Kelly Vontran
health policy expert
Perry Hall,MD
Summary
Accomplished Deputy Director at Centers for Medicare & Medicaid Services, adept in policy analysis and fostering stakeholder engagement. Spearheaded cross-functional teams to innovate policy strategies, enhancing regulatory compliance. Proven track record in staff development and recruitment, achieving significant organizational objectives.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Deputy Director
Centers for Medicare & Medicaid Services
Baltimore, MD
10.2012 - Current
- Directed staff in the accomplishment of organizational objectives.
- Researched and analyzed current and proposed policies to evaluate their potential impact on stakeholders.
- Coordinated cross-functional teams to develop new strategies for implementing policy initiatives.
- Consulted with external organizations such as advocacy groups, trade associations, and other governmental agencies about proposed legislation or regulations impacting their interests.
- Handled modification and updating of policies.
- Collaborated with legal counsels in drafting legislative language for bills or regulatory documents related to specific policies under review.
- Developed policy briefs on key issues for government decision-makers.
- Recruited, trained, supervised, evaluated and mentored staff members.
- Delegated work to staff, setting priorities and goals.
- Collaborated with staff members across departments to ensure effective implementation of policies.
- Represented the organization at meetings with government officials, industry representatives, and other stakeholders on policy matters.
Case Management Supervisor
CareFirst BCBS
Baltimore, Maryland
01.2009 - 10.2012
- Demonstrated expertise in creating accountable teams which closely followed corporate healthcare strategies.
- Advocated on behalf of clients to secure necessary services and support.
- Handled administrative procedures to meet objectives set by boards of directors or senior management.
- Worked with management to optimize every aspect of patient care from clinical and administrative perspectives.
- Conducted initial assessments to determine client eligibility for programs and services.
- Developed and maintained relationships with external stakeholders to ensure successful case management outcomes.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Assisted individuals with eligibility for available benefits.
- Managed the daily operations of the case management department including developing policies and procedures.
Home Health/Hospice Case Manager
Diversified Health Services
Baltimore, Maryland
07.1997 - 12.2001
- Determined eligibility requirements for Home Health Services based on Medicare and Medicaid guidelines.
- Performed clinical assessments of patients' physical status including vital signs, pain levels and medication management.
- Actively participated in Quality Assurance activities by providing feedback on service delivery processes.
- Provided emotional support and counseling to family members regarding their loved one's care plan.
- Conducted home visits on a regular basis to assess the safety and well-being of clients receiving home health services.
- Provided education to patients regarding their conditions and treatments.
- Contributed expertise toward developing new policies related to Home Health Case Management practices.
- Collaborated closely with physicians and other healthcare providers to coordinate comprehensive patient care.
- Coordinated with interdisciplinary team members to ensure quality care for all patients.
Education
Master of Science - Nursing Leadership And Management
Stevenson University
Stevenson, MD05-2014
Bachelor of Science - Nursing
Johns Hopkins University
Baltimore, MD07-1995
Skills
- Policy analysis
- Change management
- Regulatory compliance
- Recruitment and hiring
- Stakeholder engagement
- Staff development
Accomplishments
- Director's Awards for outstanding achievement in meeting policy goals for Medicare Home Health and Hospice benefits and for developing and implementing a new patient-centered payment model for home health
- Executed Major Projects Awards for implementing home health and hospice payment reform, new policies for a home health case-mix system, and home infusion therapy services and benefits under Medicare
- Received multiple Focusing on Results Awards for creating service flexibilities and executing waivers during the COVID-19 public health emergency
- Administrator's Achievement Award for excellence in innovation and collaboration in developing and implementing payment policies for COVID-19 vaccines and monoclonal antibody treatments
- Value-Based Insurance Design Model - Received Program Impact Award
Certification
- Certified Case Manager (CCM), 2010
- Certified Hospice and Palliative Care Nurse (CHPN), 2012
- Certified Coding Associate (CCA), 2015
Timeline
Deputy Director
Centers for Medicare & Medicaid Services
10.2012 - Current
Case Management Supervisor
CareFirst BCBS
01.2009 - 10.2012
Home Health/Hospice Case Manager
Diversified Health Services
07.1997 - 12.2001
Master of Science - Nursing Leadership And Management
Stevenson University
Bachelor of Science - Nursing
Johns Hopkins University
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