Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Karla Corte, MBA, PMP

Temecula,CA

Summary

Experienced professional subject matter expert with a high level of expertise in clinical program management, healthcare strategy consulting and clinical solutions implementation.
Program Manager to multiple clinical quality programs and initiatives to improve patient outcomes.
SME in Program Management, Population Health Management, CCM, Clinical Quality, SDOH, Patient Reported Outcomes and Digital Patient Engagement

Overview

15
15
years of professional experience
1
1
Certification

Work History

Program Director, Provider Engagement

Elevance
05.2022 - Current
  • Implemented and managed clinical quality improvement programs and initiatives (HEDIS, CHAPS, HOS ,etc.) for the Medicare Advantage population
  • Monitored program performance to provide high-quality services to program participants.
  • Created senior level presentations and provided monthly quality performance updates to organizational leaders.
  • Worked with cross functional teams to develop mitigation strategy plans for non-performing provider groups
  • Led multiple quality provider incentives programs and analyzed data to identify program risks, weaknesses and opportunities.
  • Improved member and provider experience by working with cross functional teams on multiple clinical quality initiatives
  • Developed and implemented program goals and objectives, establishing specific and measurable outcomes aligned with organization's overall mission.
  • Scheduled and led leadership meetings to discuss new ideas and update participants on program details and milestones.

Program Manager, Clinical Content

Phreesia
11.2021 - 05.2022
  • Managed the planning, design, implementation, training and reporting of multiple clinical programs and complex projects
  • Served as subject matter expert for clinical offerings and products to drive client adoption, engagement and increased revenue
  • Identified areas of improvement and developed effective solutions for clinical programs and client use cases
  • Supported the strategic expansion and acquisition of Insignia Health by collaborating with cross-functional teams and project managing GTM strategies
  • Developed and presented effective clinical and product presentations to a diverse audience across the enterprise
  • Designed and delivered data driven insights for customers to support and track program success
  • Led and developed the training strategy for new clinical products and pilot programs
  • Partnered closely with cross-functional teams to develop and implement digital clinical workflows for both payer and provider markets
  • Represented Phreesia and built relationships with clients/prospective clients to increase
    Phreesia's market visibility
  • Led multiple clinical demos and supported client onboarding and implementation
  • Participated in pilot tests and revised programs based on feedback and results.
  • Participated in vendor selection and management process for program initiatives.
  • Collaborated with business leadership to set priorities based on business needs, resource capacity and risk exposure.

Program and Education Manager

Alzheimer's Association
05.2019 - 07.2021
  • Developed productive relationships with health plans and health systems to uncover needs and match available solutions
  • Secured partnerships and collaborations with healthcare organizations and community based organizations
  • Responsible for increasing patient referrals through relationship building
  • Managed and coordinated initiatives to increase Alzheimer's awareness and education with minority and underserved populations
  • Managed proactive client outreach initiatives to drive utilization of services
  • Ensured customer success through client onboarding and program implementation
  • Developed digital marketing materials to improve customer engagement and market growth
  • Responsible for increasing revenue through grant proposal writing and submission
  • Prepared and delivered presentations to management and C-Level executives to increase value proposition on health system services
  • Partnered with business development and marketing departments to develop effective client engagement initiatives
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
  • Designed and implemented educational programs and events such as Alzheimer's conferences and classes
  • Represented educational program at meetings and conferences to serve as subject matter liaison for array of services and activities assigned.

Community Health Manager

Sharp Healthcare
12.2015 - 05.2019
  • Managed multiple telehealth programs through dashboard monitoring and data analysis to
    ensure patient quality of care
  • Supported the coordination of care for patients with multiple chronic care conditions and developed patient-centered care plans
  • Identified social and health needs for patients through effective patient outreach and engagement and provided patients with resources to improve their quality of life
  • Interpreted Population Health programs enrollment data and developed reports for senior management to demonstrate program status and success
  • Increased telehealth patient engagement through strategic outreach initiatives
  • Monitored and handled emergency SMS dashboard programs and escalated critical cases to appropriate staff
  • Collaborated with cross-functional teams to develop patient-centered initiatives and improve health outcomes
  • Served as SME and liaison between patients, nurses and physicians to ensure effective continuum of care
  • Developed and implemented health education and clinical trainings for internal and external stakeholders
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.

Lead Phlebotomy Technician

Sharp Healthcare
08.2012 - 12.2015
  • Developed and implemented training processes to achieve high quality of care for patients
  • Notified management of compliance and workplace safety issues from department and recommended simple solutions
  • Managed daily activities and clinical workflows to collect, label and analyze samples correctly
  • Validated blood and specimen collection orders, and communicated discrepancies or abnormal results to appropriate clinical staff
  • Performed safe patient venipuncture procedures and collected blood samples
  • Trained and coached employees to provide efficient and safe patient care
  • Provided patient service recovery
  • Ensured compliance of HIPPA and OSHA regulations at the workplace

Phlebotomy Technician

La Maestra Community Health Center
04.2009 - 08.2012
  • Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
  • Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
  • Spoke with patients to gather information for lab records, reduce fear or anxiety and optimize cooperation.
  • Logged patient information and recorded results into the EHR system.
  • Followed physician orders to correctly administer therapeutic phlebotomy.
  • Maintained exam rooms by ordering supplies, transporting specimens, washing and packing instruments and changing solutions.
  • Assisted with office procedures by monitoring patient flow, performing telephone screening and check-in patients into the lab

Education

MBA - Health Management

Capella University
Minneapolis, MN
08.2021

Bachelor of Science - Health Management

Northeastern University
Boston, MA
09.2017

Skills

  • Project Management
  • Program Management
  • Strategic Direction and Planning
  • Team Leadership
  • Performance Improvement and Monitoring
  • Presentation Skills
  • Account/Client Management
  • Digital Health
  • Interpersonal Skills
  • Healthcare Operations

Certification

  • PMP- Project Management Professional
  • PgMP-Program Management Professional . In progress

Timeline

Program Director, Provider Engagement

Elevance
05.2022 - Current

Program Manager, Clinical Content

Phreesia
11.2021 - 05.2022

Program and Education Manager

Alzheimer's Association
05.2019 - 07.2021

Community Health Manager

Sharp Healthcare
12.2015 - 05.2019

Lead Phlebotomy Technician

Sharp Healthcare
08.2012 - 12.2015

Phlebotomy Technician

La Maestra Community Health Center
04.2009 - 08.2012

MBA - Health Management

Capella University

Bachelor of Science - Health Management

Northeastern University
Karla Corte, MBA, PMP