Angie Eads
Humana
Martinsville,IN
1
Language
1
Certification
15
years of professional experience
Transformative healthcare leader with over 30 years of experience in driving innovation and strategic growth across the healthcare continuum. Expertise includes Long-Term Services and Supports, Medicare, Medicaid, managed care, and behavioral health. Proven success in developing programs, navigating regulatory landscapes, and fostering stakeholder collaboration. Committed to enhancing care quality and organizational performance through impactful partnerships and strategic initiatives.
Work History
Director of Clinical Services
7 Months- Directed multidisciplinary teams in implementing evidence-based practices across clinical programs.
- Led development of clinical service strategies to enhance patient care delivery and outcomes.
- Oversaw compliance with regulatory requirements, ensuring adherence to quality standards in clinical services.
- Analyzed performance metrics to identify opportunities for process improvements and operational efficiencies.
- Championed best practice sharing among departments, resulting in more consistent execution of patient care processes and improved outcomes.
- Improved interdisciplinary collaboration, fostering strong working relationships among medical professionals for optimal patient outcomes.
PathWays Director of Operations
2 Years 7 Months- Developed and implemented operational strategies to enhance service delivery and patient care quality.
- Oversaw compliance with regulatory requirements, ensuring adherence to industry standards and best practices.
- Implemented performance metrics to evaluate team effectiveness, driving accountability and continuous improvement.
- Analyzed operational data to identify trends, informing strategic decisions that improved service outcomes.
- Oversaw daily operations across multiple departments, ensuring seamless coordination and efficient execution of tasks.
- Collaborated with senior management to develop and execute long-term corporate goals and objectives.
- Established strong partnerships with vendors, suppliers, and key stakeholders to improve collaboration and ensure alignment with business requirements.
State Clinical Services Director
1 Year 1 Month- Developed and oversaw clinical and specialty services within nine Tennessee offices to support residential or vocational programs and independent clinical service lines.
- Oversaw clinical teams in nine area offices, managing clinical services encompassing strategic planning, growth, regulatory compliance, quality improvement, stakeholder relations, and advocacy.
- Partner with Operational and Executive Leadership Teams to assess clinical support options for specialty programs and develop strategies to implement identified opportunities.
- Manage regulatory and licensing compliance for all clinical supports to individuals served, ensuring adherence to accreditation standards in accordance with national and state guidelines.
- Developed and maintained relationships with local and state specialty service advocacy and legislative groups, while fostering relations with state and regional government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators.
- Participate in nursing research and evidence-based clinical audits and leverage data to improve research-based methodologies within clinical areas.
- Developed, implemented, and evaluated policies and procedures to ensure alignment with accreditation standards and regulatory requirements.
Clinical Capabilities Manager
3 Months- Developed vendor standards and collaborated with cross-functional teams to establish partnerships aligned with needs of internal and external stakeholders and state partners.
- Maintained ongoing vendor relationships to ensure effective collaboration.
- Established goals and evaluation strategies to determine program effectiveness and evaluate vendor performance tied to contractual agreements for all vendors.
- Established goals and evaluation strategies to assess program effectiveness and vendor performance against contractual agreements.
- Identified improvement areas and enhanced efficiencies associated with vendor management.
- Facilitated and maintained vendor relationships.
Statewide Manager
4 Years 8 Months- Oversaw daily clinical and programmatic operations of Employment and Community First CHOICES (ECF) and Employment and Community First Dual Special Needs Plan PLUS (ECF DSNP PLUS) Programs and led innovations within these programs to support those with Intellectual and/or Developmental Disabilities, including medical management activities across state continuum of care.
- Executed the integration of 1915 (c) state-wide waivers and ICF/IDD programs into managed care.
- Cross-trained employees to enhance team agility and performance.
- Established and maintained partnerships with State Government to support program objectives.
- Controlled costs to keep the business operating within budget and increase profits.
- Managed costs to ensure budget adherence while supporting program sustainability.
- Set aggressive targets for employees to drive company success.
Statewide Manager
1 Year 7 Months- Managed clinical operations across continuum of care for CHOICES Members, ensuring effective case management, care coordination, and medical management consulting while fostering provider relationships and partnerships with state partners.
- Developed and implemented business strategies to align with business goals and maintain competitive edge.
- Monitored and analyzed business performance, identifying improvement areas and implementing adjustments for optimal results.
Care and Transitions Coordinator
3 Years 10 Months- Managed case coordination for CHOICES members, facilitating person-centered services and supports for external stakeholders.
- Coordinated transitions of members from nursing facilities to community settings across Middle Tennessee, ensuring smooth integration.
- Collaborated with provider relations, medical director, health service directors, and clinical management staff to refine operating procedures.
- Direct collaboration with Provider Relations, Medical Director, Health Service Directors, and Clinical Management Staff related to operating procedures.
- Spearheaded and implemented new projects to expand the scope of engagement.
Education
Master of Healthcare Administration - Healthcare
Bachelor of Science - Nursing
Associate of Science - Nursing
Licensed Practical Nurse - Nursing
Skills
Healthcare Program Design & Implementation
Clinical Quality Standards (HEDIS
NCAQ)
Regulatory Compliance & Risk Mitigation
Integrated Care Coordination & Population Health
Stakeholder Engagement & Provider Relations
Operational Oversight & Performance Optimization
Process Improvement & Change Management
Data Analysis & Decision Support
Cross-Functional Team Leadership
Strategic Planning & Vision Development
Business Development & Market Expansion
RFP Strategy & Proposal Leadership
Contract Negotiation & Vendor Management
Government Relations & Policy Advocacy
Medicare
Medicaid
LTSS Expertise
Healthcare administration
Healthcare management
Accomplishments
- Completion of UnitedHealth Group's Emerging Leader Program
- Completion of Adult Personal Outcomes Measures Training
Certification
Certified Case Manager
LANGUAGE
English - Native
Timeline
Director of Clinical Services
Humana
01.2026 - CurrentRead More
PathWays Director of Operations
UnitedHealthcare
06.2023 - 01.2026Read More
State Clinical Services Director
Sevita Health Services
05.2022 - 06.2023Read More
Clinical Capabilities Manager
United Healthcare
02.2022 - 05.2022Read More
Statewide Manager
United Healthcare Community & State
06.2017 - 02.2022Read More
Statewide Manager
United Healthcare Community & State
11.2015 - 06.2017Read More
Care and Transitions Coordinator
United Healthcare Community & State
01.2012 - 11.2015Read More
Tennessee College of Applied Technology
Licensed Practical Nurse from Nursing
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Excelsior College
Associate of Science from Nursing
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King University
Bachelor of Science from Nursing
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Grand Canyon University
Master of Healthcare Administration from Healthcare
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