Support Operations Clinical
Resume:
Mary Schneider
Management
Texas
***************@*****.***
Authorized to work in the US for any employer
WellMed Medical Management
Full-time 5 years
Regional Clinical Operations Manager-Practice Support Operations
North Texas Market, Remote
May 2023 to Present
Lead, and monitor practice support operations team and overall clinical business processes across the North Texas market to include the West Texas region with a total of over 622K lives medical managed in the market. Implement high-impact framework to support clinical functions and aspects to inform decision-making. Direct clinical over site of functional team of 35+ highly skilled professionals, including nurse practitioners, physician assistants, and medical assistants.
Achieved over 50% visit completion success rate
Identified and streamline processes for providers with successful quality gap closure and Chronic medical conditions reviewed
Executed monthly QA compliance meeting for all providers while meeting market and enterprise expectations
Executed training and development exercises and presentations for internal staff members to enhance workflow efficiency’s.
Construction and oversite of specialty programs throughout the market to include focused quality initiatives
Establish and maintain FIT certification trainer
Establish and maintain market skill validator trainer
Skills: Microsoft Excel · Creative Problem Solving · Leadership Development · Critical Thinking · Quality Measures · Office 365 · Presentation Skills · Communication · Coaching & Mentoring · Analytical Skills · Risk Adjustment · HEDIS Quality · Healthcare Management · Managed Care · EMR · Leadership · Public Speaking
Regional Clinical Operations Manager-Practice Support Operations
West Texas Market, remote
April 2022 to May 2023
Develop, lead and monitor practice support operations team and overall business processes across 128K square miles of rural West Texas. Administer creation and implementation of robust business plans and high-value budgets to ensure seamless execution of business operations. Formulate and implement high-impact framework via ad hoc reports to support informed decision-making. Direct cross-functional team of 18 highly skilled professionals, including nurse practitioners, physician assistants, medical assistants, schedulers, auditors.
Acquired over 20K patients and achieved milestone of 40K metrics by leveraging relationships with key stakeholders.
Enhanced up to 74% mobile operations by collaborating with social facilities.
Boosted up to 30% efficacy of mobile event performance by collaborating with local food banks / senior centers for orchestrating volunteer and mobile events.
Achieved over 85% scheduling success rate and drove high-volume of embedded service acceptance for new market by utilizing strategic relationships
Direct oversight of staff members- process for Corrective actions and yearly common reviews
Orchestrated training and development sessions with a timeframe of up to two weeks, while preparing on-boarding protocols in compliance with standard policies.
Executed training and development exercises and presentations for internal staff members to enhance workflow efficiency’s.
Ensure quality metrics were submitted and clearance via ePRG, along with the support of V2 Lookup platform to support code submissions
Skills: Microsoft Excel · Creative Problem Solving · Leadership Development · Critical Thinking · Quality Measures · Office 365 · Presentation Skills · Communication · Coaching & Mentoring · Analytical Skills · Risk Adjustment · HEDIS Quality · Healthcare Management · Managed Care · EMR · Leadership · Public Speaking
Clinical Operations Manager Practice Support Operations
Houston Texas Market, on-site
January 2020 to April 2022
Lead, and monitor practice support operations team and overall clinical business processes across the Houston market spanning over 78K+ square miles. Implement high-impact framework to support clinical functions and aspects to inform decision-making. Direct cross-functional team of 60+ highly skilled professionals, including nurse practitioners, physician assistants, medical assistants, schedulers, auditors.
Successfully streamlined metric capture processes customizing E-Clinical Works, EHR forms and tracking data using Qlikview, Crystal Reports, and Excel applications, tableau
Orchestrated training and development sessions with a timeframe of up to two weeks, while preparing on-boarding protocols in compliance with standard policies.
Executed training and development exercises and presentations for internal staff members to enhance workflow efficiency’s.
Achieved over 55% scheduling success rate and drove high-volume of embedded service acceptance for new market by utilizing strategic relationships
Acquired over 80K patients and achieved milestones by leveraging relationships with key stakeholders.
Skills: Microsoft Excel · Creative Problem Solving · Leadership Development · Critical Thinking · Quality Measures · Office 365 · Presentation Skills · Communication · Coaching & Mentoring · Analytical Skills · Risk Adjustment · HEDIS Quality · Healthcare Management · Managed Care · EMR · Leadership · Public Speaking
Senior Medical Assistant/ Quality of Practice Support Operations
Austin/Houston Texas Market, on-site
October 2018 to January 2020
Entry-level medical assistant position. Assisted mid-level providers with clinical visits. Completed and met market goal for HEDIS metrics. Organized and implemented process for contracted providers to meet office and market goals for quality.
Successfully implemented streamlined metric capture processes customizing E-Clinical Works EHR forms and tracking data using Excel applications.
Work as a liaison between the clinical team and the contracted offices to ensure all patient information is completed and reported accurately, while offering solutions to improve quality metric goals
Facilitate process for reliability and consistency of measurements submitted by verifying processes and final output
Executed training and development exercises and presentations for internal staff members to enhance workflow efficiency’s while assisting startup of the Houston market
Complied quality data and reported to leadership on a weekly basis
Skills: Microsoft Excel · Creative Problem Solving · Critical Thinking · Quality Measures · Office 365 · Presentation Skills · Communication · Analytical Skills · Training and Education · Strategic Planning · EMR · CLIA/COLA
Clinical Director/ Billing Manager
Christy Scoggins Family Clinic –TX, on-site
May 2014 to October 2018
Led operational management team of 10 clinical staff members and 3 providers to achieve overall objectives of organization. Prepared constructive reports to improve quality, operational, and financial strategies, while leveraging data-driven insights. Directed all aspects of EMR and third-party system implementation such as customizations / IT maintenance.
Lead, Developed and successfully implemented overall business processes
Priority focus on forecasting of staff, budget and revenue outcomes of 1-5 year view
Established a new clinical office in a small rural county of 7k+ citizens
Built processes and outlines for provider credentialing with successful contracts to all major insurance carriers to include Texas Healthy Women’s Program
Developed and implemented policies and procedures to meet CMS, State and Federal guidelines
Successfully implemented pay-for-performance programs and streamlined metric capture processes customizing E-Clinical Works EHR forms and tracking data using Excel applications.
Executed training and development exercises and presentations for internal staff members to enhance workflow efficiency’s.
Established clearing house program and process to successfully process claims submission to include submissions, denials and direct payments
Successful proven revenue increase month over month
Skills: Microsoft Excel · Creative Problem Solving · Pay for Performance · Critical Thinking · Quality Measures · Office 365 · Presentation Skills · Communication · Analytical Skills · Training and Education · Healthcare Management · Strategic Planning · Healthcare IT · EMR · Medical Practice Management · Billing/coding · CLIA/COLA · Contracts ·
Education
Lampasas County EMS-EMT-Basic
McLennan Community College- Paramedic
Texas A & M University- EMT instructor Certification
Lampasas Higher Education–Billing/ Coding
Certifications/Licenses
Life and health insurance license
NCPT- National Certified Phlebotomist
NCMA- National Certified Medical Assistant
CHW- Community Health Worker- TX
CPHQ- Pending test date in Jan 2024
Contact this candidate