Tara L. Kremer, MHA, MHS-HIA

Louisville, KY • 502-***-**** • adth9o@r.postjobfree.com • in/tarakremer-louisvilleky

Dynamic, business leader with 25+ years of experience and knowledge gained from enterprise-wide roles in hospital administration, health plans and medical practice operations. Enthusiastic, motivated leader specializing in collaborative and strategic approaches for relationship management and tactical solutions. Demonstrates tenacious commitment to excellence in leveraging data analytics, while leading, influencing, and supporting operational plans. Collaborates with and engages internal and external stakeholders and partners during process implementations in order to drive desired outcomes. Recognized for servant leadership, excellence in team building, coaching and managing employees with compassion to produce superior outcomes. Brings strategic thinking with a unique combination of operational and systems knowledge for optimal execution.

KEY SKILLS

●Leadership and collaboration with cross- functional, multi-site health plan and outpatient clinical operations

●Strategy to tactical operational execution

●Medical practice operations and clinical support management

●Organizational redesign, staff efficiency planning and implementation

●Development of internal / external business alliances and strategic relationships

●Leadership / staff coaching and development / personnel management

●Project / program and process management

●Business process engineering / Six Sigma

●Change management

●Strategic business design and implementation of IT solutions

●Managed care business knowledge from product development to delivery of care

●Contract negotiation and vendor management

●Software application design, implementation and operational support

Performance, finance and quality management

HIGHLIGHTED ACCOMPLISHMENTS

●Successfully transitioned the operations of a clinical outpatient Multiple Sclerosis practice to a hospital-based clinic.

●Expanded an academic Neurology specialty practice to a multi-site clinic for access optimization and growth opportunity.

●Directed 180+ personnel staff through comprehensive, efficient reorganization and infrastructure development process resulting in increased production, organization redesign and process efficiency.

●Managed design-to-operational implementation of region-wide, multi-medical facility project (15 medical facilities) from paper medical charts to electronic medical record system (EpicCare) and led the Clinical Content build, training and execution teams.

●Provided program management, leadership and advisory services to develop strategic business and financial plans, to execute system implementations and business process designs, and to drive change management and performance improvement initiatives. (Cerner, Epic, Maccess, EDI, HPR)

●Delivered specific and achievable business intelligence strategies which drove operational growth, improved process controls, removed process inefficiencies and process gaps, increased revenues, and reduced medical costs, with positive customer service and employee morale focus.

●Responsible for Medicare Secondary Payer program which preserved revenue for $400M per year.

●Responsible for year-over-year increases in front-end claims cost management savings that reduced rework and allowed over $53 million to move from back-end to front-end processes.

●Led numerous efficiency improvements that resulted in over $1 million in administrative cost savings.

●Ensured regulatory compliance adherence, effectiveness and efficiencies of clinical-to-financial operational integration and process controls.

●Conducted credentialing processes and oversight of Physician Executive Committees of 650-physician medical staff according to JCAHO standards and Georgia State regulations.

PROFESSIONAL EXPERIENCE

UNIVERSITY OF LOUISVILLE PHYSICIANS, Louisville, KY 2017 – 2022

Practice Administrator, Department of Adult Neurology

●Managed and oversaw the day-to-day clinical operations and administrative services of a multi-location academic neurology practice with 32 providers (physicians, nurse practitioners) and a medical resident continuity clinic with 12 residents.

●Provided physician support, worked closely with the Executive Director and department medical chair concerning strategic planning, policy formulation, business development and administrative decisions.

●Managed the operations and direction of 3 multidisciplinary clinics: Huntington’s Disease Center of Excellence, ALS Center of Excellence and the Muscular Dystrophy Association Care Center.

●Monitored patient volumes, physician schedules and utilization, quality of care and clinical staff performance to ensure effectiveness and identify areas for improvement and optimization.

●Managed administrative services such as expense management, safety, office equipment procurement, regulatory compliance and purchasing of drugs and medications.

SACRED HEART SCHOOLS, Louisville, KY 2013 - 2017

Director of Special Events / Development Officer, Office of Institutional Advancement

●Managed $1.8M Annual Fund and $250K event fundraising effort, across 5 funds and donor relations programs for 4 individual schools on campus.

●Executed and managed a volunteer and event management program while coordinating a matrix of communication and solicitation strategies.

●Executed strategies that resulted in 25-37% increased donations with highest net profit in 19 years.

HUMANA, INC., Louisville, KY 2006 – 2012

Director, Provider Process and Network Operations / Claims Process Improvement Organization

●Held accountability for internal processes (Commercial / Group, Individual, and Medicare business sectors) for medical claims policy development and implementations, medical claims process design and improvements, claims and benefit standard coding and code editing implementations, claims systems platform user acceptance and enhancement testing, configuration, and production support, and overall performance of all medical claims processes and cost savings initiatives.

KAISER PERMANENTE, Atlanta, GA 1998 – 2006

Senior Strategic Business Consultant, Planning and Strategic Services Department 2002 – 2006

●Oversaw activities and methodologies of 10 consultants on projects, while orienting, training, educating and mentoring new consultants.

●Provided program management, leadership and advisory services to develop strategic business and financial plans, execute system implementations and business process designs, and lead change management and performance improvement initiatives.

Business Consultant, Planning and Strategic Services Department 2000 - 2002

Operations Project Manager, Affiliated Healthcare Operations 1999 – 2000

Directed 22-employee staff and daily operations of Support Services, Mailroom and Initial Entry

Provider System Analyst, Network Services / Provider Contracts 1998 – 1999

WEST PACES MEDICAL CENTER, Atlanta, GA 1997 - 1998

Medical Staff Coordinator, Administration

●Managed daily operations and credentialing processes of 650-physician medical staff in 296-bed hospital.

TECHNICAL SYSTEM VENDOR EXPERIENCE

Epic Systems – EpicCare Ambulatory / Clinical Content Manager / MyChart, electronic medical record (EMR)

Allscripts – Electronic medical record (EHR), Scan

GE Centricity – Scheduling System

Blackbaud - Raiser’s Edge and Target Analytics, nonprofit fundraising and prospecting system

Cerner - Laboratory Information System

MACESS - Claims Scanning, Imaging / OCR, EDI, & Workflow Distribution System

WebMD / Envoy – EDI, Electronic Data Interchange

McKesson - HPR Code Review and InterQual system

OpenConnect Systems – Comprehend Process Intelligence

EDUCATION

Medical University of South Carolina, Charleston, SC

Master in Health Administration (MHA), Summa Cum Laude, Dean’s List

oRecipient, McLee’s Award for Academic Excellence, Community Service, and Leadership

oPresident, American College Healthcare Executive (ACHE) Student Chapter

oPresident, MHA / MHS Student Government Association

oGraduate Assistant, Statistics and Finance

oAssistant Coordinator, Trident Area SAFE KIDS Coalition (Administrative Internship)

Medical University of South Carolina, Charleston, SC

Master in Health Information Administration (MHS-HIA), Summa Cum Laude, Dean’s List

University of Kentucky, Lexington, KY

Bachelor of Arts, Psychology

oMember, Alpha Gamma Delta Social Fraternity (Offices: Treasurer & Social Chairman)

COMMUNITY

Sacred Heart Academy, President Alumnae Board, VP Alumnae Board, Member Alumnae Board

Supplies Over Seas (SOS), Volunteer

Forecastle Foundation, Oarsman Volunteer

Habitat for Humanity, Volunteer / Supporter

St. Vincent de Paul - Open Hand Kitchen, Volunteer

Alzheimer’s Association, Supporter

ALS Association, Supporter

American Cancer Society, Volunteer / Supporter

Parkinson’s Foundation, Supporter

Volunteers of America, Supporter

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