Medical Practice (Operations) Manager

Medical Practice Administrator

System Infrastructure and Workflow ~ Business Operations and Analysis ~ Rapid Conflict Resolution ~ Cross-Functional Leadership

Human Capital Management ~ Data Assessment ~ Customer Service and Relations ~ Continuous Growth Development

Qualifications Profile

Performance-focused, results-driven, and methodical healthcare professional, offering comprehensive experience in program management, data analysis, budgeting and forecasting, and strategic planning and implementation. Skilled at developing strategies, managing projects, and providing innovative solutions to meet and exceed organizational goals. Adept at evaluating system processes, policies and workflow; with keen focus on optimizing staff efficiency and productivity, reducing costs, and improving patient outcomes and access to care.

Relevant Experience

Confidential – Sacaton, AZ

Clinical Support Director 2013–Present

Evaluate complex information abstracted from various sources to assist the chief medical officer and representatives in creating and implementing various administrative functions and operations of all outpatient service lines.

Improve patient quality and access to care, while ensuring cost-effective service delivery in line with established regulatory standards.

Formulate business projections for future needs of space, equipment, supplies, and staff.

Develop and submit necessary reports, business proposals, and cost-benefit and breakeven analyses.

Oversee the Clinical Support Department, in charge of the establishment, growth and maintenance of an external provider referral network.

Negotiate and contract with external providers and payers in order to reduce organizational costs and enhance patient care.

Function as interim director for the organization’s Diabetes Program by overseeing daily operations of the program and its federally-funded grant.

Optimize staff productivity through hands-on support, mentoring, and career advancement training.

Career Highlights

Conducted a dental program review to streamline the Dental Department procedures and internal processes; and a cost benefit and breakeven analysis for the Inpatient Unit to identify better screening of emergency room patients, leading to greater admissions and increase in revenue.

Capitalized on industry expertise in developing and executing the following programs:

-New External Physician Patient Satisfaction Program in order to monitor and improve patient experience within the organization’s referral network.

-Business process in ensuring enrollment of all active patients to a primary care physician in order to improve patient continuity of care.

-Organizational procedures and internal mechanism in collecting and tracking productivity of outpatient clinics and individual providers for optimizing overall efficiency; and

-Individualized and ongoing departmental breakeven analyses to demonstrate contribution of each clinical department to the financial health of the larger organization.

Instrumental in improving patient safety by collaboratively designing a process to identify patients at risk for opioid and narcotic prescriptions overdose.

Clinical Data Analyst 2009–2013

Effectively collaborated with team members as part of the Outcomes Management and Informatics Department and ensured completion and validity of reports generated from various systems, primarily from RPMS and MIDAS+.

Actively engaged in regular meetings with hospital department representatives, consisting of managers and hospital administrators; perform data needs assessment.

Applied best practices and ensure quality care and best outcomes for the Native American population by providing hands on supervision and mentoring on quality improvement projects as Quality Improvement expert to ensure adherence with accepted Plan-Do-Check-Act (PDCA) methodology and implemented standards.

Facilitated comprehensive training programs as well as informational presentations, focusing on various topics, including statistical/data analysis, quality improvement, Microsoft Excel, and MIDAS+ usage.

Served as System Administrator for MIDAS+ Statit and Care Management software packages, instrumental throughout Gila River Health Care as vital reporting and management tools.

Participated as member of a committee that aims to establish a Diabetes Center of Excellence within Gila River Health Care.

Processed and prepared reports, findings and recommendations through extensive patient care data extraction and analysis.

Collaborated and rendered support in program initiatives and hospital tracers designed to achieve Joint Commission accreditation standards.

Actively participated in educational programs to update and enhance skills and competency levels.

Utilized critical thinking and problem solving skills in solving simple to complex healthcare related issues to improve efficiencies and ensure quality care service is provided.

Ensured well-coordinated operations through establishment of consistent communication with various department and staffs, directing and addressing concerns to appropriate parties.

Accomplished a detailed prenatal HIV screening analysis to refute the 7.8% rate in line with the company’s Government Performance and Results Act (GPRA).

Other Experience

Palm Inc. – Sunnyvale, CA; Chandler, AZ

Vendor Management 2007–2009

Reverse Logistics Business and Reporting Analyst 2007–2009

Vendor Process Manager 2000–2002

Call Center Manager 1999–2000

Global Response Center Frontline Supervisor Customer Response Center Specialist 1998–1999

Education and Credentials

Master of Business Administration in Health Care Management (GPA: 4.0) University of Phoenix – Phoenix, AZ

Bachelor of Science in Criminal Justice Administration San Jose State University – San Jose, CA

MIDAS+ Certified System Manager (MCSM)

Professional Development

MIDAS+ Care Management Training MIDAS+ Statit Training NextGen (Practice Management)

Crystal Reports Training Resource and Patient Management System (RPMS) Training

Emphasis on FileMan and Patient Care Component (PCC) Reporting

Affiliations

San Jose State University and University of Phoenix Alumni Associations

Activities

Speaking Engagement

“Collecting, Analyzing, Presenting Quality Data” Leadership Development Initiative (LDI) Conference

“Data vs. Information” Quality Council

Community Involvement

State Senate Candidate – Arizona Legislative District 17 School Site Council - San Tan Junior High School

Feed My Starving Children Andre House of Arizona

Technical Acumen

Microsoft Office Suite (Word, Excel, and PowerPoint) Microsoft Access and Visio Business Objects Application SQL VBA Programming Electronic Health Record Resource and Patient Management System (RPMS)

Midas+ Care Management Midas+ Statit Crystal Reports NextGen EHR Minitab

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