Versatile manager with background in coordinating diverse teams and managing complex projects. Skilled in strategic planning, operational improvement, and fostering collaborative environments. Demonstrated ability to enhance efficiency and productivity while maintaining high standards of quality. Successfully implemented innovative solutions that resulted in positive organizational changes.
Hi, I’m
Kyle Donald
Greater Metro Atlanta,GA
Summary
Overview
8
years of professional experience
6
years of post-secondary education
Work History
Medely/ Frontline HealthAtlanta, GA
Manager, Clinical Account Management
07.2022 - Current
Job overview
- Responsible for overseeing 8 employees of the Clinical Account Management team and hiring new talent.
- Develop and implement the overall business strategy, including creating a clear vision for the company's future and guiding employees toward achieving common goals.
- Build and lead a strong, effective team, effectively delegating tasks and responsibilities, and fostering a positive work culture.
- Implemented a new strategy of face to face interactions to drive business partnership that resulted in 100+ new contracts within 3 months
- Secure and maintain 300+ physician and medical vendor partnerships to meet business needs such as: raise capital and manage finances, securing funding, making informed financial decisions, and ensuring the company's financial stability and sustainability
- Led product development and launch, driving innovation and creativity, and ensuring the final product met customer expectations and was of high quality.
- Collaborate and work closely with Healthcare Recruiting Managers and Assignment Associate Management.
- Maintain an open line of communication with all W2 team members, as well as cross-departmental teams, with appropriate follow-up.
- Acts as a point of escalation for internal and external partners.
- Serves as a liaison to other related functions to gather and support joint initiatives.
- Works with the Executive Leadership team to help generate ideas for improvement on a team level.
- Conducted extensive research into industry trends and competitive analysis.
- Developed training materials for end users.
- Maintained updated knowledge base on industry trends and best practices.
- Led meetings with stakeholders to discuss objectives and performance.
- Collected, tracked and evaluated current business and market trend data.
Cigna HealthSpringAtlanta, GA
Network Operations Senior Analyst
07.2020 - 07.2022
Job overview
- Responsible for ensuring provider updates are processed correctly and communicated back to necessary provider groups, as well as assistance with provider questions, grievances, and issues (claims, referrals, etc)
- Drives change in the health system by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
- Responsible for accurate and timely contract loading and submissions, and interfacing with matrix partners for network implementation and contract maintenance.
- Serve as internal point of contact for multiple primary care physicians in 4 IPAs (Independent Physician Associations), by communicating with the physicians to drive engagement in our model and removing barriers to care for our members by assisting the physicians' understanding of Cigna model
- Organized and delegated grievances for the second largest market within the company, which ultimately improved customer satisfaction and contributed to elevating Cigna HealthSpring's Star rating with CMS.
- Implemented new employee training and onboarding training for new hires.
- Develop positive internal and external physician relationships by providing reports to solve problems that require attention in the CMS Stars program, Medicare revenue cycle, member benefits, and clinical exam documentation.
- Organized and planned a thriving community Health Fair for Medicare Advantage eligibles.
- Executed changes to update the southeast market provider directory, which impacted members' access to healthcare, as well as CMS-approved provider network adequacy.
- Personally verified provider's demographic information to improve the accuracy of internal and external databases.
Cigna HealthSpringNashville, TN
Provider Data Senior Representative
05.2016 - 07.2020
Job overview
- Serve as internal point of contact for multiple primary care physicians in 4 IPAs (Independent Physician Associations), by communicating with the physicians to drive engagement in our model and removing barriers to care for our members by assisting the physicians’ understanding of Cigna model
- Organized and delegated grievances for the second largest market within the company, which ultimately improved customer satisfaction and contributed to elevating Cigna HealthSpring's Star rating with CMS.
- Implemented new employee training and onboarding training for new hires.
- Develop positive internal and external physician relationships by providing reports to solve problems that require attention in the CMS Stars program, Medicare revenue cycle, member benefits, and clinical exam documentation.
- Organized and planned a thriving community Health Fair for Medicare Advantage eligibles. • Executed changes to update the southeast market provider directory, which impacted members’ access to healthcare, as well as CMS-approved provider network adequacy
- Personally verified provider's demographic information to improve the accuracy of internal and external databases.
Nashville MarriottNashville, TN
Event Coordinator
05.2016 - 04.2017
Job overview
- Provided excellent and courteous service to guests
- Answered telephones, took messages, and handled guest mail
- Verified customers' credit and established how the customer would pay for the accommodation
- Demonstrated superior customer service to customers to maintain the integrity of the company's value
- Responsible for coordinating and overseeing all contract loading.
Education
Trevecca Nazarene UniversityNashville, TN
MBA from Healthcare Administration
08.2017 - 05.2019
University Overview
Austin Peay State UniversityClarksville, TN
Bachelor of Arts from Mass Communication
2011.08 - 2015.12 (4 years & 4 months)
University Overview
Skills
- Healthcare Administration
- Project Management
- Customer Relationship Management (CRM)
- Strategic Problem-Solving/ Strategic Planning
- Financial Performance Analysis
- Quality Initiatives/ Trend Analysis
- Stars Performance Optimization
- Clinical/ Travel Account Management
- Business Administration/ Business Strategy Development
- Contract Negotiation and Management
- Product Development and Launch
- Healthcare Recruiting
- Cross-Departmental Collaboration
- Escalation Management
- Event Planning/ Marketing
- Database Accuracy Verification
- Contract Management
- Policy Implementation
- Salesforce Management
- Performance Evaluations
- Verbal and written communication
- Complex Problem-Solving
- Staff Training and Development
Skills
Skills
- Microsoft Office - Word, Excel, Outlook, PowerPoint, OneNote, Access
- Google Drive - Docs, Sheets, Slides, Forms
- Enterprise Systems - SAP, Salesforce, Oracle, Gong, Zoom
- Social Media - Facebook, Instagram, Twitter, LinkedIn
- Productivity - Slack, Asana, Todoist, Skype,
- Reporting - Tableau, Metabase, SAS
- Phone Skills - Voicemail, Forwarding, Hold, Recording
- Web - HTML, CSS, JavaScript, WordPress, CMS
- Email - Mail Merge, Filters, Folders, Rules
Activities
Activities
- Alpha Phi Alpha Fraternity, INC.
- Photography Contributor for Austin Peay State University
- Govs Ambassador, Austin Peay State University
References
References
References available upon request.Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Manager, Clinical Account Management
Medely/ Frontline Health
07.2022 - Current
Network Operations Senior Analyst
Cigna HealthSpring
07.2020 - 07.2022
Trevecca Nazarene University
MBA from Healthcare Administration
08.2017 - 05.2019
Provider Data Senior Representative
Cigna HealthSpring
05.2016 - 07.2020
Event Coordinator
Nashville Marriott
05.2016 - 04.2017
Austin Peay State University
Bachelor of Arts from Mass Communication
2011.08 - 2015.12 (4 years & 4 months)
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