Benai McClanahan
Mt. Pleasant,US
Summary
Dynamic AVP in Healthcare Services with a proven track record in managing healthcare operations and leading large teams to deliver integrated, proactive care. Expertise includes clinical operations, quality improvement, compliance, and healthcare management, with a strong focus on developing and implementing strategies that enhance clinical services and elevate performance. Committed to fostering innovation and collaboration within healthcare environments to achieve strategic objectives and improve patient outcomes. Recognized for reliability, adaptability, and a results-oriented approach, complemented by skills in project management, financial analysis, and process optimization.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Associate Vice President Healthcare Services
Molina Healthcare
04.2025 - 02.2026
- Designed and executed operational standards and procedures, ensuring alignment and compliance for a workforce exceeding 200 FTEs.
- Designed and applied performance metrics based on data analysis to drive quality improvement initiatives.
- Refined workflows to achieve cost savings while upholding exceptional service standards.
- Cultivated a collaborative environment among cross-functional teams to support achievement of strategic goals.
- Identified and assessed industry trends to guide strategic planning and optimize program development efforts.
- Forged collaborative relationships with community organizations to broaden access to essential healthcare services.
- Monitored and enforced adherence to regulatory requirements, fostering a culture of compliance throughout operations.
- Analyzed and managed intricate budgets, facilitating effective resource distribution for improved investment outcomes.
- Orchestrated change management efforts that supported organizational restructuring while safeguarding ongoing operations from significant disruptions.
- Optimized performance monitoring systems and established motivational approaches to drive team member productivity.
Director Healthcare Services
Molina Healthcare
04.2022 - 06.2025
- Managed a workforce of over 80 FTEs, focusing on driving productivity and achieving superior care delivery results.
- Developed and implemented control frameworks and metrics to ensure compliance and streamline processes.
- Strengthened NCQA, HEDIS, and CMS compliance, supporting audit readiness and quality performance
- Analyzed data trends and formulated strategic recommendations for senior leadership to drive organizational growth.
- Spearheaded cross-functional initiatives to optimize care management utilization and improve patient outcomes.
- Designed and implemented audit training programs aimed at driving performance improvements and operational efficiency.
Manager Healthcare Services
Molina Healthcare
01.2015 - 04.2022
- Directed cross-functional teams to streamline operational workflows and boost productivity.
- Formulated and executed strategic initiatives aimed at optimizing performance and increasing efficiency across departments.
- Managed budget oversight to guarantee resource distribution supports strategic organizational goals.
- Drove process improvement efforts, resulting in heightened quality control standards across operations.
- Implemented cross-training programs to optimize workforce flexibility and effectiveness.
- Executed comprehensive strategies for process enhancement and resource allocation to achieve cost reduction.
Education
Ph.D. - Healthcare Administration
Franklin University
Columbus, Ohio04.2028
Master of Social Work - undefined
University of South Carolina
Columbia, South Carolina05.2013
Bachelor of Science - Psychology
College of Charleston
Charleston, South Carolina12.2007
Skills
- Performance Management
- Utilization Management
- Business Transformation
- Process Improvement (Lean Six Sigma)
- Governance, Risk & Compliance
- Enterprise Risk Management
- Regulatory Compliance (CMS, NCQA, HEDIS, Stars, CAHPS)
- Operational Excellence
- Executive Reporting & Analytics
- Cross-Functional Leadership
- Cost Containment & Financial Performance
- KPI Development & Standardization
- Population Health Management
- Strategic Planning & Execution
Accomplishments
- Reduced audit findings from 400+ to 17, achieving zero health/safety findings and strengthening control effectiveness
- Delivered $60K+ monthly cost savings through utilization and operational improvements
- Built and scaled enterprise KPI and performance reporting frameworks across Medicaid and Medicare populations
- Led enterprise Transitions of Care transformation, reducing readmissions 13.8% → 11.2%
- Expanded leadership scope from 80 → 200+ team members, scaling operations and performance oversight
- Improved data integrity and reporting alignment across analytics, IT, and business stakeholders
- Strengthened compliance and control frameworks aligned with CMS, state, and federal requirements
- Drove operational efficiency through Lean Six Sigma initiatives and workflow optimization
- Aligned cross-functional teams to deliver enterprise-wide performance and compliance outcomes
- Delivered executive-level insights and dashboards enabling data-driven strategic decisions
Affiliations
- National Association of Social Workers
- Member of Psi Chi
Certification
- Licensed Master Social Worker (LMSW) - #10677
- Certified Case Manager (CCM) - #4249432
- Six Sigma Black Belt- #bJC9plqpRK
Timeline
Associate Vice President Healthcare Services
Molina Healthcare
04.2025 - 02.2026
Director Healthcare Services
Molina Healthcare
04.2022 - 06.2025
Manager Healthcare Services
Molina Healthcare
01.2015 - 04.2022
Master of Social Work - undefined
University of South Carolina
Ph.D. - Healthcare Administration
Franklin University
Bachelor of Science - Psychology
College of Charleston
Awards
Summa Cum Laude