Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Ivette Valcourt

Summary

Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Senior Manager, Project Program Management

Aetna
01.2022 - Current
  • Program Management of Medicare population health management (PHM), utilization management (UM), and claims management delegation
  • Led cross-functional teams to develop a standardized delegation process of evaluation, implementation, and ongoing monitoring for new delegates
  • Contributed to the development and enhancement of organizational processes, policies, and standards for program management excellence
  • Anticipated, identified and resolved program issues through solicitation of timely feedback and use of conflict resolution techniques
  • Led the successful execution of complex projects, meeting time-sensitive deadlines and exceeding stakeholder expectations
  • Standardized processes, evaluated programs and conducted performance reviews with eye toward continuous improvement for organization

Senior Project Manager, Program Operations Lead

Aetna
01.2021 - 01.2022
  • Program oversight of care management engagement hub enrollment operations for community care, compassionate care, and healthy aging support programs
  • Monitor and track enrollment trends and develop and implement process improvement initiatives to meet program enrollment goals
  • Led operational design, implementation, and effectiveness of pilot projects focused on increasing member reach rate and program enrollments

Senior Manager, Contract Performance and Service Delivery Manager

Humana
01.2017 - 01.2019
  • Developed a vendor contract performance program focused on creating and updating service level agreements and identifying opportunities for improved performance
  • Developed and managed a network management delegation program by collaborating and aligning with impacted teams and implementing, and monitoring the audit process for subcontractors
  • Managed cross-departmental projects by developing a standardized negotiation plan framework including identifying strategy, market impact analysis, financial, member experience, quality goals, and the development of an ongoing monitoring process
  • Responsible for leading Ancillary Contracting Medicaid projects, including ITN Financial Risk Contingency Plan, Disaster Recovery and Business Continuity Plan, and Subcontract Network Management Eligibility
  • Responsible for managing and reporting Medicaid performance, including delegation vendor performance and performance process improvement plans

Clinical Innovations Project Manager

CarePlus
01.2016 - 01.2017
  • Developed, implemented, and monitored an internal CKD ESRD Program in collaboration with the Case Management team
  • Simultaneously managed 18 projects and led cross-departmental teams to completion of milestones
  • Developed and implemented an emergency room diversion strategy by researching enterprise resources and collaborating with cross-functional teams to target high utilizers
  • Evaluated vendor contract adherence by conducting milestone performance analysis

Regional Account Manager

Health Choice Network
01.2011 - 01.2013
  • Led market analysis to identify new strategic partnership opportunities with local organizations and improved market segment penetration
  • Led an outreach team responsible for educating providers in a tri-county region on the HITECH Act and recruited 1,500 providers to sign-up for consulting services
  • Managed and trained a team that assisted 1,200 providers with project management, electronic health record implementation, timely attestation of meaningful use, and patient education initiatives
  • Executed and implemented project contracts of various scope and sizes, negotiated contract language within established organizational parameters while ensuring the scope of service, deliverables, and contract periods
  • Developed and implemented project improvement initiatives including, readiness assessments, meaningful use assessments, workflow assessments, quality controls, and audits

Education

Green Belt - Project Management Lean Six Sigma Training & Certification

Florida International University
Miami, FL
01.2020

Master of Business Administration -

Barry University
01.2011

Master of Public Health -

Florida International University
Miami Shores, FL
01.2009

Bachelor of Science - Biology

Barry University
Miami Shores, FL
01.2003

Intelligence Cryptologic Technical Operator -

United States Navy
06.1996

Skills

  • New Program Development
  • Strategic Planning
  • Cross-Functional Leadership and Collaboration
  • Team Leadership
  • Operations Management
  • Problem resolution
  • Process Improvement
  • Negotiation and Conflict Resolution
  • Goal Setting
  • Needs Assessment
  • Scope Definition
  • Project Prioritization

Certification

Project Management Lean Six Sigma Training & Certification, Green Belt, Florida International University, 12/31/20

Timeline

Senior Manager, Project Program Management

Aetna
01.2022 - Current

Senior Project Manager, Program Operations Lead

Aetna
01.2021 - 01.2022

Senior Manager, Contract Performance and Service Delivery Manager

Humana
01.2017 - 01.2019

Clinical Innovations Project Manager

CarePlus
01.2016 - 01.2017

Regional Account Manager

Health Choice Network
01.2011 - 01.2013

Green Belt - Project Management Lean Six Sigma Training & Certification

Florida International University

Master of Business Administration -

Barry University

Master of Public Health -

Florida International University

Bachelor of Science - Biology

Barry University

Intelligence Cryptologic Technical Operator -

United States Navy

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Ivette Valcourt