Colleen Thedieck
Creedmoor,NC
Summary
Strategic healthcare executive with extensive experience in managed care, provider contracting, and value-based payment models. Proven ability to lead teams, negotiate high-impact contracts, and drive financial and operational efficiencies. Adept at leveraging AI tools, process automation, and payer relationship management to optimize reimbursement strategies and improve care delivery models.
Results-driven leader with strong background in strategic management and organizational growth. Skilled in developing and implementing effective business strategies, optimizing processes, and driving team performance. Known for adaptability, effective collaboration, and delivering measurable outcomes in dynamic environments. Strong communication and problem-solving abilities, coupled with focus on fostering productive and positive team culture.
Overview
15
15
years of professional experience
Work History
Director, Managed Care
WakeMed Health & Hospitals
12.2023 - Current
- Established & Led High-Performing Team: Recruited and developed a two-member managed care team within 8 months, enhancing contract management and payer negotiations
- Introduced AI-driven analytics tools to identify payment discrepancies, streamline claim settlements, and optimize reimbursement cycles
- Recovered $600K+ in Previously Written-Off Revenue: Recouped over $600K in settlements from payors by conducting a deep-dive root cause analysis and renegotiating underpaid claims
- Took a 'fresh start' approach to payer relations, improving contract transparency and strengthening long-term partnerships
- Optimized Interdepartmental Communication & Efficiency: Developed a SharePoint portal housing SOPs, contract templates, and key resources, reducing confusion and empowering independent decision-making
- Redesigned workflows to cut 10+ hours of unnecessary meetings per week, reallocating time toward strategic initiatives
Physical Health Contract Manager, Managed Care
Vaya Health
05.2023 - 12.2023
- Spearheaded a statewide contracting strategy to achieve 100% county network status before the 2024 Tailored Plan launch
- Negotiated and finalized 55% hospital participation in the Tailored Plan by streamlining LOI processes and optimizing provider engagement strategies
Principal Provider Contracting Analyst
BlueCross NC
04.2019 - 03.2023
- Executed BlueCross NC’s first non-cumulative reimbursement contract for the state’s largest ambulatory surgery provider, Surgical Care Associates
- Led contracting and reimbursement negotiations, focusing on value-based care adoption and financial sustainability
Senior Contract Manager
UnitedHealthcare
06.2010 - 03.2019
- Designed a national strategy using Triple Aim principles to reimburse healthcare systems based on their ability to improve quality of care
- Negotiated provider agreements that aligned financial incentives with patient outcomes, driving value-based contract adoption
Education
Master of Healthcare Administration -
University of North Carolina at Charlotte
01.2008
B.S. - Public Health Administration
University of North Carolina at Greensboro
01.2004
Skills
- Managed Care & Provider Contracting
- Value-Based Payment Models
- AI & Process Automation for Healthcare
- Payer Relations & Negotiations
- Revenue Recovery & Reimbursement Strategy
- Healthcare Finance & Budgeting
- Workflow Optimization & SharePoint Development
- Cross-Functional Team Leadership
- Relationship building
- Decision-making
- Strategic planning
- Verbal and written communication
Next Steps
- A specific formatting style recommendation?
- A customized summary tailored to a target job?
- Help with cover letter writing?
Timeline
Director, Managed Care
WakeMed Health & Hospitals
12.2023 - Current
Physical Health Contract Manager, Managed Care
Vaya Health
05.2023 - 12.2023
Principal Provider Contracting Analyst
BlueCross NC
04.2019 - 03.2023
Senior Contract Manager
UnitedHealthcare
06.2010 - 03.2019
B.S. - Public Health Administration
University of North Carolina at Greensboro
Master of Healthcare Administration -
University of North Carolina at Charlotte
Similar Profiles
Terri JordanTerri Jordan
Trauma Tech/ Team Lead/Clinical Secretary /NA II at WakeMed Health & HospitalsTrauma Tech/ Team Lead/Clinical Secretary /NA II at WakeMed Health & Hospitals
Adrienne Wilson, RN BSNAdrienne Wilson, RN BSN
Registered Nurse at WakeMed Health & HospitalsRegistered Nurse at WakeMed Health & Hospitals
Shawyvashae DixonShawyvashae Dixon
FINANCE & ACCOUNT SPECIALIST at WAKEMED HEALTH & HOSPITALSFINANCE & ACCOUNT SPECIALIST at WAKEMED HEALTH & HOSPITALS