Julie Arotin
Fruita,CO
Summary
Seasoned leader at MCG Health Inc, adept in healthcare management and clinical expertise, driving transformative changes and operational excellence. Leveraging skills in medical record review and client relations, I've enhanced care quality and efficiency. Personal and professional strategic vision and effective communication have fostered team development and improved organizational performance.
Overview
17
17
years of professional experience
1
1
Certification
Work History
GM, MCG Consulting
MCG Health Inc
10.2022 - 05.2024
- Lead a team of consultants specializing in health leadership and operations, providing strategic and operational guidance to healthcare organizations to enhance performance, efficiency, and quality of care.
- Offered expertise in operations, strategy, management, IT, finance, review of policies & procedures, standards of care and regulatory issues crucial for healthcare organizations' success.
- Provided strategy-based advice to address current challenges, achieve new objectives, and steer transformative organizational changes for healthcare organizations.
- Specialize in utilization and case management, denials management, performance audits, and prior authorization, leveraging extensive experience with MCG Evidence-Based Care Guidelines.
- Expertise in detailed medical case/medical records review for appropriateness of care and medical necessity.
- Proficient in healthcare information technology, workflow optimization, product management, and clinical data analysis.
- Conducted detail review of documents and reports prior to review with clients
- Conducted presentation to internal and external clients
- Collaborated with cross-functional teams to develop innovative solutions addressing complex business challenges.
- Championed staff performance recognition initiatives, promoting a culture of continuous learning and professional development within the organization.
- Monitored financial performance, set budgets and controlled expenses to provide financial stability and long-term organizational growth.
- Formulated policies and procedures to streamline operations.
Senior Director, Care Strategies
MCG Health Inc
01.2013 - 10.2022
- Directed strategic growth and development, devising comprehensive plans to assist MCG customers in adopting and utilizing products and software effectively.
- Offered consultative support to implementation teams, assessing customer workflows, and providing customized support services.
- Specialized in utilization and case management, denials management, performance audits, detailed medical case review, and prior authorization using MCG Evidence-Based Care Guidelines.
- Detailed medical case/medical records review for appropriateness of care and medical necessity.
- Offer expertise in operations, strategy, management, IT, finance, review of policies & procedures, standards of care and regulatory issues crucial for healthcare organizations' success.
- Detail review of documents and reports prior to review with clients
- Conducted presentations to internal and external clients
- Directed design and execution of business transformation initiatives to drive performance, profit optimization and growth opportunities.
- Managed risk effectively by identifying potential threats, developing contingency plans, and implementing mitigation strategies in line with overall business objectives.
- Achieved departmental goals by developing and implementing strategic plans and initiatives.
- Established data-driven decision-making processes and implemented best practices in analytics to optimize performance across the organization.
- Increased employee satisfaction, providing regular coaching and feedback sessions.
- Championed continuous improvement initiatives to drive operational excellence within the organization.
- Grew talent pool by actively recruiting top-tier candidates from diverse backgrounds while implementing robust training programs for skill development across all levels of staff members.
- Navigated complex regulatory environments to ensure compliance with local laws, standards, and regulations relevant to the business domain.
- Improved customer experiences to increase renewal rates, reduced churn and enhanced support services.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
Guideline Adoption Advisor
MCG Health Inc
09.2011 - 01.2013
- Guided clients in implementing MCG guidelines to enhance care delivery effectiveness, identifying risks, barriers, and offering recommendations for optimal adoption.
- Conducted workflow assessments and collaborated with key client stakeholders to incorporate MCG products into their software environment.
- Specialized in utilization and case management, denials management, performance audits, detailed medical case review, and prior authorization using MCG Evidence-Based Care Guidelines.
Product Manager
MCG Health Inc
09.2008 - 09.2011
- Communicated effectively with team members to deliver updates on project milestones and deadlines.
- Developed product documentation to communicate upcoming features and products to internal teams.
- Analyzed metrics to measure product performance.
- Coordinated design meetings and decisions with internal departments and teams.
- Collaborated with sales, marketing, and support teams to launch products on time and within budget.
- Improved product functionality with innovative design solutions, resulting in increased sales conversions.
- Prioritized roadmap in order to achieve product goals and metrics.
- Managed product planning and execution, aligning product vision with customer requirements and company strategy.
- Collaborated with cross-functional teams to ensure revenue and customer satisfaction goals were met.
- Specialized in developing products supporting health leadership and operational efficiency.
- Conducted demonstration of solutions to both internal and external clients.
Clinical Educator
MCG Health Inc
12.2006 - 09.2008
- Evaluated clinical competencies of staff members, identifying areas for improvement and providing targeted training solutions.
- Developed customized training materials tailored to the specific needs of individual healthcare facilities.
- Collaborated with management to assess learning needs and develop customized training plans for various departments..
- Designed and delivered customized clinical and technical training for MCG clients, collaborating closely with client representatives.
- Utilized various training delivery models to meet the unique needs of clients and learners.
- Specialized in utilizing MCG Evidence-Based Care Guidelines to deliver training of the highest standard.
Education
Master of Science - Nursing Administration/Managed Care
University of Maryland - Baltimore County
Baltimore, MDBachelor of Science - Nursing
Edinboro University of Pennsylvania
Edinboro, PASkills
- Clinical expertise in various specialties
- Medical terminology and regulatory compliance
- Efficient multi-tasker
- Medical record review and evaluation
- Healthcare research
- Client Relations
- Change Management
- Verbal and written communication
- Time & Schedule Management
Accomplishments
- Certified Change Management Professional
- Hearst Include Certified Change Agent
- Hearst Health Mentor
- Hearst Gold Program
- Advisory Board Member
- Women In Leadership Advisory Board, University of Colorado
- Veteran - US Navy Nurse
Certification
- RN License -Current/Active
- Certified Change Management Professional
Timeline
GM, MCG Consulting
MCG Health Inc
10.2022 - 05.2024
Senior Director, Care Strategies
MCG Health Inc
01.2013 - 10.2022
Guideline Adoption Advisor
MCG Health Inc
09.2011 - 01.2013
Product Manager
MCG Health Inc
09.2008 - 09.2011
Clinical Educator
MCG Health Inc
12.2006 - 09.2008
Master of Science - Nursing Administration/Managed Care
University of Maryland - Baltimore County
Bachelor of Science - Nursing
Edinboro University of Pennsylvania