Joyce Ellis
Centerville
Summary
Results-driven Program Manager with extensive experience in leading cross-functional teams to successfully achieve project objectives. Demonstrated expertise in strategic planning, process improvement, and stakeholder management has significantly enhanced operational efficiency. Notable achievements include streamlining processes and implementing innovative program strategies that improved overall performance metrics. Committed to driving organizational success through effective leadership and collaboration.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Clinical Quality Program Manager
Kettering Health Medical Group
Dayton
02.2017 - Current
- Manage quality, safety, and risk process enhancements for over 700 physicians and advanced practice practitioners for a multi-specialty medical group.
- Manage quality program payments, physician, and advanced practice practitioners' quality compensation.
- Establish and measure key performance indicators (KPIs) for quality, risk, and utilization objectives through continuous monitoring and process improvement.
- Oversee diverse teams to drive process enhancements and decrease expenditures.
- Development of a comprehensive business plan and strategy to align with quality programs and business objectives.
- Develop performance dashboards for physicians and practice leaders to self-monitor business goals.
- Execute strategic plans that meet both regulatory standards and business goals.
- Facilitate internal and external regulatory audits and corrective action planning
- Engage in active communication with key stakeholders, including C-suite executives, medical directors, and operational leaders, to ensure quality program compliance.
- Spearhead data analytics of system quality, risk, utilization, and financial performance.
- Led process improvement and project management for clinical strategies, encompassing technology launches to enhance utilization.
- Design programs to support professional growth among employees.
- Maintain regular inter-departmental dialogue to promote a culture of quality and engagement.
Clinical Quality Manager
PriMED Physician Group
Dayton
05.2013 - 02.2017
- Managed the quality, utilization, and risk adjustment department for a 50+ provider, multi-specialty medical group.
- Decreased Medicare costs by an average of 2.8% annually through strategic short- and long-term initiatives in collaboration with healthcare professionals.
- Collaborated with leaders, medical staff, and clinical staff to create and maintain clinical analytic metrics, resulting in a 17% decrease in the cost of care for Medicare patients.
- Project management of clinical strategy and deployment of innovative testing equipment to 14 ambulatory settings.
- Designed a data model to support predictive analytics for population health, improving preventive screening by 8%.
- Strategized with executive and physician leaders to ensure optimal effectiveness of the quality program and the development of four high-risk clinical pathways.
- Cultivated partnerships with leadership, clinical, and operational teams to achieve the medical group's goals of a 23% increase in efficiency.
Manager of Risk Management and Insurance
Premier Health Partners
Dayton
06.2011 - 03.2013
- Managed 15 to 20 medical malpractice, general litigation, and employment lawsuits and claims.
- Investigation of compliance and regulatory incidents, risk, and safety sentinel adverse events.
- Collaborated with a cross-functional team to develop and implement continuous quality, safety, and risk management improvements.
- Executed ongoing audits, education, and process improvement in high-risk clinical areas.
- Analyzed trends in adverse outcomes and carried out process improvement evaluations leading to an estimated $1.3 million decrease in medical malpractice costs.
Education
Master of Science - Management and Leadership
Western Governor University
Salt Lake City, UTMaster of Healthcare Administration -
Park University
Kansas City, MOBachelor of Science - Nursing
Western Governor University
Salt Lake City, UTBachelor of Science - Healthcare Management
Park University
Kansas City, MOAssociate of Science - Nursing
Kettering College of Medical Arts
Kettering, OHSkills
- Medicare and Medicaid compliance, and regulatory oversight
- Quality and Process Improvement Planning and Implementation
- Comprehensive Data Analysis
- Clinical and Operational strategic planning
- Lean and Agile Project Management Principles
- Value-based contracts and alternate payment models success
- Business and strategic planning development
Certification
Registered Nurse, Ohio State Board of Nursing
Website Portfolio Profiles
www.linkedin.com/in/joyce-ellis-rn-bsn-ms-mha-x6898614
Timeline
Clinical Quality Program Manager
Kettering Health Medical Group
02.2017 - Current
Clinical Quality Manager
PriMED Physician Group
05.2013 - 02.2017
Manager of Risk Management and Insurance
Premier Health Partners
06.2011 - 03.2013
Master of Science - Management and Leadership
Western Governor University
Master of Healthcare Administration -
Park University
Bachelor of Science - Nursing
Western Governor University
Bachelor of Science - Healthcare Management
Park University
Associate of Science - Nursing
Kettering College of Medical Arts
Similar Profiles
Shelby BlackShelby Black
Certified Medical Assistant at Kettering Health Medical Group- Womens HealthCertified Medical Assistant at Kettering Health Medical Group- Womens Health
Jeanine HuffmanJeanine Huffman
Front Office Specialist at Kettering Health Medical Group, Centerville Health CenterFront Office Specialist at Kettering Health Medical Group, Centerville Health Center
Amy ShermanAmy Sherman
Certified Medical Assistant at Kettering Health Medical GroupCertified Medical Assistant at Kettering Health Medical Group