Karla Provost
Spokane Valley,WA
Summary
Healthcare leader with expertise in value-based care and chronic disease management at Optum. Proven ability to enhance quality outcomes and optimize risk coding. Skilled in provider engagement and presenting incentive programs to senior leaders. Proficient in data analytics and strategic decision-making to improve patient care.
Overview
15
15
years of professional experience
1
1
Certification
Work History
VBC Consultant
Optum
Spokane, WA
10.2022 - Current
- Leader in value-based care initiatives for 28 primary care clinics in Eastern Washington.
- Facilitated education on chronic disease management and value-based care principles for providers and staff.
- Managed 12,000 Medicare Advantage lives across two payors using population health strategies.
- Collaborated with sales and growth teams to ensure market share sustainability.
- Applied effective influence techniques and storytelling methods to enhance communication.
- Conducted financial analysis and trend interpretation to support strategic decisions.
- Served as subject matter expert in HEDIS and STARS performance metrics.
- Utilized advanced data analytics tools including Power BI, Salesforce, and Point.Click.Care.
Oncology Manager
Bozeman / Essentia Health
, Montana / Minnesota
11.2018 - 01.2022
- Developed patient education modules within EPIC platform tailored for oncology infusion nursing team.
- Diagnosed deficiencies in payor billing and coding, recovering pharmaceutical losses resulting in $1M gain.
- Serve as primary speaker and presenter at cancer center conferences.
- Directed cross-functional teams to streamline and elevate care center workflows, enhancing the patient experience.
Pulmonary Medicine Manager
Essentia Health
, MN
08.2010 - 11.2018
- Articulated insights as keynote presenter on community awareness of heart and lung health topics.
- Vital participant within pulmonary clinical research team throughout phase 1 trials.
- Provided daily patient education on pharmaceutical indications, side effects, and therapeutic outcomes.
- Provided clinical respiratory care therapies in outpatient and inpatient departments, assessing and treating stable and critical care patients.
- Oversaw analysis of HEDIS and STARS performance metrics
Education
Bachelor of Science - Pulmonary Science
Concordia
Saint Paul, MN06-2013
Skills
- Disease management strategies
- Healthcare provider training
- Stakeholder collaboration
- Effective presentations
- Financial restructuring
Affiliations
- Veteran advocate for cancer navigation
- Patient educator for Cancer Transitions Program (Medical Management)
- Member of AAPC - Professional coders
Certification
- Risk Coder Certification - Eligible
- Registered Respiratory Therapist
- Certified Asthma Educator
Accomplishments
- 2007 MN American Legion's National Guard Enlisted Member of the Year
- Combat Veteran served 20+ as RT in Critical Care Air Transport
References
References available upon request.
Timeline
VBC Consultant
Optum
10.2022 - Current
Oncology Manager
Bozeman / Essentia Health
11.2018 - 01.2022
Pulmonary Medicine Manager
Essentia Health
08.2010 - 11.2018
Bachelor of Science - Pulmonary Science
Concordia