Experience

• 

  JAI MEDICAL CENTER

  • Baltimore, Maryland, United States

  • Practice Administrator

    • Jul 2015 - Present
    • Baltimore, Maryland, United States

    Reports directly to the CEO and Executive Management. Accountable for six medical centers with full compliance responsibility. Serve as a catalyst integrating an insurance plan Jai Medical Systems, networking providers and hospitals, and internal staff to define strategic plans for exceptional clinical outcomes, benchmark data, and attain yearly growth targets at the six medical centers. Provide business acumen by directing, planning, and monitoring staff to ensure continuity of optimal patient services, member satisfaction, and increase referrals for efficiency and fiscal success. Practice Administrator- Coordinate the development of annual budget plan including staff and resource projections, cost-cutting, performance plan and allocation of space and resources- Identify opportunities ad implement procedures to drive administrative efficiencies emphasizing cost-containment, quality, compliance and accuracy - Monitors patient flow through each practice to ensure appropriate utilization of physician time and staff coverage- Sets measurable time lines with team members by conducting responsive daily briefings, weekly meetings, best practices, and post-discussions serving as a progressive, positive role model- Strong ability to execute each physician protocol and to ensure patient satisfaction is given highest attention and priority- Team leader who can energize a high-level of performance by encompassing support, competence, and improvements to quality work with effective recommendations, benchmarks, and lead several teams by example SELECTED ACHIEVEMENTS:- Achieved NCQA 2021 5-Star Rating and consecutively since CY2015 - Awarded 2017 Best Overall Performance distinction - Honored five years consecutively Highest Patient Satisfaction Results and Referrals in a Region- Chairperson HIPAA compliance officer

• 

  Cigna-HealthSpring

  • Baltimore, Maryland

  • Operations Manager

    • Sep 2011 - Apr 2015
    • Baltimore, Maryland

    Support daily operations of full ambulatory, managed care facility to assure medical professionals and ancillary staff execute clinical outcomes, adhere standard operating procedures and protocols governing the provision of patient care and reducing inpatient utilization. Responsible for the implementation of solutions to enhance productivity, improve quality patient services, and increase patient satisfaction. Demonstrate the ability to lead the company in identifying and analyzing management issues, create actionable recommendations that include cost accounting, streamline processes, reduce error and estimate time lines to achieve profitability. Accountable 28 direct reports; partner/15 physicians on-site. - Evaluate revenue cycles to exceed operational growth, develop new business opportunities that clearly reflect the company’s vision, and build new and revise existing strategic programs- Debrief stakeholders monthly with focus on governance of operations and KPIs, to identify plan shortfalls and opportunities, and to mitigate risk management - Facilitate weekly Care Review Meetings with physicians, pharmacist, discharge planners, case management, and clinicians for coordination of chronic care patients, identification of barriers to care, and increase member enrollment for Geriatric and Behavioral Health Programs- Implementation Mid-Atlantic market performance HEDIS initiatives to improve quality STARS rating metrics for CHS health plan (internal and external)- Oversee daily operations of multiplex location and ensure delivery of highest patient outcomes - Promote sound physician engagement with a large matrix of external private practices for referral developmentSELECTED ACHIEVEMENTS:Highest Patient Satisfaction metrics distinction; 2015 - four Regional Markets Expansion of Preventive Health Care initiative among 225 PCPs in the Mid-Atlantic marketSelected Member Operations Effectiveness Committee Chairperson OSHA Committee Mid-Atlantic market

• 

  LCA Vision, Inc.

  • Baltimore, Maryland

  • Clinic Director

    • Dec 1997 - Feb 2009
    • Baltimore, Maryland

    Accountable for multiple outpatient surgery centers with full P&L and compliance responsibility. Serve as a catalyst integrating corporate headquarters, physicians, and staff to define strategic plans for exceptional clinical outcomes, continuity of patient care, and attain company growth targets. Provide business acumen by directing, planning, and monitoring staff to ensure continuity of optimal patient services and increase referrals for efficiency and fiscal success. - Coordinate the development of annual budget plan including staff and resource projections, cost-cutting, performance plan and allocation of space and resources- Identify opportunities ad implement procedures to drive administrative efficiencies emphasizing cost-containment, quality, compliance and accuracy - Monitors patient flow through each practice to ensure appropriate utilization of physician time and staff coverage- Sets measurable time lines with team members by conducting responsive daily briefings, weekly meetings, best practices, and post-discussions serving as a progressive, positive role model- Strong ability to execute each physician protocol and to ensure patient satisfaction is given highest attention and priority- Team leader who can energizer a high-level of performance by encompassing support, competence, and improvements to quality work with effective recommendations, benchmarks, and lead several teams by example SELECTED ACHIEVEMENTS:- Generate revenues 36% growth to approximately $27.3M, increased market share 14 consecutive quarters of profitability - Achieve “Best Operating Income” among 72 regional markets- Awarded “Best Overall Performance” distinction - Honored five years consecutively “Highest Patient Satisfaction Results and Referrals in a Region” - Recognition “Ten Year Contribution” continue service