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Business Development Behavioral Health

Location:
Honolulu, HI
Posted:
January 06, 2024

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Resume:

CARLA S. GROSS

ad2hth@r.postjobfree.com 808-***-****

!" Strategic Healthcare Executive Specializing in Behavioral Health Driving Revenue Growth and Innovations DIRECTOR OF BUSINESS DEVELOPMENT CHIEF OPERATING OFFICER C-LEVEL EXECUTIVE Accomplished leader with more than two decades of expertise in behavioral healthcare leadership, strategic growth, business development, and operations. I am a versatile executive known for achieving results, I have a proven track record in establishing compliant and profitable multi-site behavioral healthcare operations across diverse markets Key Attributes & Career Highlights Core Executive Value ü Strategic Growth Leadership: Achieved a 75% increase in company growth, retention, and customer base within the first year at New Spectrum Health through successful evaluation of growth opportunities and strategic expansion. ü Operational Efficiency and Accountability: Pioneered the creation of four accountability systems at New Spectrum Health, optimizing operational efficiency and profitability, and successfully launched six satellite operations with budget models aligned for sustained profitability.

ü Human Resources Management and Risk Mitigation: Managed HR at New Spectrum Health, reducing claims by 35% and achieving a 95% success rate in mitigating unemployment and EEOC complaints through strengthened policy development and execution.

ü Revenue Growth and Business Development: Directed business development at the Behavioral Health Center of Excellence, resulting in an 80% revenue increase within the first year through strategic relationships and market expansion. ü Transformational Leadership and Revenue Escalation: As COO at Hawaii Behavioral Health, implemented RFP writing strategies and internal efficiencies, escalating revenue from $3 million to $25 million within the first three years, demonstrating transformational leadership and successful De Novo growth. ü Strategic Leadership

ü Operational Excellence

ü Rate Negotiation

ü Business Planning

ü Revenue Growth and Business

Development

ü Enterprise Sales Leadership

ü Strategic Payer Engagements

ü Strategic Partnerships

ü Financial Management &

Forecasting

ü Compliance and Risk

Mitigation

ü Market Expansion and Market

Analysis

ü Regulatory Compliance

• Research and analyze potential funding sources, resulting in developing and submitting high-caliber proposals aligned with company standards and external accreditation requirements. Successfully secured funding from 45 new health plans, surpassing the company's quarterly targets.

• Led cross-functional teams in crafting comprehensive RFP responses, showcasing expertise in web application development and pricing strategies. Achieved a 25% increase in revenue by winning competitive bids. Established standardized care models meeting clinical excellence benchmarks, setting a new standard for care delivery optimization.

• Formulate and implement workforce project plans within behavioral health organizations, resulting in increased revenue streams and enhanced service offerings. Established a more robust service delivery framework to optimize care delivery.

• Lead comprehensive workforce evaluations, employing data-driven decision-making to optimize organizational size. Produced project plans resulting in enhanced operational efficiency and compliance, reducing overhead costs by 20% and increasing productivity by 15%.

• Established and implemented an internal quality improvement process, ensuring adherence to regulatory requirements for clinical documentation, resulting in enhanced accuracy and compliance.

• Collaborate with partners to implement internal system improvements, pioneering the creation of four accountability systems. Drive the development of sales strategies, successfully expanding the customer base.

• Create and administer streamlined workflow processes and company activities, successfully launching 6 satellite operations. Develop budget models and plan costs to ensure continued profitability.

• Strategically attain provider engagement, cultivate key partnerships, and enhance training activities, contributing to a significant 40% increase in staff retention and overall company growth.

• Collaborate with business partners in developing a Diversity, Equity, and Inclusion (DEI) strategic plan. Develop client-focused collateral, websites, and materials promoting offered services, contributing to the company's growth and enhanced market positioning.

Related Professional Career History

Director of Quality and Strategic Growth New Spectrum Health, Jackson, New Jersey (Remote) August 2021 –March 2023 Senior Consultant ZMark Health (Remote) Mar 2023 - Present CARLA S. GROSS Honolulu, HI ad2hth@r.postjobfree.com 808-***-****

• Design and implement innovative strategic business plans for both profit and non-profit organizations, resulting in an impressive 35% increase in business during the first quarter of collaboration.

• Conduct comprehensive workload assessments and introduced streamlined operational processes, driving a substantial 40% increase in productivity. Ensured 100% compliance with industry best practice standards.

• Initiate a comprehensive reorganization of the physical and organizational structure of 25 ABA centers, resulting in a significant efficiency boost of 45%.

• Guide and spearhead accreditation preparations for CARF, TJC, and COA, leading internal auditing for 45 health and human service contracts. These efforts substantially improved accreditation compliance by an impressive 55%.

• Direct the implementation of needs assessment tools and survey instruments, monitoring internal and external satisfaction. Achieved a remarkable 40% improvement in staff performance and external satisfaction.

• Directed comprehensive external and internal audits for an international accrediting organization, ensuring compliance with state requirements for Medicaid reimbursements.

• Strategized collaboratively with state leaders to enhance quality services for children and adults with autism spectrum disorder, resulting in an exceptional 150% increase in the line of business.

• Led a high-performing team of 7 sales representatives, surpassing monthly business targets and identifying opportunities for improved business flow. Managed deal pipelines throughout the sales cycle, contributing to enhanced overall productivity.

• Conducted meticulous due diligence, market analysis, and seamless business integration for 25 privately owned and PE-backed organizations, ensuring strategic alignment and growth potential.

• Successfully scaled the company through De Novo growth, achieving an impressive 60% increase in revenue within a year.

• Guided leadership efforts for over 500 employees across various functions, locations, and clinical specialties, ensuring cohesive operations and strategic alignment.

• Drove business functions encompassing HR, Finance, IT, and Facilities, implementing program and HR operational activities for a multi-faceted healthcare organization. Acted as a liaison to community/government agencies.

• Achieved a notable 40% increase in productivity by promoting team building, cross-functional training, and restructuring workflows and processes.

• Supervised contract reviews, fiscal reporting, and agreement renewals, ensuring 100% accuracy and compliance with required metrics for government agencies, private foundations, and community organizations.

• Developed internal QI

• Successfully instilled a culture of excellence by redefining the corporate vision, fostering strong community relationships, and bridging communication gaps between corporate and local management.

• Oversaw the Human Resources Department and Marketing, driving teams to identify new business areas and significantly strengthening quarterly profits by an impressive 50%.

• Initiated four cross-platform campaigns in collaboration with the marketing team, resulting in a substantial 30% increase in revenue.

• Created robust operational controls, reporting processes, and people systems to manage 18 statewide programs for consumers with ID/DD. Evaluated Key Performance Indicators (KPIs), leading to a notable 40% improvement in quality-of-life indicators.

• Review and analyze medical records to ensure the accuracy and completeness of documentation.

• Identify and communicate documentation improvement opportunities to physicians and other behavioral health professionals. Education & Certification

Master of Science Health Care Management Bachelor of Science Psychology California Coast University Temple University

Six Sigma Master Black Belt LPEC Certification in Ethics and Compliance International Six Sigma Institute Ethics and Compliance Initiative Managing Director Instant Impact Hawaii, Honolulu, Hawaii (Remote throughout the US) July 2016 – Present Director of Business Development Behavioral Health Center of Excellence, Los Angeles, CA (Remote throughout the US) August 2017 – August 2021

Managing Director of Compliance and Operations Trumpet Behavioral Health, Honolulu, Hawaii May 2006 – April 2012 Chief Operating Officer Hawaii Behavioral Health, Honolulu, HI April 2012 - August 2017



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