Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
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Carissa Stajnrajh

Carissa Stajnrajh

Canonsburg

Summary

With over 20 years of healthcare experience, highly accomplished Client Success Executive skilled in payer and delivery systems. Expertise in streamlining processes, improving customer experiences, and reducing costs through innovative solutions and technology. Deeply passionate about fostering client relationships and driving sustainable growth with strategic account planning and business development expertise.

Overview

22
22
years of professional experience

Work History

Vice President, Client Management

Emcara Health
07.2023 - Current
  • Company Overview: a GuideWell company
  • Lead client relations, achieving top satisfaction and excellent NPS ratings
  • Engaged with senior management to improve client loyalty and business expansion.
  • Optimize account management processes while serving dual role as Interim VP of Business Development, securing multiple new contracts within initial months

Vice President, Business Development

Insightin Health
08.2020 - 07.2023
  • Led customer initiatives, boosting engagement and satisfaction, driving significant growth
  • Developed clinical products, generating market interest and expanding reach
  • Streamlined processes, enhancing efficiency from prospecting to contract execution
  • Spearheaded business development initiatives, establishing strategic partnerships and optimizing customer touchpoints to drive sustainable growth and market expansion

Director, Clinical Operations

Highmark Inc.
08.2018 - 08.2020
  • Led 90+ staff, ensuring compliance with multi-state clinical regulations
  • Achieved $16.7M savings over 3 years, redeploying 12 FTEs
  • Identified $1.2M annual cost avoidance in Special Needs Plan
  • Guided team to secure Highmark Wholecare's first 4 Star rating

Director, Care Delivery

Lumeris
12.2015 - 08.2018
  • Led clinical transformation education for 50+ physician sites, improving care delivery outcomes
  • Built a network of 360+ physicians, managing 125K+ lives, enhancing system efficiency
  • Implemented program optimization for 300+ case managers, boosting operational effectiveness

Manager, Health Promotion

Highmark Inc.
07.2008 - 12.2015
  • Promoted within first two years of employment
  • Led 21-member team, improving wellness programs with measurable health outcomes
  • Developed tobacco cessation curriculum, achieving significant participant success
  • Facilitated enterprise-wide change, delivering substantial organizational improvements
  • Managed team operations, ensuring high-quality health promotion services

Evaluation Therapist

Gateway Rehabilitation Center
01.2005 - 01.2008
  • Conducted psychosocial assessments for adults and adolescents with substance and mental health issues
  • Recommended treatment plans and coordinated with managed care for effective patient care
  • Led a health monitoring program for 30+ physicians, ensuring compliance with treatment conditions

Residential Advisor

UPMC Western Psychiatric Institute and Clinic
01.2003 - 01.2006
  • Ensured staff met training standards, boosting certification and audit readiness
  • Led group therapy sessions, maintaining unit operations smoothly
  • Enhanced compliance, improving staff performance and audit outcomes

Education

Master of Social Work -

University of Pittsburgh
01.2006

Bachelor of Science - Psychology

Saint Vincent College
01.2003

Skills

  • Data-driven decision making
  • Critical thinking
  • Adaptability and flexibility
  • Team building leadership
  • Relationship building and management
  • Customer relationship development
  • Proactive and focused
  • Business development expertise
  • Market trend analysis
  • Strategy development

Affiliations

Board Positions

Past President | HIMSS, Keystone Chapter

2023 - Present

The Healthcare Information and Management Systems Society (HIMSS) is a global, non-profit organization that focuses on improving healthcare through the use of health information technology (HIT) and data management systems. I have served on the board as President for 3 terms and am now the Past President.

President | HIMSS, Western PA Chapter

2020 - 2023

I served for 2 years as the President of the Western PA Chapter of HIMSS and ultimately drove a strategic collaboration with the Central PA Chapter to ensure sustainability and scalability creating the Keystone Chapter. I then served as President in the inaugural year of the Keystone HIMSS chapter before becoming Past President.

Timeline

Vice President, Client Management

Emcara Health
07.2023 - Current

Vice President, Business Development

Insightin Health
08.2020 - 07.2023

Director, Clinical Operations

Highmark Inc.
08.2018 - 08.2020

Director, Care Delivery

Lumeris
12.2015 - 08.2018

Manager, Health Promotion

Highmark Inc.
07.2008 - 12.2015

Evaluation Therapist

Gateway Rehabilitation Center
01.2005 - 01.2008

Residential Advisor

UPMC Western Psychiatric Institute and Clinic
01.2003 - 01.2006

Master of Social Work -

University of Pittsburgh

Bachelor of Science - Psychology

Saint Vincent College
Carissa Stajnrajh