Senior Director, Provider Experience/ Provider Relations
Resume:
CONTACT
Address : Cedar Rapids, IA *****
Phone : 630-***-****
Email : **************@*****.***
SKILLS
Collaborative Leadership
Contract Management
Strategic Planning
Project Management
Data Analytics
Stakeholder Relations
Organizational Development
Key Performance Indicators
Policy Development
Team Management
Culture Transformation
EDUCATION
MBA
National Louis University - Chicago, IL
Bachelor of Science
Northeastern Illinois University - Chicago, IL
WORK HISTORY
Senior Director of Provider Experience, 08/2021 to Current CVS Health / Aetna
Adjunct Faculty Member, 03/2013 to Current
Upper Iowa University
Senior Leader / Provider Relations (Multi-Market), 01/2016 to 08/2021 UnitedHealth Group / Optum
Streamlined operations for increased efficiency with process improvements and automation.
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Directed design and execution of business transformation initiatives to drive performance and growth opportunities.
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Achieved departmental goals by developing and implementing strategic plans and initiatives.
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Developed strong relationships with key industry partners, fostering collaboration and mutual growth opportunities.
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Navigated complex regulatory environments to ensure compliance with local laws, standards, and regulations relevant to the business domain.
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Optimized project timelines by effectively delegating tasks and prioritizing workload among team members.
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Courses taught: Management Principles, Business Ethics, Labor Relations and Negotiation, Organizational Development, Organizational Culture, Public Administration, Principles of Sociology, Marketing, Microeconomics, Health Services Administration, and Business Communication
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Developed comprehensive provider strategies that resulted in increased participation and satisfaction levels.
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Collaborated with cross-functional teams to implement strategic plans, ensuring alignment with organizational goals.
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Implemented effective communication channels between providers and the organization, fostering trust and collaboration.
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Championed the use of technology solutions for streamlining workflows, increasing efficiency within the department while reducing administrative burden on providers.
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Streamlined internal processes by identifying opportunities for improvement and implementing necessary changes.
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• Facilitated educational seminars for providers on industry best practices, STEVE INZERELLO
Director of Quality and Performance Improvement, 01/2011 to 01/2016 Four Oaks
Clinic Director, 10/2008 to 01/2011
Tanager Place Mental Health Clinic
Administrator, 06/2005 to 10/2008
Bethesda Lutheran Homes and Services, Inc.
new regulations, and company updates.
Analyzed data trends to develop targeted initiatives for improving network performance metrics.
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Led a cross-functional team to develop and execute comprehensive quality assurance/improvement plans for compliance and services.
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Evaluated new technologies for potential integration into existing systems, enhancing data collection capabilities that supported informed decision- making processes around quality/performance measures.
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Established clear performance metrics, monitoring progress to ensure continuous improvement and Provider satisfaction.
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Built strong partnerships with key stakeholders, enabling increased collaboration on problem-solving efforts and overall process improvements.
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Developed systems and procedures to improve operational quality and team efficiency.
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Oversaw daily operations across multiple departments, ensuring seamless coordination and efficient execution of tasks.
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Ownership for long-term Business Plan with focus on Marketing and Growth Strategies.
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• Create and implement innovative Quality Improvement processes. Provide consultation, coordination and direction for development and maintenance of all services.
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Facilitated regular staff meetings for effective communication, continuous learning, problem-solving, goal-setting, and progress monitoring.
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Assessed staffing needs, hired qualified personnel, and provided ongoing professional development opportunities for all team members.
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• Update and implement all Policies and Procedures regarding services. Ensure program compliance with all State, Federal, and other governmental regulations.
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Negotiate, obtain, and monitor contracts pertaining to operations, outside services, and consultants.
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Monitor delivery of services to ensure a high-level quality of life for Individuals served.
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• Monitor upkeep of building, grounds, and physical environment. Ensure delivery of staff training and coordinate with Training Department in the development and delivery of staff training services.
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