KATHLEEN KIRK
Delray Beach, FL 561-***-**** *****@*******.***
Healthcare professional, offering 20+ years’ experience in healthcare administration operations and management. Consistent track record of exceeding the patient/customer experience providing management both individually and as a team manager in a fast-paced environment with multiple providers.
SKILLS & ACCOMPLISHMENTS
Proven track record of development and delivery of member-centered programs designed to improve health outcomes, coordinate care, promote appropriate utilization, and manage the total cost of care
Expertise in managing multiple providers and staff in multiple locations
Medical Management, Quality, Population Health, Provider Relations, and other key stakeholders
Provide strategic direction and operational oversight of Care Management programs and services environment
Lead, develop, and manage multidisciplinary care management teams, including staffing, workforce planning, and resource allocation
Establish clear performance expectations and accountability for staff
Ability to monitor individual and team performance, productivity, quality, and outcomes
Address performance issues through coaching, development, and corrective action as appropriate
Design, develop, implement, and evaluate comprehensive clinical programs, including Case Management (CM), Disease Management (DM), Transitions of Care (TOC), Complex Care Management, and other population health programs
Partner with Utilization Management, Medical Directors, Quality, Analytics, and other departments to coordinate clinical programs and intervention
Healthcare Operations & Performance Improvement: Lean Healthcare, Change Management, Budget Management, Workflow Optimization, Clinical Outcomes, Benchmark Analysis
EHR & Technology: Allscripts, Athena, E-Clinicals EHR Implementation and enterprise-wide training, Microsoft Office (Advanced)
Quality & Value-Based Care: HEDIS, Population Health, Chronic Care Management (CCM), Transitional Care Management (TCM), Patient-Centered Medical Home (PCMH)
Payer-Provider Collaboration: Health Insurance Operations, Provider Performance Management, Quality Score Improvement
Leadership: MSO Management, Practice Administration, Team Development, Stakeholder Engagement
PROFESSIONAL HISTORY
Medical Specialists of the Palm Beaches – Director of Operations, Managed Service Organization / Practice Administrator (Internal Medicine) – Lake Worth & Atlantis, FL 2019 – 2026
Direct operations for an internal medicine practice within a managed service organization, driving clinical quality, operational efficiency, and financial performance.
Budget and utilization management to ensure that there was necessary spending, while gauging the profit and loss of the practice
Built and scaled CCM, TCM, and Concierge Medicine programs, improving patient retention by 80% and generating over $1,000,000 in new revenue for one provider.
Partnered with physicians to redesign scheduling workflows, reducing patient wait times by 3 days and supporting value-based care contract performance.
Managed a 12-person team, not including two doctors and a Nurse Practitioner, over two locations, across clinical, administrative, and care coordination functions, ensuring compliance with CMS and commercial payer requirements.
UnitedHealthcare – Practice Performance Manager / HEDIS Quality Manager – Palm Beach County, Florida 2015 – 2019
Managed provider performance initiatives across a large territory from Jupiter to Belle Glade
Led HEDIS quality improvement strategies in collaboration with physician practices and clinical teams.
Supported Patient Centered Medical Home (PCMH) transformation and population health initiatives.
Functioned as liaison between payer and provider organizations to improve quality scores and patient outcomes.
Medical Specialists of the Palm Beaches – EHR Implementation & Quality Management Lead – Lake Worth, FL 2010 – 2015
Led build, training, and enterprise-wide implementation of the Allscripts Electronic Health Record across multi-specialty and primary care practices.
Served as HEDIS Quality Manager and supported Patient Centered Medical Home certification.
Developed standardized clinical workflows that improved documentation accuracy by 90%, reduced audit risk and supporting Meaningful Use attestation.
Dr. Barry Schiff – Practice Operations – Pembroke Pines, FL
2006 – 2010
Managed daily operations of a wellness and weight loss center, including prescription reconciliation, patient scheduling, and compliance oversight.
Designed and implemented a medical records system to add a cardiology practice launch, establishing workflows for 20-30 patient visits per month, along with the wellness center patients visits
United States Navy – Hospital Corpsman / Physical Therapy Technician – The United States of America 1995 – 2006
Delivered clinical care in high-acuity military environments, completed Field Medical Service School and provided medical care to United States Marine Corps service men and women and candidates in the USMC Officer Candidate care under physician supervision.
Hospital Corpsman skilled in I.V. infusion therapy, phlebotomy, general first aid and nursing skills
Graduated from Physical Therapy Technician School
Doctorate in Healthcare Administration (DHA) – In Progress
University of Phoenix 2023–Present
Dissertation research focused on the mental health effects of individuals living with Type 1 Diabetes
Master of Science in Healthcare Administration
University of Phoenix 2015
Concentration: Sustainability Management
CERTIFICATIONS
Registered Pharmacy Technician Florida Board of Pharmacy 2009-Present
oLicense Number: RPT 25045