Linda L. Woodward, RN HIA

Palm Coast, Florida ***37 561-***-****

adulu6@r.postjobfree.com www. linkedIn.com/in/linda-l-woodward

Healthcare and Insurance Executive

Business Development Coach Clinical Care Management

Dynamic and goal-driven with an entrepreneurial mindset who thinks creatively to develop strategies to improve profitability. Supports companies' growth innovatively to be sustainable and competitive in a changing economy. Utilizes critical thinking to assess programs and determine feasibility / viability. Proven strength in operations, management training, clinical Care Management, regulatory compliance, business development, strategic planning, sales and marketing, organizational improvement, and startup in multisite and international locations.

Operations Management Clinical Regulatory Compliance Strategic Planning Sales and Marketing

Management Training Business Development Organizational Improvement Start-Up

Professional Experience

WOODWARD GLOBAL CONSULTING, INC., Palm Coast, FL. 2008 to Present

President/Owner

Business development / general management consulting for national corporations, health care organizations, insurance firms, social service organizations, physicians, and women-owned businesses.

Vistor Group LLC, Miami, FL 2021 to 2022

Vice President Sales & Marketing/Florida

Development of new business for a patented AI program. Sourcing Healthcare opportunities with IPAs, MSOs, health systems and insurance companies.

HUMANA, INC., Louisville, KY 2012 to 2020

Manager, Care Management Network Practices

Start-up role for Humana national initiative. Developed and executed the business framework for corporate policies, quality standards, clinical delivery, recruiting, and business development for the Medicare Advantage segment. Contributed to achieving annual Humana at Home goal of members 20% Healthier by 2020; population in Medicare program was 20% healthier overall which reduced risk.

Monitored Medicaid Special Needs program remediation project for CMS audit resulting in 100% compliance.

Analyzed process workgroups (In-home surveys, Medicare Advantage, Long Term Care) to create efficiencies with in-house documentation system to alleviate omissions or failures which could become audit red flags.

Provided consultation and guidance to colleagues for the high utilizer members in behavioral health; SME colleagues call for support in the specialty for behavioral health. (Helped to support achieve a score of 80% or more If the groups have high utilizers and needed to achieve their metrics, they would contact Linda).

oSupervised and coached owners and leadership within network practices, Humana at-home, multi-state (GA, TN, VI, NC, SC) council practices. Followed performance to render service Humana asked them to provide. Coached on policies, procedures, performance ensuring 100% compliance to corporate metrics).

SENIOR BRIDGE, West Palm Beach, FL 2011 to 2012

Regional Executive Director / Administrator, Accredited Home Health Operations

Administrator for 3 operations in South Florida that were being positioned for the acquisition by Humana. Oversight for 3 accredited home health care branches in good standing in South Florida.

Expanded community outreach for business development and growth of national brand through private pay and 3rd party insurance.

Created retention strategies for leadership team in preparation for Humana Acquisition resulting in zero turnovers.

CARE MINDERS HOME CARE, West Palm Beach, FL 2010 to 2011

Administrator, Home Health Operations

Building a new Home Health enterprise which was offered existing pharmacy and DME services.

Recruited by CEO, who bought a Care Minder’s franchise. Owner was from the Pharmaceutical Industry. This program was not accredited. Hired to review all facets of the franchise owners’ manuals and p Prepared CM for accreditation resulting in full accreditation and preparation for expansion.

Took charge of completing Joint Commission accreditation, all start-up functions of hiring, managing, supervising home health agency following Franchise Company in Georgia.

Achieved accreditation as a new certified, licensed home health operation in Florida.

AGADIA SYSTEMS, INC., Parsippany, NJ 2008 to 2009

Vice President of Business Development

Recruited by owner to lead business development for US enterprise services and solutions offering customized, regulatory compliant web-based pharmacy / medical prior authorization and e-prescribing modules to pharmacy benefit management firms, health plans, state agencies labor unions, and self –insured employers.

Customized modules for each enterprise and set-up test sites.

DELTA HEALTH SYSTEMS, INC., Palm Beach Gardens, FL 2007 to 2009

Vice President of Business Development

Managed the spinoff and start-up from Hill International. Directed aggressive business development with private and public healthcare systems, adding $5M to consulting revenue.

Spearheaded strategic concept of system-wide sales approach rather than single facility, influencing health systems in PA, TX, NC, and PR improving net revenue by 20%.

Linda Woodward, RN HIA adulu6@r.postjobfree.com Page Two

Additional Relevant Experience

TRIPLE S, INC. (BLUE CROSS/BLUE SHIELD), San Juan, Puerto Rico

Assistant Vice President, Multinational and Corporate Business, Group Health Insurance

Consultant to President and CEO

HILL INTERNATIONAL, Moorestown, New Jersey

Vice President of Hospital Healthcare Consulting

HOOPER HOLMES, INC., Basking Ridge, New Jersey

Senior Vice President and Corporate Officer for national Medical, Paramedical and Home Health Operations

Education Certification Professional Development

Associate of Applied Science (AAS), Nursing, Ocean County College, Toms River, NJ

Registered Nurse COMPACT License (Current)

Health Insurance Associate certification, HIA, America’s Health Insurance Plans

Completed numerous annual CEU courses in Business and Healthcare

Community Involvement and Awards

Executive Women of New Jersey Honoree, Salute to Policy Makers Award- recognized by NJ Governor

Board of Health, NJ, Appointed Member, Township of South Brunswick

American Cancer Society, NJ, Program Brochure Service Award

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Publications

Imagen Magazine - The World Forum, Puerto Rico, Hosted Gala for Madeleine Albright, Secretary of State

Caribbean Business Publication Health section, Puerto Rico Reform Attracts Business

Employee Benefit News, Children of Working Parents Cared for Around the Clock

Healthcare Marketing Report, PORTAMEDIC Targets Working Parents, Employers with New Homecare Services

Technical Skills

MS Office Suite

Contact this candidate