Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Brandi Aiken

Gainesville,GA

Summary

Experienced healthcare leader with a strong background in project management, process improvement, and people leadership. Excels in improving operational efficiency and introducing innovative concepts to teams. Proven ability to oversee all aspects of a product or project, making decisive decisions that drive success. Adept in working in projects spanning multiple departments within an organization to include client facing initiatives. Builds and maintains relationships with diverse stakeholders in dynamic, fast-paced environments. Highly organized and flexible with the able to manage multiple priorities with a positive attitude.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Lead Director, Strategy Implementation

CVS Health, Inc.
01.2023 - Current
  • Project managed one year Data Optimization project with Data Engineering, Aetna business (Revenue Integrity), and Signify Health teams to optimize data files to improve data quality for Healthy Home to include 4 lines of business.
  • Identify opportunities for synergies with Signify Health; build and execute on strategy and measure outcomes.
  • Built business case and project managed beginning of new vendor relationship with First Data Bank for Signify Health, navigating legal and privacy processes. Implementation was then turned over to internal Signify team members. Improved Signify's medication knowledgebase with $1.2 million dollar projected ROI.
  • Led project to provide Signify with improved contact information for their entire customer base resulting in increase in scheduling of previously unreachable members. There was 931% ROI.

AVP, Operations

Premise Health (acquired CareHere, LLC in 9/2020)
01.2021 - 10.2022
  • Promoted and led performance enhancement culture by actively coaching and mentoring 7 direct reports with a team of over 100 members to deliver a concierge experience.
  • Reorganized and managed Digital Health Center integrating advanced healthcare IT systems to deliver on-demand primary care, behavioral health, and virtual pharmacy to 2 million members, improving patient experience NPS by 11% in 6 months through operational efficiencies.
  • Developed, monitored and met OKRs.
  • Identified efficiency opportunity in changing of phone systems. Led implementation of moving to new phone system (Five9). Through operational improvements and new phone system, customer wait time was improved from 13 minutes to 2 minutes without the addition of staff.
  • Managed the quick closure of the COVID Serial Testing Team the first month it was trending to be no longer profitable, reassigned the team to other areas of the business.
  • Project Managed launch of Virtual Behavioral Health to include licensure of providers in all 50 states. Led internal employees and credentialing vendor through this project.

Vice President - Population Health Management

CareHere, LLC
01.2018 - 01.2021
  • Led day to day operations of all population health and wellness activities.
  • Led strategic initiatives to improve patient care outcomes through advanced clinical medical and pharmacy claims analytics.
  • Identified opportunities to improve business process flows and productivity leading to over 75% participation in Health Risk Assessment labs.
  • Set KPI's for teams and monitored for success; intervened when necessary.
  • Provided feedback on RFP's and performance guarantees prior to entering new contracts or renewal of contracts.
  • Led all wellness programs for State of Montana and multiple municipalities in the country.
  • Patient-facing product owner - decision-maker for patient facing products and experience. Patient experience NPS score never dipped below 92.
  • Through root cause analysis for several areas of opportunity, identified process improvements and right-sized the wellness program to profitability.
  • Project Manager for the implementation of health coaching programs and wellness incentive programs for new clients.
  • Handled escalated customer complaints and worked to resolution.
  • Via an Agile process, worked with IT team to develop a patient portal and associated mobile application with 30% adoption in the first 2 months.
  • Led team of Directors to serve over 300 clinics at a national level. Advised them through their project management activities.
  • Acted as project manager cross-functionally to define specs and implement a patient scheduling system. This new system decreased missed appointments by 15% through geolocation of member in the SMS and email reminder system.

Senior Director of Wellness Informatics

Premise Health/CareHere, LLC
01.2016 - 01.2017
  • Managed operations of all data exchange, claims closure, and monetary customer incentives.
  • Managed all aspects of implementing a vendor to provide data aggregation of EMR, pharmacy claims, and medical claims to include vendor selection, budget planning, expenditures, timeline, and data integrity for over 30 client transitions to the new vendor and over 70 net new clients.
  • Through medical and pharmacy analysis, made recommendations of medications to add to onsite formulary to improve patient medication compliance.
  • Drove strategic improvements to enhance operational and organizational efficiencies to monitor data integrity for over 100 client implementations.
  • Fostered work culture of collaboration and inclusion to increase morale and reduce turnover.
  • Instituted formal operating procedures and enforced adherence to policies and regulations that impacted bottom-line.

Registered Nurse | Data Analyst

Premise Health/CareHere, LLC
01.2015 - 12.2015
  • Studied cohort data to determine successful programs to continue and less successful patient programs to discontinue based on patient risk score fluctuations.
  • Studied pharmacy claims to determine medications to add to onsite health center formularies.
  • Created a system to track impact of coaching verses medication intervention for over 250,000 patients.
  • Benchmarked providers based on identified and closed gaps in care.
  • Advised Directors of Client Operations and Directors of Health and Wellness on areas of opportunity within their respective areas based on provider data, medication data, and biometric data.

Director of Health and Wellness

CareHere, LLC
01.2012 - 01.2014
  • Administered guidance to over 150 clientele, partners, and vendors in the areas of health and wellness programming, wellness incentive development, and aggregate and cohort reporting to mitigate health risk and associated medical costs while encouraging healthy lifestyles.
  • Developed and maintained positive relationships with community members, businesses and vendors to build trust and rapport.
  • Conducted needs assessments or surveys to determine interest in or satisfaction with wellness and incentive programs, events or services. This experience created a internal drive in future roles to impact satisfaction surveys. Later improved wellness NPS by 7 points.

Registered Nurse Health Coach/Care Coordinator

CareHere, LLC
01.2011 - 01.2012
  • Provided care management for patients in 7 states while also facilitating in person classes and presentations on chronic condition management and healthy lifestyle choices.
  • Established coaching plans of care through evidence-based methodologies, driving more robust patient outcomes and reducing employer cost when applicable. YoY claims increase 2% below national average.
  • Coordinated large HRA events for up to 10,000 patients ensuring all supplies arrived at location (usually out of state), stayed within budget, and adequate staffing was available and trained for their role at event. This often required using a staffing agency in advance of event.

RN Case Manager

Gentiva Healthcare
01.2009 - 06.2011
  • Provided hospice case management nursing in long-term care (LTC) and assisted living facilities (ALF); palliative care management and end of life care.
  • Managed medication plans and changes for patients as needs of the patient changed.
  • Worked with LTC and ALF management in implementing care plan changes.
  • Provided in-home hospice visits. Consistently managed caseload of 20-25 patients.
  • Nursing Excellence Award - voted on by peers.

RN, Neuroscience

Athens Regional Medical Center - Armc
09.2007 - 01.2009
  • Medication management for 7-8 total care patients per shift.
  • Assisted in launch of new EMR system.
  • Patient education and discharge planning.

Education

Master of Science - Healthcare Administration

Western Governors University
Salt Lake City, UT
12.2019

Bachelor of Science - Business Administration And Management

Georgia Southwestern State University
Americus, GA
05.2014

Associate of Science - Nursing

North Georgia College & State University
Dahlonega, GA
05.2008

Skills

  • PMP Certification
  • Clinical Analytics- PBM/Medical Claims
  • Agile
  • Project Management
  • Cross-functional team leadership
  • Budgeting/P&L
  • Proficiency in Rally, Asana, and TFS
  • Registered Nurse
  • People Leadership/Team Building
  • Logistics Management

Certification

  • PMP - Project Management Professional
  • Registered Nurse

Timeline

Lead Director, Strategy Implementation

CVS Health, Inc.
01.2023 - Current

AVP, Operations

Premise Health (acquired CareHere, LLC in 9/2020)
01.2021 - 10.2022

Vice President - Population Health Management

CareHere, LLC
01.2018 - 01.2021

Senior Director of Wellness Informatics

Premise Health/CareHere, LLC
01.2016 - 01.2017

Registered Nurse | Data Analyst

Premise Health/CareHere, LLC
01.2015 - 12.2015

Director of Health and Wellness

CareHere, LLC
01.2012 - 01.2014

Registered Nurse Health Coach/Care Coordinator

CareHere, LLC
01.2011 - 01.2012

RN Case Manager

Gentiva Healthcare
01.2009 - 06.2011

RN, Neuroscience

Athens Regional Medical Center - Armc
09.2007 - 01.2009

Master of Science - Healthcare Administration

Western Governors University

Bachelor of Science - Business Administration And Management

Georgia Southwestern State University

Associate of Science - Nursing

North Georgia College & State University

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Brandi Aiken