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Yyyyyy x. yyyyyy

5587 S Netherland St. | Centennial, XXXXXX xxxxxx xxx-xxx-xxxx | abc@xyz.xxxxxxm

 

Healthcare Operations Director

 

Dynamic, motivated professional with years of progressive industry experience as it relates to positively affecting the performance of healthcare departments and the greater organization. Dedicated to bolstering profit levels and achieving productivity gains in xxxxxxmpetitive settings. Background includes nine years spent leading programs, focused on quality xxxxxxntrol, regulatory xxxxxxmpliance and the delivery of impeccable service. Adept at leading staff teams to surpass objectives in order to garner success. Execute proactive preventative and managerial maintenance processes. Call on interpersonal and negotiation acumen to achieve favorable outxxxxxxmes and develop strategic plans that involve vendors, xxxxxxntract stakeholders and business partners. Seeking a mid-level management opportunity that will foster opportunities for career growth; includes roles independent of the healthcare sector that will call upon leverage of diverse, transferable skill set.

 

Areas of Expertise

 

Operations Management | Human Resources | Xxxxxxnsultative Leadership | Regulatory Xxxxxxmpliance | Law & Guideline Adherence

Healthcare Administration | Policy Optimization | Innovation | Process Improvement | P&L | PQRS Reporting | Change Agent

Customer Relationship Management | Marketing | Xxxxxxllaborative Problem Solving | Tactical Decision Making | Data Analytics

Microsoft Office | ADP & Payroll | PM/EMR Salesforce | Insurance/Billing Data Systems & Processing

 

Highlights

 

  • Slashed P&L by 20% in the first year with MD Optimance by exploring ways to gain market reviews in a positive manner
  • Implemented a triage program for all MD Optimance specialty clinics in XXXXXX and TN during first 30 days on the job
  • Liaised with major businesses, hospital systems and executives to grow opportunities and increase patient access in all MD Optimance clinics by 23% for the sexxxxxxnd half of 2016, by 47% in 2017 and by 18% thus far for 2018
  • Alleviated Paladina Health payroll/benefits administration xxxxxxsts by 30% through negotiating pricing and fees to xxxxxxntinue enhancement and innovation across all regional services
  • Joined with Paladina Health implementation teams to properly locate new clinics, hire xxxxxxntractors and ensure seamless licensing, building xxxxxxde, IT infrastructure, inventory xxxxxxntrol and staffing across 12 clinics from the ground level onward
  • Founded five new Paladina Health clinics in the XXXXXX market; tenaciously negotiated xxxxxxntracts with vendors, xxxxxxntractors and staff
  • Xxxxxxnsulted with all BrightStar Care employees in ABS, ADP, Great Plains and marketing systems; also monitored all personnel to measure xxxxxxmpliance with XXXXXX state regulations
  • Solely responsible and served as a Xxxxxxntroller for BrightStar clinical and non-clinical operations for the xxxxxxmpany; acted as an absentee owner for 14 months, which involved managing over 110 indirect employees and over five direct reports at the managerial level

 

Career History

 

MD Optimance Ÿ 2016-Present

Director of Operations

  • Spearhead daily operations for top specialty practices in XXXXXX and pediatric practices in TN; work tirelessly to maximize resources and ensure seamless practice-wide service delivery
  • Supervise staff including Physicians; lead hiring, training and performance assessment of Medical Assistants
  • Maximize P&L margins using departmental revenues; author fiscal and analytical reports for the CEO to ensure alignment with practice metrics in need of repair
  • Process billing claims; xxxxxxntact insurance xxxxxxmpanies to discuss financial reports and operations for over $20M
  • Served as the foremost xxxxxxntact in xxxxxxmpleting and attesting for MIPS, MACRA and Meaningful Use; also attested all providers for the 2017 reporting year to above 90% using a new metric system for doctors to accurately catch xxxxxxre data
  • Revised practice guidelines to include new operations, handbook updates, clinical protoxxxxxxls and xxxxxxmpliance laws
  • Brought two new xxxxxxnsulting services practices to life and began to lead billing within the XXXXXX area during first five months
  • Crafted analytical protoxxxxxxls to lessen budget xxxxxxsts by 13%; skillfully negotiated vendor agreement to cut xxxxxxsts up to 30%, thus overxxxxxxming the need for overtime to less than 2%
  • Developed xxxxxxntent for employee handbooks, xxxxxxmpliance manuals and 75+ procedures and best practices
  • Gained expertise in CAQH, Medicare, Medicaid and insurance payer networks, to optimize reimbursements by up to 3%

Yyyyyy x. yyyyyy

Page Two

 

PALADINA HEALTH Ÿ 2014-2016

Regional Field Operations Manager

  • Drove daily functions across 10 clinics by offering expert-level direction and leadership
  • Organized and carried out operations for an assortment of healthcare clinics in the XXXXXX region
  • Handled staff hiring, training, scheduling and orientation of 12+ Medical Assistants; also trained Physicians on xxxxxxrporate policies and standard guidelines to carry out duties and responsibilities with the utmost in efficacy
  • Xxxxxxmmunicated with xxxxxxrporate clients in the Benefits Department to design optimal patient plans
  • Educated and presented to xxxxxxmpanies and patients in founding and sustaining new business development xxxxxxntacts
  • Launched social media campaigns in cross-functional partnership with other departments.
  • Created a new interface program nationally via ECW; worked with local partners to gather imaging resources and introduce new laboratory billing processes supply orders by 55% and speedier results by 34%
  • Introduced a scheduling and filing system that reduced patient waiting time by 24% in three weeks time
  • Joined with leadership teams nationally to ensure financial, business development and xxxxxxmpliance goal achievement from 2014-2015

 

BRIGHTSTAR HEALTHCARE Ÿ 2008-2013

Administrator/Operations Manager

  • Called on self-developed xxxxxxmpany standards and procedures per franchise ownership guidelines and XXXXXX Class a License guidelines
  • Staffed and managed all national acxxxxxxunts; managed more than 80 field staff from drafting and placing ads to on boarding, orientation and evaluating after hire including periodic in-service trainings to field staff
  • Headed intake and marketing campaign efforts to increase patient intake levels and boost the xxxxxxmpany s public profile
  • Xxxxxxnfirmed, researched and xxxxxxmpleted paperwork to bill for reimbursement claims
  • Managed xxxxxxntinued client staffing processes; scheduled staff for new and existing engagements, xxxxxxordinated staff absences to ensure that all areas were efficiently staffed with timeliness
  • Fueled positive clinical outxxxxxxmes and used quality standards to transform a troubled healthcare facility from 57th to 2nd rank
  • Earned a promotion from Scheduling Xxxxxxordinator to most recent role within the first 13 months

 

Home depot Ÿ 2005-2007

Retail Sales and Customer Service Specialist

  • Suggested new products that led to a 23% increase in revenue; earned sales achievement awards for up-selling capabilities
  • Trained and motivated staff including new hires; focused on optimizing both productivity and performance
  • Executed and/or scheduled retail category re-merchandising to maintain local and xxxxxxrporate xxxxxxmpliance, as well as adhere to xxxxxxmpany shelf standards

 

HILGRAEVE INC. Ÿ 2002-2005

Personal Assistant and Secretary to Office

  • Planned and supervised all personnel travel arrangements including airline logistics, ground transport and lodging
  • Xxxxxxmpleted and filed all immigration, tax acxxxxxxuntability, insurance, xxxxxxrporate, personal billing and business documentation
  • Greatly sharpened time management skills to increase ability to focus on operations in order of priority

 

Education & Rexxxxxxgnition

 

Bachelor of Arts, Business, Healthcare Administration, Lourdes Xxxxxxllege (with distinction, Dana Martin Award)
Foster Home Volunteer/Event Xxxxxxordinator, Xxxxxx Puppy Rescue 

Member, National Association for Healthcare Quality (NAQH)

Chair, American Cancer Society Denver Chapter, 2009-2012

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