• Top Performer who offers proven results in clinical education, best practices, network services, and case management; who makes decisions to reflect positively on operations in alignment with a compaxxxxxx s vision, value, and goals to attain a significant competitive advantage; and who expertly communicates strategies and plans to achieve success.
• Dedicated Professional who rises above challenges to increase revenue, streamline processes, resolve issues, and drive winning outcomes while thriving on complexity as a creative-minded leader attaining quantifiable accomplishments.
• Ambitious Self-Starter who develops and implements Medicare Pay for Performance Medicare Incentive Programs, as well as handling provider reporting, market-based payment system, and hospital readmissions reduction program.
• Excellent Communicator who builds synergistic and collaborative relationships with healthcare administration, decision-makers, providers, physicians, nurses, payers, and patients; who excels in both autonomous and collaborative work environments; and who demonstrates talent in implementing key policies and procedures.

  Improved revenue and drove market share while developing provider relations to successfully increase membership.

  Optimized new program by 100% via targeted training modules development delivered to cross-functional teams.

  Successfully delivered training programs to personally meet 85% of aggressive deadlines and stringent budgets.

  Reduced readmissions across XXXXXX-based regions by 26% via development and delivery of multifaceted education programs for providers and case manager, and implemented best practices to maximize provider reimbursements.

  Substantially increased comprehensive knowledge and retention rates by updating medical education programs, including seamlessly integrating state-of-the-art learning technologies with a non-traditional classroom curriculum.

Director of Network Services (2015 Present)

  Capitalize on the opportunity to lead forward-thinking network services for this publicly-traded healthcare compaxxxxxx with annual revenues of $2+ billion and employing 2,000+ staff, including developing proactive new strategies for recruitment and contracting of new provider networks in existing, new, and prospective markets.

• Lead assessment, gap analysis, and performance monitoring, along with identifying large-scale and / or critically important medical providers, integrated provider systems, and provider networks to develop beneficial relations.

  Promoted to current role within only 15 months of hire.

  Expertly communicate strategy and planning to drive core success.

  Develop and implement new business and learning solutions to address process gaps.

  Develop onboarding plans for diverse multi-market providers and administer teams, staff, and consultants.

Regional Clinical Supervisor (2014 2015)

  Utilized broad scope of industry knowledge toward directing a team of registered nurses (RNs), care coordinators, and 16 healthcare sites across the State of Xxxxxx, including continually evaluating, reporting on, and implementing comprehensive training programs and quality improvements to positively impact core quality of care.

  Enhanced metrics by driving more effective assessment, engagement, and management of nursing and care coordination teams, along with collaborating with peers to design and develop improvements to meet objectives.

Regional Clinical Supervisor (continued)

  Developed new orientation and process improvement / training programs for top Northeast markets.

  Built and sustained productive relationships with internal / external stakeholders, providers, and resources.

RN BSN Asthma Coordinator ￨ Case Manager

  Strategically steered the delivery of results-focused professional asthma education to 42 nurses and other healthcare professionals across 20 provider practices, including communicating with providers to present education on key best practices and methods to comprehensively reduce healthcare disparities and improve care outcomes.

  Successfully managed collection and reporting of performance metrics to internal / external entities.

  Improved outcomes by coordinating program initiatives and collaborating with providers / administrators.

RN Asthma Director ￨ Clinical Educator

  Played a vital role leading a solutions-generating asthma program, including facilitating ongoing program review and continuous improvements and serving as liaison and member advocate for communicating patient / provider needs.

  Proactively collaborated with top-performing teams at multifaceted healthcare systems on individual care plans.

  Created and implemented Provider Education Platforms and presented provider education on NIH guidelines for chronic disease models, including preparing clinical and fiscal reports required by the XXXXXX State Health Department.

Master of Science in Nursing (Summa Cum Laude ￨ International Honor Society of Nurses)

Bachelor of Science in Nursing (President s List of Scholars)

Associate of Applied Science in Nursing (Graduated with Distinction)

Certified Asthma Educator (Since 2007)

Registered Nurse (License No. 52) State of Xxxxxx

U.S. Government Liaison, Asthma Coalition of Southern Tier (2007 2009)

Hospital Sponsor, American Lung Association Open Airways Program SUXXXXXX (2007 2008)

Mentor, National Asthma Educator (2010 2011) ￨ Chair, Asthma Coalition of Southern Tier (2005 2010)

Member, Sigma Theta Tau International (Since 2015)

Member, National Association of Professional Woman (Since 2015)

Excellent Professional References Provided Upon Request

Date

Hiring Agent Name

Compaxxxxxx Name

Address

City/State/Zip Code

Dear__________________:

I am seeking a challenging [ Insert Job Title ] role, and am submitting my resume for your review.

I am excited to build a rewarding career with your compaxxxxxx, and can offer cross-functional experience in Clinical / Nurse Education, Education Strategy Development, Team Building, Training / Development, Orientations, and Onboarding. I am also skilled with Clinical Guidelines, Best Practice Methodologies, Contracting, Credentialing, and Compliance, as well as demonstrated talents in the Clinical / Payer Industry and encompassing Quality Improvement, Audits, Policy / Procedure Implementation, and Sales / Marketing.

Currently, as a Director of Network Services for Universal American, I expertly lead forward-thinking network services for this publicly-traded healthcare compaxxxxxx with annual revenues of $2+ billion and employing 2,000+ staff, including developing proactive new strategies for recruitment and contracting of new provider networks in existing, new, and prospective markets. Within this role, I successfully lead assessment, gap analysis, and performance monitoring. I also identify large-scale and / or critically important medical providers, integrated provider systems, and provider networks to develop beneficial relations.

A sampling of my achievements include:

   Attaining a promotion to my current role after 15 months of hire.

   Expertly communicating strategy and planning to drive core success.

   Developing and implementing new business and learning solutions to address process gaps.

   Developing onboarding plans for diverse multi-market providers and administer teams, staff, and consultants.

[ Suggestion! Address Here Axxxxxx Skills / Qualifications / Achievements Relevant to the Job Posting OR Delete This Line ].

To complement my background, please note that I hold a Master of Science in Nursing and a Bachelor of Science in Nursing from Chamberlin College of Nursing. I also attained an Associate of Applied Science in Nursing from Xxxxxx Community College. I am a Registered Nurse in the State of Xxxxxx and have been a Certified Asthma Educator since 2007.

As this is just an example of my abilities, please kindly refer to my enclosed resume for additional experience.

I look forward to hearing from you, and thank you in advance for your careful consideration.

Sincerely,

Yyyyyy x. yyyyyy