Tracy Thomas RN, CCM
Senior Account Manager at Amalgamated Medical Care Management- Claim this Profile
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Bio
Credentials
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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
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Amalgamated Medical Care Management
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United States
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Wellness and Fitness Services
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1 - 100 Employee
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Senior Account Manager
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2021 - Present
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HealthOne Alliance
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United States
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Insurance
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1 - 100 Employee
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Medical Management
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2020 - 2021
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Krucial Rapid Response
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United States
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Non-profit Organizations
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300 - 400 Employee
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RN - Crisis/Disaster Relief
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2020 - 2020
Crisis relief nurse New York City - COVID-19 pandemic. Crisis relief nurse New York City - COVID-19 pandemic.
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Erlanger
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United States
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Hospitals and Health Care
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700 & Above Employee
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Registered Nurse, Surgery/Operating Room
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2019 - 2020
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BlueCross BlueShield of Tennessee
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United States
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Insurance
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700 & Above Employee
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Director of Wellness Product Strategy & Consulting
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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.
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Population Health Program Manager
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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%.
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Product Manager, Product Strategy and Innovation
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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
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Project Manager, Marketing / Product Development
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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.
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Supervisor, Case (Disease) Management
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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.
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Case Manager, High Risk OB
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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.
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Education
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Covenant College
Bachelor of Science, Organizational Management -
Dalton College
Registered Nurse, Nursing