Brandi R. Stickley
Bloomingdale
Summary
Experienced healthcare professional with over 15 years of expertise in payor contract management, and quality improvement. Skilled in analyzing complex datasets, resolving payor-related issues, and leading educational initiatives to improve revenue performance. Proven ability to collaborate with internal stakeholders and external payors to ensure compliance with contractual terms and optimize reimbursement strategies.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Population Health Data Analyst
Bronson Network
04.2018 - Current
- Collaborate with Quality Specialists to maintain PCMH designation across primary care practices.
- Analyze internal/external quality metrics to identify improvement opportunities.
- Develop and manage payor incentive scorecards, optimizing financial rewards for practices.
- Maintain accurate provider rosters for major payor programs.
- Advocate for data transparency and accountability in payor meetings.
- Lead resolution of complex payor-related issues and coordinate stakeholder communication.
- Develop educational resources and tools to inform internal teams on payor guidelines and contract terms.
Payor Incentive Coordinator
Bronson Network
09.2016 - 04.2018
- Managed insurance incentive programs including Priority Health, BCBS, and PQRS.
- Analyzed quality data to identify areas for improvement in primary care offices.
- Ensured PCMH designation for primary care practices.
- Collaborated with payors to review quality data and improvement strategies.
- Built relationships with practice managers and directors.
- Reconciled billing data discrepancies between payors and Epic system.
- Supported contract compliance monitoring and facilitated payor meetings.
Physician Office Coordinator
Bronson HealthCare Midwest
06.2015 - 09.2016
- Assisted manager with daily operations and coordinated staff payroll and PTO.
- Tracked CME reimbursements for providers and maintained department scorecards.
- Managed insurance incentive programs and analyzed quality data.
- Redesigned and implemented new medical assistant workflow across practices.
- Monitored workflow effectiveness through data analysis.
- Facilitated communication between departments to improve operational efficiency.
Corporate Programs Coordinator
Bronson HealthCare Midwest
06.2012 - 06.2015
- Oversaw insurance incentive programs and analyzed quality data for improvement.
- Supervised Corporate Clinical Specialist and managed their schedules and payroll.
- Supported department operations and led special projects for service line Director.
- Coordinated internal education initiatives related to payor activities.
CMA/Clerical Generalist
HealthCare Midwest Sleep Health
09.2008 - 06.2012
- Performed medical assistant duties and led Meaningful Use roll-out.
- Handled business office procedures including scheduling and phone support.
- Improved workflow between business and clinical staff.
- Analyzed data for process improvement and represented office in quality initiatives.
Education
Certificate - Medical Assisting
Everest Institute
Kalamazoo, MI01.2008
Pre-Athletic Training Coursework
Western Michigan University
Kalamazoo, MI01.2007
Skills
- HIPAA compliance
- Healthcare analytics
- Quality improvement
- Data validation
- Attention to detail
- Reliability
- MS Office
- Epic certified
Certification
- Epic Caboodle Data Model
- Epic Clarity Data Model
- Epic Cogito
Timeline
Population Health Data Analyst
Bronson Network
04.2018 - Current
Payor Incentive Coordinator
Bronson Network
09.2016 - 04.2018
Physician Office Coordinator
Bronson HealthCare Midwest
06.2015 - 09.2016
Corporate Programs Coordinator
Bronson HealthCare Midwest
06.2012 - 06.2015
CMA/Clerical Generalist
HealthCare Midwest Sleep Health
09.2008 - 06.2012
Pre-Athletic Training Coursework
Western Michigan University
Certificate - Medical Assisting
Everest Institute
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