Overview
Work History
Education
Skills
Summary
Work Availability
Work Preference
Languages
Interests
Quote
Timeline
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KRISTY YOHEY

KRISTY YOHEY

Healthcare Operations & Transformation Executive
Northumberland,PA

Overview

24
24
years of professional experience

Work History

Vice President, Provider Cost Solutions

HIGHMARK HEALTH
Pittsburgh, PA
06.2021 - 03.2024
  • Company Overview: A national blended health organization, Highmark Health support millions of customers with its products, services and solutions to make access to healthcare easier and more affordable
  • Led multi-level revenue cycle operations and cost reduction programs across provider partners, delivering over $10M in savings by optimizing revenue cycle, supply chain, and patient access processes
  • Developed and implemented a revenue cycle payment framework that enabled $50M in savings by redesigning the end-to-end patient payment journey
  • Led enterprise-wide initiatives to extract and optimize internal medical record data, improving STARS/HEDIS quality performance
  • Directed the interoperability strategy to drive administrative efficiency and ensure compliance with industry standards, aligning payer and provider operations for shared value
  • A national blended health organization, Highmark Health support millions of customers with its products, services and solutions to make access to healthcare easier and more affordable

Vice President, Market Development

INTEGRATED HOME CARE SERVICES
Miramar, FL
10.2019 - 06.2021
  • Company Overview: An organization that is reinventing home care, replacing fragmented approaches with an integrated, insights-based, coordinated model that saves costs while improving care and outcomes
  • Spearheaded client integration and strategic alignment initiatives by negotiating value-based contracts with key stakeholders, improving client satisfaction and operational efficiency
  • Managed provider contracting, recruitment, and relations, building a high-performing network across multiple states (PA, OH, AZ) to support growth and enhance care delivery
  • Drove process improvements to streamline claims migration, enhancing both provider and patient experiences while reducing operational costs
  • Led cross-functional teams to align operational objectives with client needs, improving patient outcomes and cost containment through utilization management
  • An organization that is reinventing home care, replacing fragmented approaches with an integrated, insights-based, coordinated model that saves costs while improving care and outcomes

Director, Strategic Partnerships

GEISINGER HEALTH PLAN
Danville, PA
01.2017 - 06.2019
  • Company Overview: An integrated payer and provider organization committed to making better health easier
  • Directed a $500M+ client portfolio, driving revenue cycle improvements and enhancing the financial performance of strategic partnerships
  • Managed multi-functional teams across clinical, business, and quality advisory committees to achieve client goals, reduce MLR to below 85%, and grow the MA product to 20,000+ shared lives
  • Developed and executed co-sponsored insurance products, streamlining operational processes and improving patient experience through joint initiatives with provider partners
  • An integrated payer and provider organization committed to making better health easier

Director, General & Plastic Surgery Operations

GEISINGER HEALTH SYSTEM
Danville, PA
08.2012 - 12.2016
  • Company Overview: An integrated payer and provider organization committed to making better health easier
  • Developed an innovative inpatient discharge planning program, embedding advanced practice providers (APPs) in inpatient settings to reduce discharge times and improve hospital throughput
  • Led operational assessments to optimize clinical practice visits, enhancing access to care and reducing operating costs through strategic staffing and process improvements
  • Directed surgical institute outreach efforts, increasing access to surgical care and aligning with systemwide cost control initiatives
  • An integrated payer and provider organization committed to making better health easier

Education

DHA -

Capella University

Master of Science -

Saint Francis

Bachelor of Science -

Misericordia University

Skills

  • Cross-functional team leadership
  • Innovation management
  • Training and mentoring
  • Proposals and presentations
  • Performance data analysis
  • Policy and procedure development
  • Rules and regulations
  • Performance metrics analysis
  • Performance monitoring and evaluation
  • Business growth and marketing strategies
  • Growth planning
  • Executive-level support
  • Operational leadership

Summary

I am a healthcare executive with over 22 years of experience leading revenue cycle operations, strategic client delivery, and performance improvement across diverse healthcare organizations. My passion for making a difference in healthcare began early in my career, just out of high school, when I worked in medical records at a local health system. This experience affirmed my commitment to transforming healthcare, and over the past two decades, I’ve been privileged to serve in leadership roles across revenue cycle, hospital operations, strategic partnership management, business development, and managed care organizations.

Throughout my career, I've overseen multi-level revenue cycle teams, managed client portfolios exceeding $500M, and delivered cost savings through strategic process improvements. Whether it’s leading contract negotiations, building high-performing teams, or developing innovative revenue cycle solutions, I’m committed to driving organizational success by aligning operational excellence with client
objectives.

I bring high energy and a transformational mindset to executive leadership. I firmly believe there is an opportunity to make healthcare easier to navigate and less costly, creating a system that works better for patients and providers alike. Empowering others, fostering collaboration, and driving performance improvement are at the heart of my leadership philosophy.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimeContract Work

Location Preference

RemoteHybrid

Important To Me

Company CultureHealthcare benefitsPaid time offTeam Building / Company RetreatsCareer advancement

Languages

English
Native or Bilingual

Interests

As a resident born and raised in the beautiful state of Pennsylvania, I enjoy spending time outdoors gardening, playing with my four-legged fur kids, and scuba diving in the many local quarries with my husband

Quote

"Giving can be as simple as saying “thank you” to someone and meaning it. We should all give a little more."
S. Sinek

Timeline

Vice President, Provider Cost Solutions

HIGHMARK HEALTH
06.2021 - 03.2024

Vice President, Market Development

INTEGRATED HOME CARE SERVICES
10.2019 - 06.2021

Director, Strategic Partnerships

GEISINGER HEALTH PLAN
01.2017 - 06.2019

Director, General & Plastic Surgery Operations

GEISINGER HEALTH SYSTEM
08.2012 - 12.2016

Bachelor of Science -

Misericordia University

DHA -

Capella University

Master of Science -

Saint Francis
KRISTY YOHEYHealthcare Operations & Transformation Executive