AMANDA JULSON
Chippewa Falls
Summary
Strategic operations leader with 15+ years driving cross-functional initiatives, governance frameworks, and executive-level portfolio delivery across matrixed healthcare operations. Proven success translating business priorities into on-scope, on-schedule, on-benefit outcomes by leading integrated roadmaps, operating plans, risk/issue discipline, and change management. Experienced in standing up centralized intake, prioritization, and portfolio governance across complex enterprise programs, and in coordinating go-live/readiness milestones, escalation paths, and executive reporting during high-visibility execution windows. Trusted executive communicator skilled at influencing without authority, building alignment across leadership levels, and maintaining a calm, solution-oriented presence under compressed timelines.
Overview
18
18
years of professional experience
Work History
Associate Director, Clinical Data & Interoperability
UnitedHealthcare
12.2025 - Current
- Developed and operationalized centralized intake and prioritization framework across clinical and interoperability efforts (HL7, ePA), creating single pipeline and backlog with end-to-end visibility and structured governance.
- Lead a portfolio of high-impact, cross-functional initiatives, establishing a standardized, scalable ePA issue-resolution framework that improves operational performance and enables consistent, closed-loop execution across authorization workflows.
- Established governance routines, including executive reviews and workstream forums, and partnered with analytics to deliver executive-ready dashboards and status reports that translate complex programs into clear recommendations for senior leadership.
- Designed a CDI operating model with standardized program-management practices, readiness milestones, and go-live governance, leveraging Asana for intake integration, milestone tracking, dependency management, and consistent cross-functional delivery.
Associate Director, Process Optimization & Improvement
UnitedHealthcare
10.2024 - 12.2025
- Led enterprise operational-execution initiatives, driving delivery rigor, performance stability, and execution predictability across clinical and administrative product portfolios.
- Partnered with product, technology, finance, and operations leaders to align initiatives with organizational strategy, ensuring delivery of operational and business value.
- Owned portfolio-level roadmap planning, milestone management, and risk/issue tracking, managing technical dependencies, cross-team handoffs, and delivery timelines to ensure on-scope, on-schedule delivery of committed outcomes.
- Established and scaled delivery standards and governance practices, enhancing product readiness and quality outcomes to increase launch confidence.
- Directed a matrix team consisting of product owners, analysts, and delivery resources, offering coaching, setting priorities, and clarifying roles to maintain alignment with enterprise objectives.
Clinical Practice Performance Consultant, Sr.
UnitedHealthcare
01.2023 - 09.2024
- Led design, administration, analysis, and improvement planning for a Value-Based Care and Health Homes provider NPS survey; partnered with analytics to build the dashboard used to track year-over-year performance and inform targeted action.
- Partnered with analytics to develop executive-level reporting and presentations communicating value, progress, and outcomes to senior leadership.
- Designed and implemented product and portfolio management framework to plan, prioritize, and execute work across multiple concurrent initiatives, enhancing visibility and accountability for delivery outcomes.
- Led development of division-wide operating model to support Agile execution and cross-functional collaboration, ensuring consistency across project lifecycles.
- Defined and documented business requirements, success metrics, and delivery plans; coordinated stakeholders and managed shifting priorities to enable execution on complex, high-visibility initiatives while mitigating delivery risks.
Claims Business Process Tech
UnitedHealthcare
09.2020 - 12.2022
- Led analysts in deep-dive root cause analysis and closed-loop remediation of Medicare Complaints and Grievances, leveraging Rally to track work, manage dependencies, and drive timely resolution of regulatory and consumer-impacting issues.
- Collaborated with reporting and analytics teams to develop dashboards for monitoring CMS STAR measure C27 performance and outcome reporting; regularly engaged with CMS directors to review results and present strategic action plans.
- Collaborated with contact-center operations and cross-functional teams to design and implement solutions that enhanced customer experience and minimized operational challenges.
- Presented performance impacts, trends, and strategies to senior leadership, aiding prioritization and informed decision-making.
Senior Business Analyst
UnitedHealthcare
06.2016 - 09.2020
- Analyzed performance reporting to identify trends and implement targeted improvements in STAR measure C27 outcomes and reduce complaints.
- Enhanced processes to improve customer, member, and provider experience while increasing operational efficiency across workflows.
- Coordinated multi-stakeholder remediation initiatives through JIRA, prioritizing tasks, tracking progress, and ensuring timely issue resolution.
Claims Processing Supervisor
UnitedHealthcare
04.2013 - 06.2016
- Directed claims operations with accountability for coaching, performance management, and inventory oversight, driving consistent execution and service-level adherence in a high-volume environment (CSP & COSMOS/CPW).
- Redesigned workflows to enhance turnaround time and boost employee adoption and satisfaction.
- Collaborated with health plans and internal partners to resolve systemic issues, reinforcing SOPs and ensuring operational consistency.
Registration Supervisor
Sacred Heart Hospital
05.2012 - 04.2013
- Managed front-end operations across inpatient, outpatient, and emergency departments to ensure regulatory compliance and service coverage.
- Implemented process improvements to increase registration accuracy and enhance patient experience.
- Supervised registration staff to ensure accurate patient data entry.
- Coordinated scheduling for patient appointments and follow-up visits.
- Managed patient inquiries and resolved registration-related issues effectively.
Claims Processing Supervisor / Claims Liaison
UnitedHealth Group
06.2008 - 05.2012
- Managed claims processing inventory and operational reporting for OptumHealth and state health plans, ensuring timely throughput and adherence to service levels.
- Collaborated with internal and external partners to ensure benefit accuracy and resolve issues, facilitating consistent claims outcomes and supporting Part C compliance reporting and regulatory readiness.
- Supervised daily processing operations for healthcare claims and services.
- Trained staff on compliance with federal and state regulations.
- Monitored team performance to ensure quality and efficiency standards.
Education
Coursework - Biochemistry and Molecular Biology
University of Wisconsin
Eau Claire, WISkills
- Strategic & Portfolio Leadership: Portfolio & Program Governance Integrated Roadmaps & Operating Plans Strategic Initiative Execution Enterprise Portfolio Management
- Operational Readiness & Execution: Readiness Milestones & Go-Live Governance Escalation & Issue Triage Get-to-Green Risk Mitigation Workforce & Capacity Planning
- Governance & Reporting: Governance Routines & Executive Reviews Executive Dashboards, Scorecards & Decision Logs Action Trackers Status & Business-Case Reporting
- Leadership & Influence: Direct & Matrix Team Leadership Influence Without Authority Cross-Functional Alignment Stakeholder Engagement & Consensus Building
- Change & Improvement: Change Management & Adoption Root Cause Analysis & Closed-Loop Remediation Process Improvement Lessons Learned & Continuous Improvement
PROFESSIONAL HIGHLIGHTS
- Experienced in multi-year roadmap execution, managing dependencies, risks, and cross-functional alignment in Agile and matrixed environments.
- Strong governance and operational-excellence focus, with a proven ability to reduce rework, mitigate risk, and improve delivery predictability.
- Executive-level communicator and trusted partner, including direct engagement with CMS leadership and senior UHC/UHG stakeholders.
- Skilled at establishing readiness governance, escalation routines, and get-to-green tracking to protect quality and stakeholder experience during high-visibility execution windows.
Timeline
Associate Director, Clinical Data & Interoperability
UnitedHealthcare
12.2025 - Current
Associate Director, Process Optimization & Improvement
UnitedHealthcare
10.2024 - 12.2025
Clinical Practice Performance Consultant, Sr.
UnitedHealthcare
01.2023 - 09.2024
Claims Business Process Tech
UnitedHealthcare
09.2020 - 12.2022
Senior Business Analyst
UnitedHealthcare
06.2016 - 09.2020
Claims Processing Supervisor
UnitedHealthcare
04.2013 - 06.2016
Registration Supervisor
Sacred Heart Hospital
05.2012 - 04.2013
Claims Processing Supervisor / Claims Liaison
UnitedHealth Group
06.2008 - 05.2012
Coursework - Biochemistry and Molecular Biology
University of Wisconsin