Tracy Thomas RN, CCM

Senior Account Manager at Amalgamated Medical Care Management
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Contact Information
us****@****om
(386) 825-5501
Location
Chattanooga, Tennessee, United States, US

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Credentials

  • Certified Case Manager (CCM)
    Commission for Case Management
  • Lean Six Sigma Yellow Belt (ICYB)
    Lean Six Sigma
  • Managed Healthcare Professional (MHP)
    Health Insurance Association of America
  • Registered Nurse
    Compact State License

Experience

    • United States
    • Wellness and Fitness Services
    • 1 - 100 Employee
    • Senior Account Manager
      • 2021 - Present

    • United States
    • Insurance
    • 1 - 100 Employee
    • Medical Management
      • 2020 - 2021

    • United States
    • Non-profit Organizations
    • 300 - 400 Employee
    • RN - Crisis/Disaster Relief
      • 2020 - 2020

      Crisis relief nurse New York City - COVID-19 pandemic. Crisis relief nurse New York City - COVID-19 pandemic.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Registered Nurse, Surgery/Operating Room
      • 2019 - 2020

    • United States
    • Insurance
    • 700 & Above Employee
    • Director of Wellness Product Strategy & Consulting
      • 2016 - 2018

      Strategic planning, performance and growth of full spectrum health and wellness product portfolio with $25M in revenue managed in the wellness product pipeline. Influenced executive leadership commitment on product initiatives utilizing data-driven insights. Optimized product prioritization process and improved vendor relations. Spearheaded brand relaunch underpinned by research-based proof points. Crafted custom integrated solutions current and prospective clients.

    • Population Health Program Manager
      • 2013 - 2016

      Designed and implemented a tailored high-touch Population Health Management solution for a large national key account and led a high-performing clinical care management team. Increased member engagement 75%; reduced inpatient admissions 22% and ER utilization 17%; increased preventive compliance 10%. Overall client ROI increased 6%.

    • Product Manager, Product Strategy and Innovation
      • 2011 - 2014

      Headed strategic planning, development, and implementation of health and wellness products for commercial market. Effectively managed cross-functional teams across the enterprise for new product launches and enhancements. Led vendor transition and DM/Nurseline product implementation (1 million lives) resulting in >$2.2mil annual savings. Assessed vendor products, negotiated contracts, and maintained positive vendor relations. Implemented a Value-Based Benefit Solutions system and web interface upgrade in conjunction with expansion of incentives and Value-Based products. Show less

    • Project Manager, Marketing / Product Development
      • 2007 - 2011

      Evaluated potential vendor partners, drove new product implementations, and enhancements to existing products. Seamlessly transitioned >50 self-funded employers; managed cross-functional work teams to exhibit successful launch resulting in 45% sales growth over 3 years. Accomplished multiple large-scale projects spanning company divisions, meeting target goals and within budget.

    • Supervisor, Case (Disease) Management
      • 2005 - 2007

      Led a large multidisciplinary team of clinical case management professionals and an inbound/outbound call center. Achieved overall success of the chronic condition and maternity programs for Medicaid business; consistently met all regulatory organization standards; exceeded engagement goals.

    • Case Manager, High Risk OB
      • 2002 - 2005

      Coordinated health care needs of high-risk obstetric members utilizing the case management process, maintaining high quality care and cost effectiveness, employing all available resources and meeting each individual’s needs.

Education

  • Covenant College
    Bachelor of Science, Organizational Management
  • Dalton College
    Registered Nurse, Nursing

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