Heather Reppeto
Vancouver,WA
Summary
Mission driven leader dedicated to continuous growth seeking a position in a vibrant organization focused on making a difference. Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
11
11
years of professional experience
Work History
Chief Health and Wellness Officer
Native American Rehabilitation Association of the Northwest
05.2022 - Current
- Directly responsible for day to day operations of medical, dental and pharmacy services in large non-profit.
- Facilitate ongoing development as well as implementation of a comprehensive system of care for Culturally Specific Health and Wellness Services throughout all sites (13) and services at the only Urban Indian Organization in Oregon which is also a Federally Qualified Health Center (FQHC) including two residential treatment facilities.
- Provide direct administrative, budgetary, as well as operational oversight and supervision to all medical, dental, and pharmaceutical services (HRSA 340B & direct) including implementation of mental health services.
- Provide direct supervision to 27-35 staff.
- Works consecutively with finance to develop budget, complete forecasting, and manage profit as well as loss across services.
- Performs ongoing program evaluation to determine effectiveness and opportunities for improvement as well as maintain accreditations.
- Develop and oversee OKRs and KPIs that drives and inspires excellence across organization.
- Participate in strategic and business continuity planning (including market and service analysis) for the organization as well as implementation of those goals including reporting of progress to board as well as stakeholders.
- Facilitate and supervise service expansion projects.
- Assure quality outcomes, patient satisfaction, support accreditation (FQHC, 340B pharmacy, CARF, etc.), and reporting to partners.
- Oversee metrics and contracts to ensure compliance as well as quality.
- Engage in contract negotiations with CCOs, state, county, and vendors.
- Collaborate and coordinate with lobbyists and legislatures in Salem Oregon and Washington, D.C.
- Regarding FMAP as well as IMCE and other initiatives that would impact funding or patient care.
- Identify and lead new business opportunities to meet growth goals through market analysis, patient surveys, and health policy changes; Identify shifts in healthcare and provide guidance regarding meeting those needs.
- Manage core business objectives, including medical expense ratios.
- Engages with health plans and functional leaders to prioritize, manage metrics, and align resources.
- Align programming and delivery process with administration, as well as governing rules or regulations to ensure healthcare providers are working efficiently in accordance to accepted best practices that are culturally appropriate.
- Active member of Risk Management & Compliance Committee, Infectious Disease Prevention Committee, & 2SLGBTQ+ Committee.
- Work collaboratively with senior leadership (CEO, CMO, CBHO, COO, CFO, CHRO, COS, etc.) to ensure continuous readiness for all regulatory and accrediting bodies, facilitate the adoption of clinical process improvement initiatives as it pertains to delivery of care and services.
- Assist in grant writing, contract negotiation, organizational advocacy, fiduciary responsibility, recruiting, and facilitate organizational change in relation to process improvement as well as business continuity
- Engage in staff recruitment, hiring, professional development, corrective actions and succession planning
- Relationship focused leader; utilization of change management and consensus building skills to negotiate favorable outcomes both internally and externally with diverse groups of people
- Monitor staff performance and development goals, assign accountabilities, set objectives, establish priorities, and conduct annual performance reviews
- Provide coaching and mentorship to direct supervises including performance management, P & L management, conflict management, process improvement, customer relations, professional development, and succession planning.
- Promote environment of collaboration, coordination, and integration within staff that is built on a commitment to patient care as well as high quality services.
- Represent organization within the community at events (Pow Wow, Indigenous Day at the Capital, urban consultation with Oregon Health Authority and tribes, etc.), on several boards, with stakeholders and funders.
- Build and nurture internal and external relationships.
- Engage, develop, and actively participate in contract negotiations.
- Facilitated the development of and provides continuous direct oversight to the first Indian Managed Care Entity program in the nation that provides care coordination to American Indian/Alaska Native Medicaid Fee for Service members who reside in the state of Oregon.
- Includes direct confer with Oregon Health Authority on weekly basis, and active coordination as well as collaboration with the 9 tribes of Oregon.
- Active engagement in monitoring health plan regulations, contract benefits, policies, and practices.
- Analyze, predict, and produce active revenue streams, including active management of staffing/service models to deliver results and place organization in position for success.
Chief of Staff
Native American Rehabilitation Association of the Northwest
11.2021 - 02.2023
- Provided direct support to CEO regarding executive projects, organizational operational activities, process management, and organizational advocacy
- Work collaboratively with senior leadership (CEO, CMO, CBHO, COO, CFO, CHRO, COS, etc.) to ensure continuous readiness for all regulatory and accrediting bodies
- Acted as the point of contact between top management and employees or stakeholders
- Attended and represented organization at meetings with external stakeholders including urban consultation with state
- Created operational processes and practices that drove efficiencies for the CEO and organization
- Planned key business activities including strategic direction and preparation for executive engagement across the organization, company events, as well as with community partners
- Developed and implemented the Spirit Uniters Committee to address workplace culture during the pandemic with goal of continuity of cultural specific training for staff as well as building organizational identity, reducing burnout, and fostering the development of relationships across multiple programs when working remotely throughout the pandemic
- Developed, managed, and implemented the nations first Indian Managed Care Entity (IMCE) called the Spirit of Healing Program.
- This program provides care coordination for American Indians/Alaska Natives who live within the tricounty area (Multnomah, Washington, and Clackamas Counties), who currently are on Medicaid Open Card (approx.
- 5300 members)
- Includes population health management and health related social services
- See Clinical Work Experience for more information.
- Cultivated strong relationships with vendors and partners supporting administrative operations.
- Created reports, presentations and other materials for executive staff.
- Analyzed and solved multi-faceted problems that effected executive leaders and business initiatives.
Program Director for Life is Sacred Program
Native American Rehabilitation Association of the Northwest
09.2019 - 11.2021
- Provided programmatic development and implementation, including grant management, clinical as well as administrative oversight of staff, mental health assessments, crisis interventions, as well as training regarding culturally appropriate strategies to assess for suicide among Native American populations
- Provided training across organization regarding CSSR-S as well as risk for suicide, safety planning
- Developed and managed annual budgets, carryover requests, collaborated with SAMHSA as well as other partners, completed reports (weekly, monthly, quarterly, and board), wrote policies/procedures, and maintained as well as tracked grant data
- Wrote and obtained 4 grants from SAMHSA during this time and acted as Project Director for 3 of those
- Developed and implemented a telehealth protocol and policy for organization regarding best practices during pandemic
- This protocol was later shared through SAMHSA via their website to other agencies who were also working on implementing telehealth practices during the COVID-19 pandemic.
- Supervised program staff, managing and evaluating performance provide high-quality services to program participants.
Rehabilitation Psychologist
Progressive Rehabilitation Associates
11.2017 - 11.2019
- Consisted of various modes of treatment: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Brief Solution Focused Therapy, Motivational Interviewing, and Acceptance Commitment Therapy among others.
- Acted as therapeutic liaison and guide to treatment team, facilitated treatment and collaborated with external providers/programs.
- . Collected/entered psychotherapeutic data into databases and ran statistics to maintain CARF accreditation.
- . Utilized biofeedback, individual, and group therapy modalities.
- TBI including crisis intervention, mood, headache and behavioral management.
Behavioral Health Consultant
Samaritan Health Services
06.2016 - 06.2017
- Consisted of various modes of treatment: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, smoking cessation
- Brief Solution Focused Therapy, and Acceptance Commitment Therapy among others.
- Conducted functional behavior assessments, functional analysis, preference assessments, and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
- Created progress reports, assessments and charting within required timeframes.
- Identified appropriate treatment resources and recommended patients for these services.
- Observed and monitored client behavior and responses to treatment.
- Displayed sensitivity to cultural and linguistic needs of clients and families served.
- Strengthened communication skills through regular interactions with others.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Cultivated interpersonal skills by building positive relationships with others.
Mental Health Therapist-Lead
Native American Rehabilitation Association
09.2013 - 06.2016
- Provided neuropsychological testing, and treatment through several mechanisms including: individual, group, as well as milieu settings with those who are diagnosed with persistent and severe mental illness primarily among Native American populations
- Performed client assessments and developed treatment plans.
- Acted as the lead therapist providing consultation and supervision to 7 other mental health providers
- Provided training on culturally specific mental health treatment to new hires as well as external organizations.
- Documented client progress in confidential files.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Displayed sensitivity to cultural and linguistic needs of clients and families served.
- Provided comprehensive case management services, created treatment plans, and connected clients and families to appropriate resources.
- Guided clients in effective therapeutic exercises integrated from Cognitive Behavior Therapy and Dialectical Behavior Therapy (DBT).
Organizational Behavior Consultant
Portland Anxiety Clinic
01.2013 - 05.2013
- Provided clinical consultation services
- Analyzed problematic areas to provide recommendations and solutions.
- Provided assistance in advertising to marketing executives, as well as clinic partners regarding psychological information for Portland Anxiety Clinic's website.
Education
Doctorate of Clinical Psychology - Health Psychology Track
Pacific University
01.2017
Masters of Counseling Psychology - Organizational Behavior Psychology
Pacific University
01.2012
Bachelor of Science - Psychology
Washington State University
01.2010
Minor - Addiction Studies: Psychology
Washington State University
01.2010
Associate of Science - Psychology
Mt. Hood Community College
Portland01.2007
Nursing -
Madisonville Community College
01.1999
High School Diploma -
South Hopkins High School
01.1996
Skills
- Work Coordination
- Investigation Leadership
- Budgeting and Finance
- Innovation and Creativity
- Strategic Planning
- Project management
- Cross-functional collaboration
- Policy development
- Stakeholder Relations
- Contract Management
- Grant Writing
- Training and Development
- Program Development
- Board Relations
- Public Relations
Accomplishments
- Council Member, Care Oregon Shared Accountability Council
- Board Member, Coalition for Community Health Centers
- Board Member, Review board IRB #4, Oregon Health & Science University
- Co-led Committee Member: Reducing disparities for BIOPCO members over Telehealth, Oregon Health & Science University
- 2SLGBTQ+ Committee Member, Native American Rehabilitation Association of the Northwest
- Chair, Spirit Uniters Committee, Native American Rehabilitation Association of the Northwest
- Committee Member, Infectious Disease Prevention & Planning Committee, Native American Rehabilitation Association
Boards and Committees
Research
Cross cultural treatment of Native American: Multidisciplinary approach treatment of social phobia, major depressive disorder with suicidal ideation (An Evidenced Based Practice Sample, Single Subject Design; Advisor: Johan Rosqvist, PhD.)
Presentations
- Cultural Specific Interventions: How To Build A Relationship In Indian Country and Work Within Health Care Systems To Promote Wellness, Care Oregon, Portland, OR, 08/2022
- Peer Support Among Medical Students From a Cultural Lens, Oregon Health & Science University Medical School, Portland, OR, 06/2022
- IMCE Cultural Training: What You Need To Know When Working With American Indian/Alaska Native Populations, Care Oregon, Portland, OR, 04/2022
- Best Practices When Working with 2SLGBTQ+ Individuals, Native American Rehabilitation Association of the Northwest Youth Residential Treatment Center, Portland, OR, 05/2021
- Trauma Informed Culturally Responsive Treatment at Native American Rehabilitation Association of the Northwest, Tri-County Behavioral Health Providers Association (TCBHPA) Equity Panel, Portland, OR, 05/2020
- Peer Support Among Medical Students From a Cultural Lens, Oregon Health & Science University Medical School, Portland, OR, 10/2020
- Meeting the Triple Aim of Healthcare, Samaritan Health Services, Corvallis, OR, 2017
- Spirituality through a Native lens, Pacific University Annual Diversity Conference, Hillsboro, OR, 2015
- Criss-cross applesauce Native American style: Culturally competent treatment with Native Americans, Oregon Counseling Association Annual Conference, Portland, OR, 2012
- Background stress as a correlate of psychophysiological arousal in women: An overlooked source of stress, American Psychosomatic Association National Conference, Portland, OR, 2010
- No effect of color on working memory, Washington State University-Vancouver, Vancouver, WA, 2008
Chief Executive Work Experience
Chief Health and Wellness Officer, Native American Rehabilitation Association of the Northwest, Portland, OR, 05/2022, 02/2023, Directly responsible for day to day operations of medical, dental and pharmacy services in large non-profit. Facilitate ongoing development as well as implementation of a comprehensive system of care for Culturally Specific Health and Wellness Services throughout all sites (13) and services at the only Urban Indian Organization in Oregon which is also a Federally Qualified Health Center (FQHC) including two residential treatment facilities. Provide direct administrative, budgetary, as well as operational oversight and supervision to all medical, dental, and pharmaceutical services (HRSA 340B & direct) including implementation of mental health services. Provide direct supervision to 27-35 staff. Works consecutively with finance to develop budget, complete forecasting, and manage profit as well as loss across services. Performs ongoing program evaluation to determine effectiveness and opportunities for improvement as well as maintain accreditations. Develop and oversee OKRs and KPIs that drives and inspires excellence across organization . Participate in strategic and business continuity planning (including market and service analysis) for the organization as well as implementation of those goals including reporting of progress to board as well as stakeholders. Facilitate and supervise service expansion. Assure quality outcomes, patient satisfaction, support accreditation (FQHC, 340B pharmacy, CARF, etc.), and reporting to partners. Oversee metrics and contracts to ensure compliance as well as quality. Engage in contract negotiations with CCOs, state, county, and vendors. Collaborate and coordinate with lobbyists and legislatures in Salem Oregon and Washington, D.C. regarding FMAP as well as IMCE and other initiatives that would impact funding or patient care. Identify and lead new business opportunities to meet growth goals through market analysis, patient surveys, and health policy changes; Identify shifts in healthcare and provide guidance regarding meeting those needs. Manage core business objectives, including medical expense ratios. Engages with health plans and functional leaders to prioritize, manage metrics, and align resources. Align programming and delivery process with administration, as well as governing rules or regulations to ensure healthcare providers are working efficiently in accordance to accepted best practices that are culturally appropriate. Active member of Risk Management & Compliance Committee, Infectious Disease Prevention Committee, & 2SLGBTQ+ Committee. Work collaboratively with senior leadership (CEO, CMO, CBHO, COO, CFO, CHRO, COS, etc.) to ensure continuous readiness for all regulatory and accrediting bodies, facilitate the adoption of clinical process improvement initiatives as it pertains to delivery of care and services. Assist in grant writing, contract negotiation, organizational advocacy, fiduciary responsibility, recruiting, and facilitate organizational change in relation to process improvement as well as business continuity. Engage in staff recruitment, hiring, professional development, corrective actions and succession planning. Relationship focused leader; utilization of change management and consensus building skills to negotiate favorable outcomes both internally and externally with diverse groups of people. Monitor staff performance and development goals, assign accountabilities, set objectives, establish priorities, and conduct annual performance reviews. Provide coaching and mentorship to direct supervises including performance management, P & L management, conflict management, process improvement, customer relations, professional development, and succession planning. Promote environment of collaboration, coordination, and integration within staff that is built on a commitment to patient care as well as high quality services. Represent organization within the community at events (Pow Wow, Indigenous Day at the Capital, urban consultation with Oregon Health Authority and tribes, etc.), on several boards, with stakeholders and funders. Build and nurture relationships. Develop internal and external communications. Engage, develop, and actively participate in contract negotiations. Facilitated the development of and provides continuous direct oversight to the first Indian Managed Care Entity program in the nation that provides care coordination to American Indian/Alaska Native Medicaid Fee for Service members who reside in the state of Oregon. Includes direct confer with Oregon Health Authority on weekly basis, and active coordination as well as collaboration with the 9 tribes of Oregon. Active engagement in monitoring health plan regulations, contract benefits, policies, and practices. Analyze, predict, and produce active revenue streams, including active management of staffing/service models to deliver results and place organization in position for success.
Clinical Work Experience
- Program Director for HIV/STI Grant, Indian Health Service, Portland, OR, 09/2022, Present
- Program Director for Spirit of Healing Program, Native American Rehabilitation Association of the Northwest, Portland, OR, 12/2021, 07/2023, Indian Managed Care Entity (IMCE)
- Program Director for Life is Sacred Program, Native American Rehabilitation Association of the Northwest, Portland, OR, 09/2019, 11/2021, Mental health provider, Principle Investigator/Program Director of SAMHSA Zero Suicide Grant; Principle Investigator/Program Director of SAMHSA Emergency COVID-19 grant; Program Director of IHS DVPI grant
- Rehabilitation Psychologist, Progressive Rehabilitation Associates, Beaverton, OR, 11/17, 2019, Chronic Pain and Traumatic Brain Injury Rehabilitation
- Behavioral Health Consultant, Samaritan Health Services, Corvallis, OR, 06/16, 06/17, Health Psychology Intern
- Mental Health Therapist-Lead, Native American Rehabilitation Association, Portland, OR, 09/13, 06/16
- Mental Health Therapist, Native American Rehabilitation Association, Portland, OR, 08/12, 08/13
- Organizational Behavior Consultant, Portland Anxiety Clinic, Portland, OR, 01/13, 05/13
Boards And Committees
- Council Member, Care Oregon Shared Accountability Council, 11/2023, Present
- Board Member, Coalition for Community Health Centers, 12/2022, Present
- Co-Chair, Zero Suicide Committee, Oregon Health Authority, 10/2021, Present
- Board Member, Review Board IRB #4, Oregon Health & Science University, 10/2022, Present
- Committee Member, Reducing disparities for BIPOC members over Telehealth, Oregon Health & Science University, 05/2022, Present
- 2SLGBTQ+ Committee Member, Native American Rehabilitation Association of the Northwest, 10/2019, Present
- Chair, Spirit Uniters Committee, Native American Rehabilitation Association of the Northwest, 11/2021, Present
- Committee Member, Infectious Disease Prevention & Planning Committee, Native American Rehabilitation Association, 2020, Present,
- Quality Management Committee Member, Native American Rehabilitation Association of the Northwest, 10/2019, Present
- Risk Management Committee Member, Native American Rehabilitation Association of the Northwest, 10/2019, Present
Grant Management
- IHS HIV/STI 2022-Present
- SAMHSA ZERO SUICIDE 2019-2022
- SAMHSA COVID-19 2020
- SAMHSA COVID-19 ER 2021
- SAMHSA COVID-19 ERSP 2021
- IHS DVPI 2019
Grant Written And Awarded
- Healthshare of Oregon Capacity Building Social Determinants of Health ($1.5 million) 2023
- I H S HIV and STI Outreach Grant ($250,000/year for 3 years) 2022, 2023
- I H S Domestic Violence and Prevention Initiative Grant (approx.. $50,000/year for 3 years) 2019
- SAMHSA COVID-19 (approx.. $500,000/16 months) 2020
- SAMHSA COVID-19 ER (approx.. $1.08 Million/16 months) 2020
- SAMHSA COVID-19 ERSP (approx.. $800,000/16 months) 2021
- I H S Zero Suicide Grant (approx.. $250,000/yr for 5 years) 2022
Keynotes
- Culture Matters: Exploring Attitudes, Perceptions, and Beliefs to Inform the System of Delivery, HRSA Region X Health Equity Conference, Vancouver, WA, 09/15/2023
- Cultural Sensitive Suicide Assessment Among Native Populations, Oregon Health & Science University Psychiatric Grand Rounds, Portland, OR, 09/10/2020
Guest Lectures
- Culturally sensitive ways to provide peer support against suicide, Oregon Health & Science University, Portland, OR, 06/08/2022
- Culturally sensitive ways to provide peer support against suicide, Oregon Health & Science University, Portland, OR, 10/14/2021
Electronic Health Record Experience
- EPIC
- RPMS
- Wellsky
- Centricity
- Athena Practice Management
Research Database Software Experience
- SPSS
- REDcap
- SPARS
- ERA
Dissertation
Assessing strengths rather than pathology among chronic pain patients within primary care (Chair: Jennifer Antick, PhD.)
Journal Reviewer
Journal of Health Psychology, Childhood trauma, depression, resilience, and suicide risk in individuals with inflammatory bowel disease, The development of a brief measure of Health Personality, Stress management interventions for multiple sclerosis: A meta-analysis of randomized controlled trials
Awards
Portland Police Bureau Civilian Medal of Heroism (November 2021)
Publications
- Triple aim: Benefits of behavioral health providers in primary care (Journal of Health Psychology, October 2018 doi:10.1177/1359105318802949, Reppeto, H., Tuning, C., Olsen, D.H., Mullane, A., & Smith, C.; Faculty Advisor: Christopher Smith, PhD.)
- Reppeto, H., and Bardi, C., (2007). Effects of Seals and Sea Lion Hazing On Salmon Migration at Bonneville Dam, Oregon, Summit Journal of Science, 4 (1), 20-26.
Timeline
Chief Health and Wellness Officer
Native American Rehabilitation Association of the Northwest
05.2022 - Current
Chief of Staff
Native American Rehabilitation Association of the Northwest
11.2021 - 02.2023
Program Director for Life is Sacred Program
Native American Rehabilitation Association of the Northwest
09.2019 - 11.2021
Rehabilitation Psychologist
Progressive Rehabilitation Associates
11.2017 - 11.2019
Behavioral Health Consultant
Samaritan Health Services
06.2016 - 06.2017
Mental Health Therapist-Lead
Native American Rehabilitation Association
09.2013 - 06.2016
Organizational Behavior Consultant
Portland Anxiety Clinic
01.2013 - 05.2013
Doctorate of Clinical Psychology - Health Psychology Track
Pacific University
Masters of Counseling Psychology - Organizational Behavior Psychology
Pacific University
Bachelor of Science - Psychology
Washington State University
Minor - Addiction Studies: Psychology
Washington State University
Associate of Science - Psychology
Mt. Hood Community College
Nursing -
Madisonville Community College
High School Diploma -
South Hopkins High School
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