Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Chelsea Collins

Tully,NY

Summary

Strong leader and problem-solver with a history of meeting and exceeding role and responsibility goals as a Strategy Director. Experienced in working under pressure to ensure deliverables are completed timely and in a manner fitting for senior leadership team approval. Ability to drive independent decision-making and sound judgment, positively impact company success with a history of meeting company goals utilizing consistent and organized practices. Ability to adapt to new situations and challenges to best enhance the organizational mission, goals, and objectives is one of many strengths.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Business Change Director

Elevance Health
12.2022 - Current
  • Monitored and coordinated workflows to optimize and improve outcomes relating to low performing HEDIS measures in Medicare line of business
  • Leveraged data analytics insights for informed decision-making to identify opportunities to alter and improve member engagement strategies for HEDIS gap closure
  • Spearheaded innovative approaches to improve performance of low performing HEDIS measures i.e., enterprise wide workgroup sessions that drove measurable change in Osteoporosis Women with a Fracture measure
  • Identification for improved stakeholder efficiency with strategic planning, resource allocation, and time management practices relating to vendor engagement and program launch in Medicare line of business i.e., Request for Information for broad scale vendor vetting and onboarding rollout
  • Established and maintained monthly working sessions with senior leaders across organization to discuss, identify, and collaborate to improve member engagement and journey for HEDIS gap closure
  • Direct responsibility and contribution for Alternative Care Delivery Model as overarching HEDIS performance improvement solution

Business Change Manager

Elevance Health
08.2021 - 12.2022
  • Oversaw change management efforts to support implementation of critical initiatives within HEDIS driving technology, process and culture changes.
  • Led workshops and focus groups aimed at gathering input from various stakeholders, promoting collaborative decision-making in shaping change plans as it related to Osteoporosis Management in Women HEDIS measure
  • Built support for change throughout business unit through direct outreach strategies.
  • Spearheaded process mapping exercises to clearly document current state operations, enabling more accurate identification of opportunities for improvement during transformation effort by working with internal stakeholders with analytical and data driven lens
  • Facilitated stakeholder buy-in through effective communication and engagement activities, promoting unified approach to change initiatives relating to low performing HEDIS measures
  • Collaborated to develop detailed and relevant reports for use in making business decisions pertaining to vendor management and performance
  • Ongoing collaboration in a mixed matrix environment to identify, onboard, launch, and manage a vendor for HEDIS gap closure solutions

Senior Stars Improvement Clinical Professional

Humana Inc
10.2016 - 07.2021
  • Gained extensive knowledge in data entry, analysis and reporting and acted as SME for program level decision making relating to Embedded Nurse Care Coordinator role
  • Acted as team leader in group projects, delegating tasks and providing feedback for Embedded Nurse Care Coordinator role
  • Learned and adapted quickly to new technology and software applications which helped to improve documentation efficiency, reduce time spent on clerical tasks, and increase member facing engagement
  • Proved successful working within tight deadlines and a fast-paced environment in HEDIS space
  • Exercised leadership capabilities by successfully motivating and inspiring others ensuring that direct reports had a clear understanding and ownership of their involvement in their immediate contribution and how it relates to company mission, goals, and objectives
  • Proven ability to develop and implement creative solutions to complex problems such as development and implementation of breast cancer screening outreach initiative, medication adherence pilot, and diabetic retinal eye exam record collection

Education

Master of Public Health - Public Heath And Community Health

Baylor University
Waco, TX
06.2023

Bachelor of Science - Health Sciences

Le Moyne College
Syracuse, NY
05.2020

Licensed Practice Nurse - Nursing

OCMBOCES
Syracuse, NY
01.2012

Skills

  • Vendor Relations, Negotiation, Contract Management and Development
  • Program/Project Management, Process Improvement
  • KPI tracking that help identify and drive strategies and goals
  • Budget Management, Monitoring, and Control
  • Data Analysis
  • Experience with delivery high quality verbal and written communication to senior leadership with minimal oversight
  • Ability to work in mixed matrix, cross collaboration environment with successful outcomes
  • Proficient in Word, Excel, Visio, PPT, and utilization of various tableau dashboards

Certification

  • Licensed Licensed Practice Nurse 309059 New York - 2012-Present

Additional Information

In addition to my extensive history in quality and HEDIS, I leverage my experience as a nurse in the clinical setting to keep a lens of humanity with our customers that we work with day to day. Its important to remember that we a establishing and maintaining ourselves at Elevance as a life long and trusted partner in healthcare. The combination of clinical expertise and strategy allow for me to prioritize operational excellence while ensuring that our members reap the reward of high quality healthcare.

Timeline

Business Change Director

Elevance Health
12.2022 - Current

Business Change Manager

Elevance Health
08.2021 - 12.2022

Senior Stars Improvement Clinical Professional

Humana Inc
10.2016 - 07.2021

Master of Public Health - Public Heath And Community Health

Baylor University

Bachelor of Science - Health Sciences

Le Moyne College

Licensed Practice Nurse - Nursing

OCMBOCES
Chelsea Collins