Denise Bohr
Davenport,IA
Summary
Seasoned leader and adept problem solver with over 25 years of professional experience in government programs such as Medicaid, DSNP, CHIP, Long-Term Care, and Exchange program expansions and implementations. Dedicated to optimizing operations to reduce costs and enhance organizational efficiency. Comprehensive expertise in Healthcare Operations and extensive project management proficiency.
Overview
26
26
years of professional experience
Work History
Central Region Director, Operations and Performance Alignment
UnitedHealthcare
10.2022 - Current
- Provide leadership and supervision to a team of 10 Director level thought leaders and project managers implementing regulatory requirements across twelve Community & State markets.
- Streamlined operations, leading to improved efficiency and productivity through process analysis and optimization.
- Ensured regulatory compliance across all regional locations through diligent adherence to state-specific requirements or industry best practices.
- Facilitated cross-functional collaboration between teams for project execution and optimal resource allocation.
- Launched staff engagement, gender diversity and cultural programs.
- Plan, develop and implement operations strategies and action plans to ensure operational contract compliance, with focus on ensuring optimal operational performance.
- Partner with the Regional Health Plan CEO, Executive Directors, COOs, CFOs, and Compliance Officers to understand State Partner requirements and execute on those requirements
- Support management of the Regulatory IT capital budget in excess of $5 million for work needed to support compliance with State Partner requirements
- Ensure service models are optimized and effectively integrated across functions
- Identified and reduced operational variability that is not contractually required that resulted in a savings of $2.2 million.
- Serve as operational resource to identify and mitigate risks in new implementations, and in continuous operations
- Market level escalation resource to collaborate across cross functional Enterprise Teams for issue remediation
- Co-Developed first successful Capacity/Staffing model for the Community & State Operations and Performance Alignment team.
- Strengthened partnerships with key stakeholders through consistent collaboration and relationship management.
Director, Exchange Services
UnitedHealthcare
01.2020 - 01.2022
- Responsible for driving solid operational performance by utilizing an Account Management approach with UnitedHealthcare Individual & Family Plan (IFP), UnitedHealthcare Community & State and National and State Regulators
- Built strong relationships with matrix partners by fostering and leveraging an “account team” structure that is involved in key IFP strategic initiatives, goals and activities
- Drove performance and accountability by working across our matrix partners to eliminate identified barriers.
- Served as liaison between UHC and State Regulators.
- Ensured that matrix partner processes complied with Federal, State, and Market requirements by aligning our operations with UHG and State regulations.
- Analyzed metrics and trends to drive process improvements and reduce and eliminate future issues.
- Implemented solutions with controls, and monitored post implementation to guarantee issues for the same scenario are not repeated.
- Developed the closed loop operating model for Individual & Family Plans (IFP) which solved escalated issues (reactive) and prospective issues (preventive).
Director, Operations and Performance Alignment
UnitedHealthcare
01.2010 - 01.2020
- Responsible for implementing multiple growth markets in the Central Region, including greenfield markets with memberships exceeding 500,000.
- Extensive knowledge of Greenfield implementations including RFP development and implementation of contractual requirements
- Responsible for ensuring cross-functional teams met operational compliance with contractual and regulatory requirements by identifying solutions for non-standard, complex business processes.
- Strong contract experience in Medicaid, CHIP, Long Term Care and DSNP plans.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
- Assisted in recruiting, hiring and training of team members.
- Responsibility and oversight for government program operations consisting of more than 400,000 enrollees.
Regulatory and Operations Roles
John Deere Health/United Healthcare
08.1998 - 01.2010
Education
Doctor of Chiropractic -
Palmer College of Chiropractic
Davenport, IA02.1996
Bachelor of Science - General Sciences
Palmer College of Chiropractic
Davenport, IA02.1996
Hamline University
Saint Paul, MNSkills
- Medicaid/Medicare Expertise
- Problem-solving aptitude
- Operations Oversight
- Staff Management
- Relationship Building
- Team Leadership
- Adaptability and Flexibility
- Decision-Making
- Effective leader
- Strategic Planning
Timeline
Central Region Director, Operations and Performance Alignment
UnitedHealthcare
10.2022 - Current
Director, Exchange Services
UnitedHealthcare
01.2020 - 01.2022
Director, Operations and Performance Alignment
UnitedHealthcare
01.2010 - 01.2020
Regulatory and Operations Roles
John Deere Health/United Healthcare
08.1998 - 01.2010
Doctor of Chiropractic -
Palmer College of Chiropractic
Bachelor of Science - General Sciences
Palmer College of Chiropractic
Hamline University
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