Dynamic clinical leader with over 13 years of experience in managed care, population health, and clinical consulting. Proven track record of success across diverse industries, showcasing exceptional interpersonal, problem-solving, and analytical skills that drive business performance improvements for clients. Well-versed in all facets of health benefits and well-being consulting, including operations, strategy, and finance, while serving as a trusted partner to enterprise stakeholders and employer clients.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Senior Manager, Clinical Program Consultant
Aetna, a CVS Health
Hartford, CT
10.2024 - Current
Led cross-functional teams to enhance operational efficiency and drive strategic initiatives.
Developed and implemented process improvements to optimize resource allocation and reduce waste.
Mentored junior managers, fostering skill development and promoting a culture of continuous improvement.
Coordinated with stakeholders to align project goals with organizational objectives, ensuring successful execution.
Senior Client Success Manager
Well Dot, Inc.
Chapel Hill, NC
04.2024 - 10.2024
Led client onboarding initiatives, enhancing user experience and satisfaction.
Developed strategic account plans to drive client engagement and retention.
Mentored junior team members, fostering professional growth and enhancing team performance.
Implemented process improvements to streamline workflows and increase operational efficiency.
Northeast Region Lead Health, Equity and Wellbeing
Willis Towers Watson
Charlotte, North Carolina
08.2019 - Current
Responsible for supporting clients in addressing key workforce issues; such as: physical, emotional and financial well-being, engagement and productivity, emerging technologies
Lead for Mental Health Parity Center of Excellence in Non-quantitative Treatment Limitations (NQTLs)
Supporting health care strategy, including plan design, benchmarking and gap analysis
Vendor procurement, implementation and evaluation, including onsite/near-site clinics, telemedicine/telebehavioral health, wellness, care management, advocacy, clinical navigation, mobile applications and technology
Support intellectual capital development across the specialty practice as well as other lines of business
Provide insights around analytics including ROI and VOI
Guidance provided on health delivery system interventions such as high performance networks, centers of excellence and value-based designs
Develop and executive wellbeing programs including incentives across the four pillars of wellbeing (physical, financial, social and emotional)
Identify opportunities to improve workforce access to care, affordability of care and sustained engagement to develop behavioral change
Develop scopes of work, manage appropriate budgets related as well as lead request for proposals (RFPs) and request for information (RFI) within the clinical space.
Clinical Program Consultant
Aetna Insurance Company
01.2015 - Current
Dedicated consultation of large employer accounts including Bank of America, United Parcel Service and Ruby Tuesday
Dedicated consultation supporting the overall health of large employer populations
Provide recommendations and strategies to reduce health care spend, improve health outcomes and mitigate risk now and in the future
Management and measurement of clinical program ROI
Manage client expectations and raise appropriate issues as needed
Leverage and interpret data to analyze current programs and future opportunities
In collaboration with existing Aetna account teams, establishes and maintains proactive relationships with customers, consultants, vendors, and other external constituents
Analyzes data in relationship to medical cost trend in an effort to proactively identify solutions around controlling costs such as medical specialty pharmacy, infertility, utilization of consumer directed health plans
Proactively analyzes and presents complex clinical data to customers and consultants in a comprehensive and non-clinical format.
Clinical Program Consultant
Marsh & McLennan Agency
06.2018 - 08.2019
Responsible for delivering health analytics reports and clinical consulting projects to clients
In collaboration with the Chief Medical Officer and National Director of Clinical Management, develop and execute on strategies to help mid-market clients control health care costs, improve health outcomes and promote employee engagement through analytic-based state of the art innovations and reporting
Serve as the lead clinical market resource for client engagements, and assist in managing clinical relationships with payors, providers and employers
Able to perform data analysis utilizing population health analytics applications
Organize and present information with text-based summaries, infographics, graphs, tables and charts using MS Office applications and business intelligence applications such as Tableau
Represent MMA externally at conferences and meetings
Evaluate population health management solutions, such as pharmacy benefits management, telemedicine, disease management programs, mobile health technology, high performance networks, patient-centered medical homes/ACOs and workplace health and safety services
Help with developing case studies that link data analytics and reporting with solution selection, implementation, tracking and trending
Complete assigned training, participate in weekly team meetings and attend vendor and client meetings, as assigned, with MMA team members
Participate in selling new clinical management projects to current and prospective clients
Leverage existing MMA market contacts to growth Planning and Analytics for Total Health (PATH) services
Responsible for the state of North Carolina with a client base of around 75 clients.
Clinical Nurse Case Manager/UR Specialist
Cone Health
05.2012 - 01.2013
Assigned to Cardiology Service Line, Heart Failure, and Critical Care Medicine
Utilization Review and discharge planning are major work activities
Assisted in development of Heart Failure Program for discharge planning
Member of Employee Task Survey for development of departmental goals for the upcoming fiscal year.
Nurse Manager for Progressive Coronary Unit
CMC NE Carolina Health Systems
01.2012 - 03.2012
Direct supervision of 75-85 employees (60 FTEs)
Corrective action, termination, counseling, and redirecting employees toward accepting policies and procedures of institution
Creation, implementation, and analysis of departmental budget
Variance analysis of budget.
Director of the Progressive Coronary Unit
Randolph Hospital
04.2010 - 01.2012
Direct supervision of 75-85 employees (57 FTEs)
Corrective action, termination, counseling, and redirecting employees toward accepting policies and procedures of institution
Creation, implementation, and analysis of departmental budget
Variance analysis of budget
Patient satisfaction scores through Press Ganey
Creator/Facilitator of Heart Failure Core Measure Program hospital wide
Facilitator of Clinical Outcomes Council
Provisions of Care Committee with focus on fall program hospital wide
Revenue Integrity Team Member
LEAN Team/RAP Team Facilitator
Scheduling and Payroll Completion with Kronos
Coaching and mentoring New Graduates for a total of 10 since beginning at Randolph
Direct Communication with Physicians as well as upper Administration
Capital Request Process including the purchase of a new Telemetry Monitoring System with DASH Monitors
Responsible for daily operational needs of unit
Performance Appraisal Process with all Employees.
Assistant Director of Neuroscience ICU
Moses Cone Health System
06.2007 - 04.2010
Direct supervision of 50-60 employees
Corrective action, termination, counseling, and redirecting employees toward accepting policies and procedures of institution
Scheduling and payroll completion
Member of Neuro, Trauma, Critical Care, and Stroke Clinical Improvement Committees
GAP Mentor to new graduate nurses
Integral component of communication between hospital and the unit for department specific to hospital wide updates and/or changes
Observed budget process
Direct clinical care when staffing ratios are down and require additional staff to operate
Responsible for daily operational needs of unit
Facilitate conversation and resolution with physicians, patients and/or families with complaints or concerns
Performance appraisals for staff
Co-Leader for Organ Donation and Transplantation
Member of the Nursing Beat Journal for the Health System.
Nurse Case Manager for Home Care and CAP/C Case Manager
Hospice and Palliative Care of Greensboro
06.2006 - 06.2007
Primary support for patients, families, and staff enduring symptom management, palliative care, psychological, and emotional concerns
Collaborated with members of interdisciplinary team to plan and manage all cases
CAP/C Case Manager for pediatric patients
On Call/Triage responsibilities.
Nurse Case Manager for Long Term Care and Assisted Living
Capital Hospice
10.2005 - 05.2006
Primary support for patients, families, and staff
Collaboration with interdisciplinary team
Supervised certified nursing assistants.
RN Clinical Level II in MSICU and ED
Inova Fairfax Hospital
06.2003 - 10.2005
Immediate recovery for liver and kidney transplants