer inquiries and concerns pertaining to deposit and lending accounts. Maximized depth and profitability of customer’s relationships by partnering with sales specialists in lending and investments. Monitored sales targets and developed strategies to grow client base and implemented appropriate sales plans for personal bankers and tellers. Ensured a high level of customer service to increase customer loyalty and retention. Responded to and resolved escalated customer inquiries and concerns pertaining to deposit and lending accounts.

Education

  • Saint Xavier University
    Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
    2010 - 2012
  • Central State University
    Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
    2003 - 2007

Community

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