Kristy Yohey
Healthcare & Transformational Leadership Executive
Northumberland,PA
Summary
DYNAMIC HEALTHCARE EXECUTIVE and TRANSFORMATIONAL LEADER Performance-driven Vice President with 20+ years of experience aligning systems with business requirements, policies and regulatory requirements. Passionate about applying excellent organization and communication skills to manage and lead teams. Results-oriented individual well-versed in interfacing and consulting on business processes to drive results based on sound overall business judgment.
Overview
23
23
years of professional experience
10
10
years of post-secondary education
Work History
Vice President, Provider Cost Solutions
Highmark Health
06.2021 - 03.2024
- Developed cost portfolio of programs to deliver >10M in value across engaged provider organizations; enabling redesigning of health system's cost structure;
- Structured cost programs that combines design of shared cost structures, delivering cost reduction programs across multiple provider partners
- Developed end-to-end logistics of payment framework to aide in redesign of how payers and providers transact, enabling redesign of end-to-end patient payment journey; $30M in value
- Led initiative to further enable internal medical record data optimization to improve quality performance (STARS/HEDIS)
- Development of provider financial performance dashboard to replicate provider financial statements for opportunity assessment
- Led (interim role) enterprise interoperability strategy to optimize quality performance, drive administrative efficiency for payer and provider;
- Spearheaded organizational restructuring initiatives, streamlining operations and reducing overhead costs.
- Cultivated strong relationships with key stakeholders, including customers, vendors, regulators, and community leaders to promote collaboration and long-term success.
- Established culture of continuous improvement, fostering innovation and driving sustainable growth across organization.
- Leveraged technology to automate workflows and streamline processes, resulting in increased productivity and cost savings across organization.
- Built high-performance teams through effective recruitment practices focused on competency alignment coed with ongoing performance management processes.
Vice President, Market Development
Integrated Home Care Services
10.2019 - 06.2021
- Led and supported health plan value-based contract negotiations to include underwriting analysis and performance guarantees with CEO, CFO and CD&A officers
- Led provider contracting, provider relations, recruitment, and strategic development for health plan partners
- Successfully built provider network for DME/HH/H-IV for growth in PA, OH and AZ; driving >100,000 covered lives
- Drove patient and provider service excellence, collaboration, and engagement through redesigning operational processes to improve provider and patient experience, key stakeholder and executive leader in claim’s platform migration
- Establish collaborative relationships with plans through development of aligned objectives focused on patient experience optimization, high-quality care and cost containment through effective utilization management
- Led redesign of company externally facing website to improve experience for providers, members and health plan partners.
Early Career Experiences
Geisinger Health System
08.2001 - 08.2019
- Proven ability to develop and implement creative solutions to complex problems.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Proved successful working within tight deadlines and a fast-paced environment.
- Worked flexible hours across night, weekend, and holiday shifts.
- Delivered services to customer locations within specific timeframes.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Exercised leadership capabilities by successfully motivating and inspiring others.
Executive Director, Strategic Partnerships
Geisinger Health Plan
01.2017 - 06.2019
- Led and was responsible for partnership performance through business advisory, clinical advisory and quality advisory committees; growth of MA product to >20,000 shared lives, reduction of MA MLR below 85%
- Responsible for development and execution of co-sponsored insurance products, network development, product financial performance, quality performance and clinical outcomes
- Directed various enterprise-wide projects encompassing resource allocation, project adherence to business objectives, and identification of mitigating risk factors posing threat to project deliverables; led provider network team through external administrative cost reduction exercise with benchmarking vendor to reduce administrative costs
- Led and executed development of joint funded CM/UM/DM model between health plan and provider partner
- Facilitated all aspects of partnership renewals and executed collaboration agreements and participating provider contracts.
- Spearheaded new program initiatives to address unmet community needs and advance organization''s mission.
- Implemented innovative marketing strategies to raise brand awareness and drive revenue growth.
- Oversaw financial management, ensuring fiscal responsibility and long-term sustainability for organization.
- Developed strategic partnerships with key stakeholders to expand organization's reach and influence.
- Forge strong relationships with board members, providing regular updates on organizational progress and soliciting their expertise when needed.
- Managed diverse team of professionals, fostering collaborative work environment for increased productivity.
- Evaluated program outcomes using data-driven metrics, identifying areas for improvement and implementing targeted interventions.
- Collaborated with external organizations including non-profits, businesses and government agencies to create mutually beneficial partnerships.
- Optimized operational workflows, reducing overhead costs and maximizing resource allocation.
- Aligned department vision, goals, and objectives with company strategy to achieve consistently high results.
Executive Director of Operations
Geisinger Health System
, PA
08.2011 - 01.2017
- Department of General Surgery, Plastic Surgery, and Center for Aesthetics and Cosmetic Surgery
- Developed and implemented inpatient discharge planning program which imbedded APP’s in inpatient setting for timely discharges, improved hospital throughput while reducing operating costs; reduced LOS
- Conducted clinical practice visit throughput assessment to aid in development of business case for increased APP’s in ambulatory environment to increase access
- Conducted and led surgical institute clinical practice outreach site planning and execution; greater access to surgical care; align spend to preferred provider system
- Led successful accreditation organizations educational programs (residency and fellowship) under ACGME
- Led successful assessment, migration and implementation of new academic program management software, MedHub
- Managed staff to ensure delivery of stellar service performance and execution of best-practice standards, including facilitation of all performance management activities for physician and non-physician staff
- Collaboratively worked with clinical leadership to address issues while maintaining in-depth understanding of all revenue impacting activity
- Collections, billing, access issues, discharges, care alignment, practice standardization, etc.)
- Optimized facility layouts for maximum efficiency, improving workflow and decreasing overhead expenses related to wasted space or resources.
- Implemented performance metrics to track progress, identify areas for improvement, and guide team efforts toward achieving goals.
- Managed budgets, forecasts, and financial reporting to ensure optimal resource allocation while maintaining fiscal responsibility.
- Drove employee engagement initiatives aimed at increasing retention rates among top performers within organization.
- Championed process improvements through adoption of Lean methodologies, enhancing productivity across all departments.
- Developed long-term strategies to drive continuous improvement in operations, resulting in increased revenue and reduced costs.
- Championed culture of continuous improvement, empowering employees to identify and address inefficiencies or areas for potential growth proactively.
Education
Doctorate Health Administration (D.H.A.) - Healthcare Quality and Analytics
Capella University
Minneapolis, MN 05.2019 - 12.2022
Master of Health Sciences (M.H.S.) - undefined
Saint Francis University
Loretto, PABachelor of Science (B.S.) - Business Administration
Misericordia University
Dallas, PALean Six-Sigma Certification - Healthcare
Villanova University
Villanova, PASkills
Energetic
Adaptable
Results-Driven
Reliable
Organized
Operations Management
Process Improvement
Mergers and Acquisitions
Market Research
Human Resources
Risk Management
Financial Management
Revenue Cycle Management
Business Development
Partnerships and Affiliations
Strategic Planning
Affiliations
- American College of Healthcare Executives
- America’s Health Insurance Plans
- Healthcare Financial Management Association
Professional Highlights
- Trusted, well-respected leader to driving operational excellence through critical thinking, sound judgment, and decisive decision-making to responsibly manage the integration, coordination, and direction, delivering on optimized results.
- Consistently ensured delivery of high-quality, cost-effective healthcare in accordance with all regulations, licensing, and accreditation requirements while effectively promote and enhance positive patient/member experience.
- Skilled relationship-builder cultivating strong working relationships with partners, peers, staff, executive teams, board members, and internal/external resources, as well as build talented networks of medical and clinical professionals.
- Successfully built dynamic cross-functional teams to exceed company goals and timelines. Drove cultural change to improve efficiencies, resulting in better teamwork, streamlined processes, and improved overall quality and service.
- Strong analytical and business acumen to identify opportunities for improvement and implement cost-effective solutions.
- Boosted development of future partnership opportunities via thorough evaluation of viability and fit for organization. Clearly communicated insightful feedback and recommendations on wide variety of opportunities.
- Proven record of superior performance throughout steady career progression with successful goal achievement
- Successfully developed and serviced current and prospective provider partnerships while shaping and executing strategic partnership development.
- Established long-range strategic and financial plans with consistent monitoring of department’s financial performance.
- Facilitated key mergers and acquisitions based on market growth, strategic prioritization, and financial wealth. Managed institute operations to strategically advance growth and meet enterprise goals.
- Initiated and drove strategic and tactical business plans in collaboration with senior leadership (i.e. budgets, facilities and capital analyses, market analyses). Including: Business Plan for the Development of a Comprehensive Breast Center, expansion of Bariatric Destination medicine program and the expansion of surgical services in a new ambulatory services center.
Timeline
Vice President, Provider Cost Solutions
Highmark Health
06.2021 - 03.2024
Vice President, Market Development
Integrated Home Care Services
10.2019 - 06.2021
Doctorate Health Administration (D.H.A.) - Healthcare Quality and Analytics
Capella University
05.2019 - 12.2022
Executive Director, Strategic Partnerships
Geisinger Health Plan
01.2017 - 06.2019
Executive Director of Operations
Geisinger Health System
08.2011 - 01.2017
Early Career Experiences
Geisinger Health System
08.2001 - 08.2019
Master of Health Sciences (M.H.S.) - undefined
Saint Francis University
Bachelor of Science (B.S.) - Business Administration
Misericordia University
Lean Six-Sigma Certification - Healthcare
Villanova University