Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

AMY BALDRIDGE

Summary

Experienced healthcare professional with expertise in internal and external customer relations. Dedicated to quality. Passionate leader and coach. Enthusiastic team player. Nominated for and recipient of specialized performance based bonus. Voted most valuable player.

Overview

10
10
years of professional experience

Work History

Manager Health Plan Quality

CHRISTUS Health
08.2023 - Current
  • Provides leadership and support to the health plan Quality Team.
  • Manages and motivates employees to be productive and engaged in work.
  • Responsible for timely and accurate deliverables for both internal and external stakeholders.
  • Successfully manages and maintain the adherence requirements for all health plan lines of business.
  • Partners and collaborates with healthcare providers located in providers facilities and offices.
  • Identify, analyze, and report on the patient safety issues that develop.

Senior Quality Specialist

Magellan Health Care
04.2022 - 08.2023
  • Developer of standard operating procedures for adverse incidents and sentinel events
  • Developer of training materials utilized internally and by the state
  • Demonstrated flexibility and accountability for new assignments and state mandates
  • Functioned independently and as a single person department
  • Developer of computer-based training for clinical team
  • Brought department into full compliance
  • Presenter at statewide training for behavioral health providers.

Supervisor Behavioral Health Critical Incidents

Magellan Health Care
04.2022 - 08.2023
  • Leadership and support to behavior health quality specialists
  • Primary strategist for process and workflow
  • Subject matter expert for leadership, clinical team, and quality specialists
  • Auditing and quarterly reporting.

Quality Management Specialist

Blue Cross Blue Shield of New Mexico
02.2015 - 04.2016
  • Functioned independently and as a single person department
  • Developer of computer based training for clinical team
  • Brought department into full compliance
  • Presenter at statewide training for behavioral health providers
  • Albuquerque

Care Coordinator-Self Directed Model

Blue Cross Blue Shield of New Mexico
11.2013 - 02.2015
  • Case load of behavioral health and physical health members
  • Educated members on the benefits of their programs
  • Assisted members with creating and managing their budgets
  • Mentioned at a statewide round table regarding the quality of my work with members
  • Developed a purposeful plan for service delivery improvement at the request of a former Blue Cross Divisional Vice President.

Education

Master Business Administration Healthcare Management -

Western Governors University

Master Business Administration Healthcare Management -

Western Governors University

Bachelors Degree in Social Work -

University of Iowa
Iowa City, Iowa

Skills

  • Team Leadership
  • Verbal and written communication
  • Complex Problem-Solving
  • Compliance
  • Project management
  • Quality Risk Assessment
  • Staff Development
  • Policy Implementation

Accomplishments

  • Licensed Social Worker, State of New Mexico, 03/17/2023 - current
  • Level two certification for the National Society of Leadership & Success, On line course work, 01/01/2023

Timeline

Manager Health Plan Quality

CHRISTUS Health
08.2023 - Current

Senior Quality Specialist

Magellan Health Care
04.2022 - 08.2023

Supervisor Behavioral Health Critical Incidents

Magellan Health Care
04.2022 - 08.2023

Quality Management Specialist

Blue Cross Blue Shield of New Mexico
02.2015 - 04.2016

Care Coordinator-Self Directed Model

Blue Cross Blue Shield of New Mexico
11.2013 - 02.2015

Master Business Administration Healthcare Management -

Western Governors University

Master Business Administration Healthcare Management -

Western Governors University

Bachelors Degree in Social Work -

University of Iowa

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AMY BALDRIDGE