Caryn McKee
Regional Operations Supervisor
Chesapeake,USA
Summary
Dynamic healthcare operations leader with extensive experience at DaVita, driving over $200M in shared savings through strategic care coordination and data analytics. Expert in Medicare and Medicaid, with a proven ability to enhance patient engagement and resolve complex claims issues. Adept at fostering team collaboration and implementing process improvements for optimal outcomes.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Regional Operations Supervisor
DaVita Integrated Kidney Care
Richmond, VA
01.2021 - Current
- Lead strategic partnerships between contracted Nephrology practices and dialysis providers, ensuring alignment with the Value-Based Comprehensive Kidney Care Contracting (CKCC) model to improve patient outcomes and reduce healthcare costs.
- Manage Care Coordinators, set performance expectations, providing ongoing coaching, and ensuring consistent delivery of high-quality non-clinical care coordination for patients with chronic disease.
- Monitor and analyze CMS performance metrics, translating data into actionable strategies that drive quality improvement, enhance patient engagement, and increase shared savings opportunities.
- Facilitate quarterly performance and strategy meetings with provider partners, presenting value-based care results, identifying gaps, and implementing targeted interventions.
- Collaborate cross-functionally with Clinical Teams, Social Workers, and Provider Relations to develop integrated care strategies that address patient barriers and improve care continuity.
- Implement process improvements to streamline workflows, enhance communication between care teams, and maintain compliance with federal, state, and organizational regulations.
- Achieved over $200M in shared savings by optimizing care coordination, leveraging data analytics, and driving adherence to CKCC program goals.
- Serve as a professional development advocate, mentoring team members to advance their skills and prepare for internal career growth opportunities.
Insurance Counselor II
DaVita Dialysis
, Mid-Atlantic Region
01.2016 - 01.2021
- Managed benefits coordination for End Stage Renal Disease (ESRD) patients within the Mid-Atlantic region; ensuring insurance provider education, timely enrollment and continuous coverage.
- Conducted comprehensive benefits cost analysis for Employer Group Health Plans (EGHP), Medicare, Medicaid, and COBRA to identify the most cost-effective and comprehensive coverage options for each patient.
- Partnered with commercial and government health plans to expedite prior authorizations, resolve eligibility disputes, and correct claims errors, reducing service delays and preventing treatment interruptions.
- Implemented proactive outreach campaigns to identify and address insurance gaps, resulting in a 95% reduction in uninsured patient population in the assigned territory.
- Maintained meticulous documentation and reporting in compliance with HIPAA and CMS regulatory requirements, ensuring full audit readiness.
- Collaborated cross-functionally with Social Workers, Clinical Teams, and Financial Coordinators providing community resources and governmental initiatives for the betterment of the patients that utilize dialysis treatments.
Patient Relations Liaison
Village Health-DaVita Dialysis
, Mid-Atlantic Region
01.2012 - 01.2016
- Acted as the primary non-clinical liaison between patients, families, and dialysis care teams, ensuring concerns were addressed quickly and effectively to maintain a high standard of service.
- Partnered with hospital discharge planners, social workers, and interdisciplinary care teams to coordinate seamless patient transitions from acute care settings to outpatient dialysis facilities, minimizing care interruptions.
- Provided individualized benefits counseling to patients, explaining Medicare entitlements, supplemental coverage options, and available state and federal assistance programs.
- Educated patients on treatment modalities and care pathways, enabling them to make informed healthcare decisions and improving overall engagement in their treatment plans.
- Identified and escalated systemic service issues to leadership, contributing to process improvements that enhanced patient satisfaction and reduced service delays.
- Maintained HIPAA compliance in all communications and documentation to safeguard patient privacy.
Chief Operating Officer (COO)
ALL Pro Insurance Agency
Chesapeake, VA
01.2005 - 01.2012
- Directed daily operations for a multi-line insurance agency serving both small business and individual clients across multiple lines of coverage.
- Managed and sold Property & Casualty insurance policies (auto, home, renters, commercial) and Life & Health insurance products, ensuring compliance with underwriting and regulatory requirements.
- Coordinated open enrollment events, delivered on-site benefits and insurance presentations, and provided ongoing client service to maintain strong retention rates.
- Oversaw claims resolution for all lines of business, working directly with carriers and clients to ensure timely settlements and high satisfaction.
- Recruited, trained, and coached sales agents in consultative selling techniques for both group and individual markets, increasing overall agency revenue.
- Developed marketing strategies and community outreach initiatives that expanded the agency’s client base and strengthened brand presence.
National/Large Group Service Coordinator
Kaiser Permanente Mid-Atlantic National & Large Group
Rockville, MD
01.2002 - 01.2005
- Served as the central coordination point between employer group clients, health plan operations, and internal service teams to ensure timely and accurate benefit delivery.
- Managed coordination of the RFP process for large employer groups, collecting requirements, compiling plan data, and ensuring proposals met client needs.
- Scheduled, organized, and facilitated open enrollment events, service days, and wellness fairs to promote benefit understanding and preventive care.
- Coordinated responses to escalated claims, benefit, and eligibility issues, gathering details from internal teams and communicating resolutions to clients.
- Tracked and monitored service requests to ensure resolution within service level agreements.
- Assisted with report preparation on plan utilization, retention, and loss ratios to support leadership in identifying trends and opportunities for improvement.
- Maintained strict compliance with HIPAA and regulatory requirements.
Education
AAS - Health Information Management
Colorado University
Denver, COSkills
- Employer group health plans management
- Benefits administration and enrollment
- Claims and eligibility resolution
- RFP process coordination
- Medicare and Medicaid expertise
- Commercial plan knowledge
- CMS value-based care models
- Provider and client communication
- Data tracking and reporting
- HIPAA compliance and regulatory adherence
- Team collaboration and process improvement
- Healthcare analytics proficiency
- Quality assurance practices
- Process automation techniques
- Patient engagement strategies
- Conflict resolution skills
- Adaptability in dynamic environments
- Strategic thinking capabilities
Accomplishments
- Secured millions of dollars in shared savings through Value-Based Care initiatives.
- Reduced uninsured dialysis patient population by 95%.
- Consistently met or exceeded service and satisfaction goals in high-volume group benefit settings.
- Developed process improvements to streamline benefits education and service delivery.
Certification
- Life, Health and Annuities Licensed Producer-Virginia-Maryland-North Carolina
Timeline
Regional Operations Supervisor
DaVita Integrated Kidney Care
01.2021 - Current
Insurance Counselor II
DaVita Dialysis
01.2016 - 01.2021
Patient Relations Liaison
Village Health-DaVita Dialysis
01.2012 - 01.2016
Chief Operating Officer (COO)
ALL Pro Insurance Agency
01.2005 - 01.2012
National/Large Group Service Coordinator
Kaiser Permanente Mid-Atlantic National & Large Group
01.2002 - 01.2005
AAS - Health Information Management
Colorado University