AMINA K. RICHARDS
Las Vegas,USA
Summary
Dedicated professional experience in supporting public health policies for target populations and nonprofit environments. Possess extensive knowledge of health care processes and an adept at educating providers on disease prevention and health promotion. As a Provider Advocate Account Manager at UnitedHealth Group, I leverage my 20+ years of experience in health and wellness coaching to advocate for physician offices and facilities, resolving claims-related barriers to care.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Senior Provider Advocate Account Manager
UnitedHealth Group
06.2022 - 05.2025
- Resolved claims-processing barriers for physician offices and facilities.
- Conducted quarterly Joint Operation Committee meetings with key providers and leadership teams.
- Oversaw annual Provider chart review submissions.
- Coordinated and facilitated quarterly provider TownHall/Webinars
- Delivered digital solutions to improve provider interactions.
- Facilitated cross-departmental teamwork to optimize organizational processes, saving time.
- Served as the primary liaison to 6 provider offices including facility staff and territorial regions across Colorado area to ensuring positive, productive, and informative interactions.
- Supported providers with claims issues, effectively reducing query volumes.
- Worked collaboratively with Clinical, Sales, and other health plan and national departments to resolve issues and improve provider/customer satisfaction.
- Implemented training and development programs for external providers through education initiatives.
- Contributed to efforts to enhance the ease of use of the UHC provider portal leading to an increase in the use of digital solutions.
- Recognized network composition gaps to enhance contracting efforts.
Health And Wellness Coach
Optum
01.2018 - 06.2022
- Facilitated weekly group coaching sessions for 300-500 members yearly, focusing on diabetes, nutrition, exercise, behavioral health in addition to meeting one-on-one with members as needed.
- ATP trained and prime organizer of NBHWC study group.
- Coached Real Appeal Diabetes Prevention (RADP) courses.
- Health Equity and Grand Rounds team member.
- Active member of the Real Achievers projects, connecting with fellow coaches to better our coaching techniques, share best practices and support our professional goals.
- Participated in volunteer opportunities representing Real Appeal and Rally Health.
Contract Manager
Beacon Health Strategies
05.2014 - 05.2015
- Managed contract processing and credentialing for four hundred providers, ensuring network compliance.
- Conducted provider navigation training and negotiated fee for service rate changes increasing billing accuracy and efficiency.
Perinatal Program Coordinator
Partnership HealthPlan of California
02.2010 - 05.2014
- Managed Growing Together Perinatal Program (GTPP) Breast Pump Program, distributing over five hundred Breast pumps to mothers in Northern California.
- Led redesign and translation of GTPP rack cards into Spanish and Russian, enhancing accessibility for diverse communities.
- Collaborated with Provider Relations to create a provider program referral process that significantly increased enrollment rates.
Education
Master of Science - MS - Public Health Education and Promotion
Minnesota State University
Mankato, MN06.1998
Bachelor of Science - BS - Biology/Biological Sciences and Community Health
Dillard University
New Orleans, LA06.1996
Skills
- Self-Starter
- Ability to manage multiple projects/assignments and competing priorities
- Advanced computer technical capability
- Excellent Multi-tasker
- Solid strategic partnership development skills
- Excellent communication, collaboration, and engagement
- Training and facilitation expertise
- 5 years of work experience in a corporate setting, within healthcare/managed care organizations
- 5 years of experience with Medicare and Medicaid lines of business
- Experience with systems such as SalesForce, EPIC, JARVIS, DOC360 and SmartSheet processes
- Proficient in Microsoft 365/Office including: OneNote, Outlook and TEAMS
Certification
National Board-Certified Health & Wellness Coach (NBC-HWC)
Timeline
Senior Provider Advocate Account Manager
UnitedHealth Group
06.2022 - 05.2025
Health And Wellness Coach
Optum
01.2018 - 06.2022
Contract Manager
Beacon Health Strategies
05.2014 - 05.2015
Perinatal Program Coordinator
Partnership HealthPlan of California
02.2010 - 05.2014
Master of Science - MS - Public Health Education and Promotion
Minnesota State University
Bachelor of Science - BS - Biology/Biological Sciences and Community Health
Dillard University