Alva Coleman
Orlando,FL
Summary
To join a company that offers me a stable and positive atmosphere and inspires me to enhance and therefore to innovate the work culture for the betterment of all parties concerned.
Accomplished Health Care Administrator who drives organizational improvements through leveraging expertise in research and system enhancement. Well-versed in collaborating with employees and leaders to resolve control and procedural problems negatively affecting business operations. Dedicated to cost, process and resource optimization.
Overview
12
12
years of professional experience
Work History
Provider Engagement and Performance Manager (Population Health)
AdventHealth
05.2022 - Current
- Supporting department operations, integration of teamwork projects, and tracking initiatives of the Population Health Department
- Conducting daily direct meetings with providers in my territory and advising them on methods to improve performance within the CIN network
- Coordinating department initiatives to drive organizational alignment across Value Based Contracts, Network Performance and Engagement, Network Design and Development, Care Transformation and Home-Based Services
- Through collaboration my team has introduced initiatives and processes that have improved productivity and performance throughout the network.
Provider Contractor 2
Humana
02.2020 - 05.2022
- Negotiated and executed specialist and PCP high volume contracts
- Analyzed the financial impact of contracts, terms and reimbursement rates
- Recruited providers based on network composition and needs.
- Facilitated provider education and training in order to increase their familiarity and satisfaction with Humana’s systems and strategies
- Created trend analyses and summaries for decision-making purposes
- Interfaced with market leaders to align contracting needs and business efforts.
- Consulted with groups to assess needs and propose optimal solutions.
Center Administrator
Optum Medical Group
05.2017 - 01.2020
- Planned, coordinated, directed and monitored the operational and financial aspects of my center
- Provided direction and guidance to clinical, administrative and supervisory staff
- Developed and implemented goals, policies, procedures, budgets and reporting tools
- Maintained an effective team through employee development and mentoring
- Oversaw an office consisting of two physicians and a staff of twelve, while assisting with an office consisting of seven physicians and a staff of twenty-five
- Marketed practices, and increased practice visibility in the community
- P& L responsibility at clinics, including cost reduction and adherence to managed care high standards of care.
Center Manager
Family Physicians Group/Humana
08.2015 - 05.2017
- Directed daily operations at busy Healthcare clinic. Delegated task to staff, hired, trained, terminated, and reviewed staff work performance
- I ensured that the office adhered to strict CMS and HEDIS standards of care
- I reviewed billing discrepancies and amended claims.
- Maintained the Hazard Communication and Biohazard Waste Manual
- Implemented marketing strategies which effectively raised patient numbers
- Achieved and sustained an all-time low accounts receivable rate in this office
- Maintained one of the lowest unresolved claim rates company wide.
- Managed work and performance of more than 10 employees.
- Processed employee payroll as part of sound human resources and financial management strategies.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
Assistant Office Manager
Metropolitan Gastroenterology Group
02.2012 - 04.2015
- Hired, supervised, trained, developed and assessed employees
- Maintained the schedules and credentialing of eight physicians
- Aided in the preparation of payroll, money reconciliation, and billing all in conjunction with the implementation of a new EMR system
- Successfully collected balances exceeding $8,000, and resolved a wide array of issues within the office.
- Managed accurate and fully compliant AP/AR operations by documenting expenses, reconciling accounts and correcting discrepancies.
- Conferred with insurance company representatives to expedite payments and resolve filing issues, keeping aging balances low and office finances strong.
- Recorded and tracked operational expenses to identify and eliminate wasteful spending.
- Delivered performance reviews, recommending additional training or advancements.
- Analyzed data related to administrative costs and spending trends to prepare budgets for personnel.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Coached new hires on company processes while managing employees to achieve maximum production.
Education
Master of Science Degree in Health Care Administration -
University of Maryland University College
12.2017
Bachelor of Science Degree in Health Care Management -
Florida Agriculture & Mechanical University
12.2008
Skills
- Initiative and Creativity
- Strategic Business Planning
- Relationship Building
- Judgment
- Quality of Work
- Reliability
- Commitment to Safety
- Team Building and Leadership
- Support of Diversity
- Problem Solving
- Tools: Microsoft Office products (Word, Excel, PowerPoint, Outlook, Access, Project and Publisher), GE Centricity, Allscripts, GMed and QuickBooks
Timeline
Provider Engagement and Performance Manager (Population Health)
AdventHealth
05.2022 - Current
Provider Contractor 2
Humana
02.2020 - 05.2022
Center Administrator
Optum Medical Group
05.2017 - 01.2020
Center Manager
Family Physicians Group/Humana
08.2015 - 05.2017
Assistant Office Manager
Metropolitan Gastroenterology Group
02.2012 - 04.2015
Master of Science Degree in Health Care Administration -
University of Maryland University College
Bachelor of Science Degree in Health Care Management -
Florida Agriculture & Mechanical University