Ajah Amos
Glen Allen,VA
Summary
Accomplished leader with a proven track record at UnitedHealthcare, enhancing operational efficiencies and fostering strategic partnerships. Skilled in data-driven decision-making and influential communication, achieving a 1286% growth in employee resource group membership. Expertise in strategic planning and staff management, driving cross-departmental alignment and surpassing business objectives.
Overview
24
24
years of professional experience
Work History
Director of Strategic Partnerships
UnitedHealthcare Community Plan
08.2017 - Current
- Provided strategic oversight, direction and drove operational efficiencies for health plan vendor and network provider relationships.
- Accountable for overall Network Provider and Vendor network access & availability, performance and compliance statewide, to support $2B book of Medicaid, Long Term Care and Dual Special Needs Population business.
- Managed cross-functional teams to execute collaborative projects, driving success and achieving shared objectives.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Implemented effective communication channels between providers and organization, fostering trust and collaboration.
- Developed strategic plans for partnership growth, fostering long-term relationships with collaborators.
- Implemented robust tracking systems to monitor vendor partnership performance, enabling data-driven decision making.
- Collaborated closely with legal departments to ensure compliance with relevant regulations during partnership negotiations.
- Led development of joint marketing campaigns with partners, enhancing brand visibility in target markets.
- Presented partnership updates to senior leadership, maintaining transparency and facilitating informed decisions.
- Delivered impactful presentations at conferences and industry events, showcasing organization's capabilities as strategic partner.
- Continually maintained and improved company's reputation and positive image in markets served, resulting in improved net promoter scores.
- Managed budget allocation and resource utilization to maximize marketing ROI.
- Appointed as inaugural Community Co-Lead for enterprise employee resource group generating 1286% membership growth over two years.
- Served as Leadership Advisory Council member for Military, Veterans and Spouses, active advisor to employee resource group and Inclusion Pod Mentor.
- Associate Network Director 2017-2021
Equal Opportunity Director & Force Support Officer
Virginia Air National Guard
05.2001 - Current
- Counseled managers on best practices regarding performance management processes related to diverse workforces, improving overall organizational effectiveness.
- Facilitated effective communication channels with employees regarding EEO policies, ensuring clear understanding of rights and responsibilities in workplace.
- Served as advocate for employees experiencing discrimination or harassment, providing support and resources for effective resolution of conflicts.
- Prepared annual reports detailing company''s progress toward meeting established EEO goals, maintaining transparency with internal stakeholders and regulatory agencies alike.
- Coordinated mediation sessions between parties involved in EEO disputes, facilitating open communication channels and conflict resolution strategies.
- Provided expert guidance to senior leadership on EEO-related matters, supporting strategic planning initiatives.
- Conducted thorough investigations of discrimination complaints, resulting in timely resolutions and improved workplace relationships.
- Developed targeted retention strategies to address high attrition rates among underrepresented employee groups, promoting long-term career satisfaction and growth opportunities.
- Performed audits and deep document reviews to verify compliance with applicable laws.
- Advised department managers on best practices in regard to labor relations, conflict resolution, and disciplinary actions.
- Conducted thorough performance evaluations to identify areas of improvement and provide constructive feedback to employees.
- Assisted in workforce planning efforts by analyzing staffing needs based on organizational goals and growth projections.
- Paralegal 2010-2016
- Munitions Systems Specialist 2001-2010
President
West Broad Village Homeowner's Association
01.2020 - 01.2023
- Led development of comprehensive strategic plan, setting direction for future growth and success.
- Negotiated favorable contracts with vendors for services such as landscaping, security, and maintenance, securing quality work at competitive prices.
- Maintained P&L and shouldered corporate fiscal responsibility for $2M budget.
- Ensured fiscal responsibility by overseeing budget development, financial reporting, and internal controls.
- Supervised development of comprehensive reserve studies to guide long-term financial planning for capital improvements within community.
- Strengthened board governance by implementing best practices and providing ongoing training for board members.
- Collaborated with legal counsel when necessary, seeking guidance on complex issues and ensuring compliance with governing documents.
- Mentored up-and-coming leaders within organization to cultivate strong pipeline of talent ready to assume expanded responsibilities when necessary.
Strategic Business Consultant & Manager
Humana
08.2015 - 08.2017
- Led team of physician and ancillary contractors and hospital contracting executives, focused on Medicare and Dual Special Needs Population lines of business statewide for more than 2,000 contracts.
- Managed high-profile healthcare provider engagements, consistently delivering exceptional results that exceeded expectations for both parties involved.
- Established key performance metrics to track progress toward achieving organizational goals, ensuring accountability and transparency across all departments.
- Delivered comprehensive training programs to team members, fostering culture of continuous learning and professional development.
- Improved network performance by implementing advanced monitoring tools and troubleshooting techniques.
- Mentored junior team members in networking concepts, best practices, and troubleshooting methodologies.
- Served as lead relationship owner and contractor for value-based contracting arrangements.
Director of Provider Relations
Magellan Behavioral Health
10.2013 - 08.2015
- Developed and implemented statewide Medicaid behavioral health network, formally credentialing and contracting over 7,000 behavioral health care providers and hospitals in under one year.
- Promoted culture of continuous improvement by encouraging feedback from providers and incorporating suggestions into action plans.
- Evaluated provider performance metrics regularly, addressing any concerns or gaps promptly through targeted interventions or training programs.
- Leveraged data analytics tools to monitor market trends, inform decision-making processes, and identify potential areas of expansion or improvement within provider network.
- Managed budgetary responsibilities within department, optimizing resources for maximum impact on key objectives.
- Conducted regular provider visits to assess needs, resolve issues, and offer support.
- Mentored junior staff members within Provider Relations department, cultivating supportive learning environment that facilitated professional growth.
Manager, Provider Data (East Region)
Anthem Blue Cross Blue Shield
08.2000 - 10.2013
- Led team of data and pricing analysts in delivering accurate and actionable insights on various business operations and strategies.
- Spearheaded process improvements that resulted in streamlined workflows, reduced administrative overheads, and increased overall productivity for team.
- Cultivated strong relationships with both internal partners and external clients through effective communication strategies aimed at building trust and fostering long-term collaboration.
- Promoted culture of continuous improvement through ongoing training initiatives targeted at enhancing technical skills of team members.
- Communicated project updates to stakeholders at all levels.
- Sr. Provider Network Manager 2008-2012
- Sr. Outreach Specialist 2006-2008
- Provider Database Specialist 2004-2006
- Sr. Referral Coordinator 2002-2004
- Customer Service Representative 2000-2002
Education
MBA - Health Services Administration
Strayer University
Henrico, VABachelor of Science - Business Communications
Virginia Commonwealth University
Richmond, VAAssociate of Science - Paralegal
Community College of The Air Force
Montgomery, ALProfessional Certificate - Mediator (Dept of Defense)
Defense Equal Opportunity Management Institute
Cocoa Beach, FLProfessional Certificate - Interior Decorating
University of Richmond
Richmond, VASkills
- Data-driven decision-making
- Proposal Development
- Influential communication
- Partnership evaluation
- Relationship Building
- Staff Management
- Strategic Planning
- Cross-departmental Alignment
- Creative and Innovative
- Project Management
- Customer Relationship Management (CRM)
- MS Office Suite
Timeline
President
West Broad Village Homeowner's Association
01.2020 - 01.2023
Director of Strategic Partnerships
UnitedHealthcare Community Plan
08.2017 - Current
Strategic Business Consultant & Manager
Humana
08.2015 - 08.2017
Director of Provider Relations
Magellan Behavioral Health
10.2013 - 08.2015
Equal Opportunity Director & Force Support Officer
Virginia Air National Guard
05.2001 - Current
Manager, Provider Data (East Region)
Anthem Blue Cross Blue Shield
08.2000 - 10.2013
MBA - Health Services Administration
Strayer University
Bachelor of Science - Business Communications
Virginia Commonwealth University
Associate of Science - Paralegal
Community College of The Air Force
Professional Certificate - Mediator (Dept of Defense)
Defense Equal Opportunity Management Institute
Professional Certificate - Interior Decorating
University of Richmond
Similar Profiles
Terrence ChristopherTerrence Christopher
Chief Health Plan Compliance Officer at UnitedHealthcare Community PlanChief Health Plan Compliance Officer at UnitedHealthcare Community Plan
LaMonica JohnsonLaMonica Johnson
Manager of Medical and Clinical Operations at UnitedHealthcare Community PlanManager of Medical and Clinical Operations at UnitedHealthcare Community Plan
Jason HauffJason Hauff
Community Engagement Manager at UnitedHealthcare Community PlanCommunity Engagement Manager at UnitedHealthcare Community Plan