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Population Health Patient Care

Location:
North Port, FL
Posted:
November 13, 2023

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P a g e * *

Nancy Novak RN, CCM ad03sq@r.postjobfree.com

LinkedIn • 518-***-****

Healthcare Strategy Leadership

Results-driven healthcare professional with a diverse background in leading all aspects of healthcare, clinical, strategy, account, and nurse operations, delivering high-quality patient care and achieving organizational success.

Demonstrated success in overseeing healthcare programs, enhancing patient care delivery, and driving operational efficiency. Skilled in devising and executing population health/clinical strategies for large and complex national clients, contributing to sales and expansion of organizational services. Expert in addressing client-specific issues, driving systemic improvements, and offering population health and clinical solutions. Instrumental in analyzing comprehensive data, identifying risks and opportunities, and improving financial outcomes. Adept at streamlining daily operations, fostering teamwork, and maximizing productivity. Strong track record of exceeding program measures and performance levels. Recognized for developing and mentoring associates, optimizing processes, and identifying innovative growth opportunities.

Areas of Expertise

Strategies Development &

Execution

Healthcare Services Sales

Expansion

Client Relationship Management

Clinical Analysis & Risk

Assessment

Audits & Readiness Assessments

Policy & Procedure Development

Cross-Functional Collaboration

Strategic Planning & Analysis

Operations Optimization

Team Building &

Leadership

Performance Evaluation

Staff Professional Growth

Career Experience

Elevance Health (Formerly Anthem, Inc.), Indianapolis, IN 2001 to Present Senior Total Health Clinical Executive 2018-Present Devise and execute population health/clinical strategy and tactical road map for large and complex national clients. Serve as lead subject matter expert and contribute to sales/expansion of Anthem services, focusing on meeting client needs. Coordinate efforts of population health/clinical account management team members to provide consultative support tailored to each client's requirements. Act as primary liaison between key partners serving national account clients. Identified existing population health/clinical risks, opportunities, and financial implications for each client by overseeing population health/clinical analysis of extensive data, client business priorities, and workforce health concerns. Addressed and resolved all client-specific issues and drove systemic improvements related to population health and clinical solutions, network management, reporting and analytics, implementations, and administration. Created new solutions and enhanced existing ones to improve delivery overall solutions by engaging in enterprise-wide initiatives.

Clinical Account Director 2013 - 2018

Steer development of population health/clinical strategy and tactical road map for large and mid-sized national clients, leveraging expertise as lead subject matter expert and contributing to sales/expansion of Anthem services aligned with P a g e 2 2

client requirements. Deliver exceptional assistance to formulate and execute strategies and tactics in coordination with largest and most complex national clients. Collaborate closely with key partners servicing national clients. Implemented new solutions, managed and resolved day-to-day client-specific and systemic issues pertaining to population health and clinical solutions, network management, reporting and analytics, implementations, and administration.

Performed in-depth analysis of comprehensive data, client business priorities, and workforce health issues to identify current population health/clinical risks, opportunities, and financial impact for each client, particularly for most complex accounts.

Enhanced delivery/evaluation of solutions by providing valuable support for national account initiatives. Manager II Comprehensive Care Unit 2008 - 2013

Oversaw and optimized daily operations of unit, ensuring efficiency and effectiveness. Recruited, trained, mentored, and conducted performance evaluations for direct reports. Fostered teamwork and evaluated team performance to enhance collaboration and productivity. Delivered presentations and contributed to Grand Rounds for multiple accounts. Engaged in audits and readiness assessments. Provided exceptional contribution to IHM Preceptorship Program, offering guidance and support to participants.

Met and exceeded all CCU program measures and performance levels. Developed and managed growth and advancement of associates within organization. Ensured optimal productivity and maintained high-quality outcomes in all operations. Identified new opportunities for improvement and streamlined processes to increase efficiency. Ascertained and proposed new programs and projects to drive innovation and growth. Developed and implemented policies and procedures to establish effective guidelines for unit's operations. Oversaw development of 20-25 registered nurses and administrative staff, providing guidance for professional growth. Additional Experience

Manager I Comprehensive Care Unit, Empire BlueCross, Indianapolis, IN RN Case Manager Comprehensive Care Unit, Empire BlueCross, Indianapolis, IN RN Case Manager National Accounts, Empire BlueCross, Indianapolis, IN Registered Nurse, Hospitals based in Germany, Colorado, NJ & NY Registered Nurse, Hospital Shared Services, Fitzsimons Army Medical Center, Aurora, CO Registered Nurse, United States Army, Fitzsimons Army Medical Center, Aurora, CO Education

Bachelor of Science in Nursing

State University of New York at Plattsburgh, Plattsburgh, NY AMEDD Officer Training School

Academy of Health Sciences, San Antonio, TX

Certifications

New York State Licensed Registered Nurse, New York State, Present Certified Case Manager, Commission of Certified Case Managers, Present



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