Brandy Tuech, R.N.
Helena,USA
Summary
Results-oriented Senior Clinical Execution Lead with over a decade of experience in managing teams in value-based care. Manages clinical and technical programs, develops workflows, and oversees population health training and clinical data integration teams. Drives population health platform usage and enhances ROI while ensuring regulatory compliance and policy development for whole person patient care.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Population Health Senior Execution Lead
HCSC-CareAllies
02.2020 - Current
- Lead population health training team to develop effective workflows and training materials.
Facilitated lunch and learn sessions to promote knowledge sharing among team members.
Conducted user acceptance testing (UAT) for test case development and implementation. - Lead population health training team to develop effective workflows and training materials.Facilitated lunch and learn sessions to promote knowledge sharing among team members.Conducted user acceptance testing (UAT) for test case development and implementation.
- Collaborate with payer entities to improve the quality of care for patients.
- Generated value in clinical workflows designed to foster and maintain adoption.
- Directed all lines of business management in conjunction with key matrix partners to optimize workflow development and improve patient clinical outcomes.
- Increased revenue via implementation of efficient workflow processes while maintaining compliance standards.
- Possess change management expertise for user adoption of new clinical workflows and platform utilization
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
- Recently acquired our clinical data integration team responsible for acquiring providers' EMR connections as well as HIE connections, individual and national.
- Oversaw scheduling and resource allocation for effective team performance.
- Led regular team meetings to address concerns and share best practices among staff.
- Analyzed feedback from clients to identify areas for service enhancement and innovation.
- Provided leadership during times of organizational change or crisis situations.
- Trained employees on additional job positions to maintain coverage of roles.
- Recruited and hired qualified candidates to fill open positions.
- Coached, mentored and trained team members in order to improve their job performance.
- Monitored staff performance and addressed issues.
- Implemented process improvements to streamline administrative functions within the organization.
- Maintained up-to-date records of employee attendance, payroll information, vacation requests.
Population Health Adoption Manager
HCSC-CareAllies
02.2016 - 01.2020
- Led the development and implementation of our population health tool.
- Fostered innovative ideas to enhance employee adoption of our population health tool, improving care management and outcomes for our patient population.
- Collaborate with a variety of teams and key stakeholders to develop project plans for implementation activities.
- Participate in and help facilitate release testing, including the development and validation of test cases in conjunction with coordinating appropriate business and IT owners for product releases.
- Continue to stay educated on current HEDIS and Stars initiatives to assist where needed for all lines of business.
- Collaborate with all departments to ensure compliance with all legal guidelines.
- Managed team operations to ensure efficient service delivery for healthcare client. Managed and oversaw training and implementation activities from a regional perspective, providing direction and support to stakeholders for multiple markets.
- Design, develop, and implement training specific to the various project initiatives, including course content, delivery mechanisms, etc.
- Collaborates with an adoption committee alongside external vendors to formulate ideas and actions to drive population health adoption rates for internal as well as external users.
- Participate in monthly usage read out meetings for senior leadership.
- Conducted classroom training and facilitation to meet business needs.
- Ensured compliance with all applicable laws, regulations, industry standards.
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Established processes to ensure efficient workflow throughout the organization.
- Led team meetings and one-on-one coaching sessions to continuously improve performance.
- Created monthly reports for senior management summarizing operational performance metrics.
- Managed vendor relationships by negotiating contracts and ensuring timely delivery of goods and services.
- Streamlined communication channels, improving information flow and decision-making speed.
- Conducted performance reviews for team members.
- Coordinated cross-departmental projects to ensure timely and successful completion.
- Led a team of ten employees, in three different roles ensuring high productivity meeting deadlines.
- Enhanced team morale and retention through recognition programs and career development opportunities.
- Oversaw daily operations, maintaining efficiency and quality standards.
- Delegated work to staff, setting priorities and goals.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Reviewed completed work to verify consistency, quality, and conformance.
- Organized team activities to build camaraderie and foster pleasant workplace culture.
Supervisor of care coordination agreements
Partnership for Quality
11.2011 - 02.2016
- Supervisor of care coordination agreements of partnership for quality to improve patient outcomes with preventative data abstraction nurses in the Georgia and Carolina markets.
- Partnership for Quality nurse/Community Case Management/Utilization Case Management.
- Performed calls to patients in clinical programs to set goals, discuss how to keep the goals we set and create care plans for the patient while also addressing any barriers to care they may have for specific clinical programs such as Diabetes programs.
- Performed medical record review and abstraction in support of annual HEDIS project and Star ratings.
- Applied structured auditing criteria to determine compliance standards.
- Reviewed and abstracted paper and electronic medical records and completed audits to determine if the quality-of-care measures, as defined by NCQA for the current year's HEDIS audit had been met.
- Entered findings in a database.
- Facilitated productive relationships with practitioners and their office staff.
- Liaison between the Health Plan and Practitioners' office.
- Perform Annual Wellness physicals on Cigna Health Care patients in Practitioners offices ensuring all quality measures were addressed and all HCCs were addressed accurately and appropriately.
- Ensure Stars and quality measures are being met.
- Weekly Patient round table meetings to discuss high utilizing patients with Health Plan Medical Directors.
- Ensuring our members have necessary preventative tests, lab work, and 90 day medication refills on all maintenance medications while assisting in driving Stars initiatives and HEDIS analysis.
Registered nurse-IMC (Step down)/Medical Surgical
Shelby Baptist Medical Center
Alabaster, Alabama
02.2011 - 11.2011
- Conducted patient assessments and intake evaluations to gather comprehensive health histories.
- Administered medications, injections, IVs, and various treatments as per established protocols.
- Monitored vital signs, identified complications, and coordinated care with critical care teams.
- Educated patients and families on health management, discharge procedures, and treatment options.
- Collaborated with interdisciplinary teams to create and implement individualized patient care plans.
- Documented patient care activities accurately in electronic health record systems.
- Maintained a safe environment by adhering to infection control policies and procedures.
- Provided emotional support and counseling to patients and families throughout the care process.
Education
Associate of Applied Science - Nursing
Wallace State Community College
Hanceville, AL01-2010
Skills
- Clinical integration
- Data management
- EMR Software
- Workflow optimization
- Performance monitoring
- Strategic planning
- Analytical thinking
- Problem resolution
- Task prioritization
- Organization and time management
- Collaboration and teamwork
- Training and development
- Webex and Teams
- Communication skills
- Relationship building
- Supervision and leadership
- Public speaking
Certification
AL RN License, 1-128563, 12/31/26
Timeline
Population Health Senior Execution Lead
HCSC-CareAllies
02.2020 - Current
Population Health Adoption Manager
HCSC-CareAllies
02.2016 - 01.2020
Supervisor of care coordination agreements
Partnership for Quality
11.2011 - 02.2016
Registered nurse-IMC (Step down)/Medical Surgical
Shelby Baptist Medical Center
02.2011 - 11.2011
Associate of Applied Science - Nursing
Wallace State Community College