Senior Strategy and Provider/Payer Relations Professional
Resume:
Jaime L. Crawford, MPA
Senior Leader, Strategy & Business Development
***************@*****.*** • 412-***-****
www.linkedin.com/in/jaimelcrawford • Irwin, PA 15642
Strategic and growth-focused leader with a proven track record of driving business development and operational excellence across hospital and outpatient settings. Expert in expanding service lines, optimizing patient access, and increasing hospital admissions through targeted physician engagement and consultative sales strategies. Adept at building high-performing teams and aligning provider relations to support value-based care initiatives. Demonstrated success in launching digital health solutions, clinical program management, and weekend service lines that significantly improve clinical workflows and patient satisfaction. Skilled in payer negotiations, workforce strategy, and cross-functional leadership. Achieved year-over-year revenue growth and consistently exceeded admission targets. Passionate about improving care delivery through innovation, collaboration, and results-driven strategy.
Areas of Expertise
Strategic Business Development
Cross-Functional Team Leadership
Patient Access & Flow Optimization
Data Analytics & Business Modeling
Process Improvement
Service Line Expansion
Operations Management
Value-Based Reimbursement
Digital/Virtual Health Strategy
Stakeholder & Provider Relations
Sales/Marketing/Communications
Revenue Growth/Financial Performance
Professional Experience
Select Medical, Mechanicsburg, PA
Director Business Development
2024 – Present
Oversee business development strategies for a 40-bed critical illness recovery hospital (CIRH) in Western PA/Western MD, leading clinical liaisons, payer relations specialists, and admissions coordinators to enhance patient flows. Coordinate and execute marketing strategies, targeting physicians, APPs, case management, and internal hospital teams, achieving notable increases in hospital admissions. Facilitate training for clinical liaisons on consultative selling and marketing, underscoring valuable service offerings. Collaborate directly with insurance providers to streamline patient authorization processes and foster efficient admissions protocols.
●Spearheaded initiatives to expand service line offerings, addressing market demand and competitive positioning.
●Boosted hospital admissions nearly 10% year-over-year from 2024 to 2025, significantly increasing overall hospital revenue.
●Surpassed fiscal year-end target by reaching 106% of admission goals through strategic physician/hospital network engagement.
●Developed comprehensive business plan for the integration of inpatient rehabilitation services, broadening patient care options.
Highmark Health, Pittsburgh, PA
Chief of Staff, Director Business Planning & Performance
2022 – 2023
Steered strategic implementation, communications, and operations within the Enterprise Clinical Organization, encompassing the CMO office and digital health teams at Highmark Health. Collaborated with senior leadership to align workforce planning and strategic objectives, optimizing program oversight. Formulated a centralization strategy for Highmark Medicaid services, aligning regional executives to harmonize processes and achieve uniformity in quality operations. Propelled the expansion of the digital and virtual health initiatives, enhancing team composition to improve clinical workflows and operational efficacy.
●Successfully developed the workforce strategy, enhancing operational cohesion and team synergies.
●Orchestrated the creation of digital and virtual health strategy playbook, crucial for program development.
●Championed the TeleICU service rollout, achieving projected fiscal efficiencies of $2.4M through workforce optimization.
●Delivered comprehensive digital/virtual health playbooks, setting a groundwork for future partnerships with healthcare providers.
Highmark, Inc., Pittsburgh, PA
Director Provider Relations
2019 – 2021
Led a team of Western PA Provider Account Liaisons, overseeing network providers to advance strategic goals and initiatives. Collaborated across functions, bringing expertise in value-based reimbursement and integration, to enhance provider engagement with Highmark’s offerings. Guided providers in evolving from traditional value-based programs to shared savings models.
●Transitioned 100+ providers to value-based care reimbursement contracts, enhancing strategic initiatives.
●Transitioned numerous providers to telemedicine reimbursement, consulting on operational use of virtual tools/payment policies.
●Crafted a PAL field deployment model to align with provider trends, thereby transforming care delivery and reimbursement strategies.
Independence Health (formerly Excela Health), Greensburg, PA
Vice President Operations
2018 – 2019
Oversaw operations and strategic direction for Primary Care services, coordinating a network of 80 physicians and advanced practice providers across 30 office locations. Expanded patient panel within a year, concentrating on improving patient access and satisfaction. Spearheaded the development of the Primary Care Weekends service line.
●Grew Primary Care patient panel by more than 2K new patients within one year.
●Created weekend service line contributing to treating 4.6K patients a year.
●Optimized appointment scheduling, resulting in an additional 8K yearly appointments, a 10% increase.
●Enhanced gross revenue by $2M from 2018 to 2019, leveraging dynamic management of 12 practice managers and teams.
Independence Health (formerly Excela Health), Greensburg, PA
Director of Operations & Business Development
2016 – 2018
Coordinated operations and spearheaded business development efforts in healthcare settings, focusing on service line expansion and revenue growth. Streamlined family planning and OBGYN practices ensuring billing optimization and cost reduction, yielding significant savings. Innovated hospital-based billing processes for OBGYN ultrasounds to capture revenue enhancements.
●Launched Primary Care Weekends service line, generating annual revenues of $150K.
●Advanced patient access initiatives, contributing to $1.2M in additional annual revenue.
●Achieved $165K in first-year savings and $250K in device savings by integrating family planning into the OBGYN practice.
●Enhanced primary care weekends by expanding from one to three locations, achieving a 300% increase in volume over two years.
●Facilitated revenue increase of $165K annually through updated billing for ultrasound services.; developed strategies to increase patient access for OBGYN services, which led to a 7% growth in volume and an annual revenue increase of $900K.
Independence Health (formerly Excela Health), Greensburg, PA
Manager of Communications & Digital Media
2011 – 2016
Led the rollout of an employee digital communication product (EMA), providing 5K employees with mobile app access to pivotal company resources and updates. Managed the implementation of a patient portal. Spearheaded comprehensive communication initiatives to enhance brand visibility, patient engagement, and employee connections within the health system.
●Conducted in-depth digital market research and strategic communication planning, accelerating patient volume by over 15K.
●Boosted patient satisfaction scores from 92% to 98% by delivering social media/consumer experience training for 300+ front-line staff.
●Elevated patient satisfaction scores by 6% via innovative training programs for front-line staff; oversaw integration of ExcelaHealth.me, generating $3M in meaningful use reimbursements and facilitating online medical record access for 120K+ patients.
Additional Experience as a Sales Representative at District Sales Trainer / Shionogi Pharma, Inc. Headquartered in Atlanta, GA
Education & Credentials
Master of Public Administration, University of Pittsburgh, School of Public and International Affairs, Pittsburgh, PA
Bachelor of Science, Saint Vincent College, Alex G. McKenna School of Business, Economics & Government
Lean Six Sigma Facilitator – Certified Green Belt
Agile Solutioning – Sprint Subject Matter Expert (Highmark Clarity Product Development)
Completion of Korn Ferry Executive Training and Coaching (Highmark, 2020)
American College of Healthcare Executives
Crohn’s and Colitis Foundation of America Fundraiser and Volunteer
Consumer Experience Committee Member for Bridges Health Partners ACO (2016-2017)
Presenter – 2015 Allscripts Population Health Conference / Patient Engagement Awardee
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