Kylie Shearman
Ormond Beach,FL
Summary
Strategic leader with a proven track record of driving business growth and account management. Successfully led initiatives that resulted in revenue growth and enhanced client relationships. Demonstrates strong ability to navigate complex challenges and deliver impactful results. Known for strong collaboration and adaptability in dynamic environments.
Overview
11
11
years of professional experience
Work History
Partner Operations Manager
Evolent
Acquired New Century Health 2024
07.2022 - Current
- Led strategic initiatives to enhance partnership effectiveness and drive business growth
- Successfully implemented statewide expansion adding over 100K in membership and over 200M in revenue.
- Developed and implemented policies that improved operational efficiency across partner networks
- Analyzed market trends to identify new partnership opportunities and inform strategic decisions
- Coordinate cross-functional teams to align partner objectives with organizational goals
- Achieved successful client outcomes by identifying and addressing their unique needs and goals.
- Collaborate with health plans and health systems on their strategic goals to improve quality and lower costs.
- Serve as SME and main point of contact for client contracts, projects, and governance, such as product implementations, decommissions, and operational improvements.
- Responsible for client data and reporting, including SLA monitoring, Salesforce tracking, and account intel.
- Create presentation materials to share value story and collaboration efforts with client.
Operations Manager
Kemberton
Portsmouth, NH
03.2021 - 07.2022
- Manage claims for a 13 facility heath system with collections of 5 million+ monthly. Ensure maximum third party liability and workers compensation reimbursement for clients, and exceed all contractual obligations
- Enhanced team workflows and employee job satisfaction by coordinating communication between managers and employees.
- Developed and maintained relationships with hospital stakeholders, serving as liaison between the client and internal partners while maintaining KPI's, customer success and satisfaction.
- Managed corporate compliance, employee productivity and QA for all active staff
- Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
- Mentored team members on best practices for inventory management and resource allocation.
Manager of Client Services and Field Operations
Accelerated Claims Inc.
Kennesaw, GA
12.2016 - 03.2021
- Developed and maintained relationships with hospital stakeholders, serving as liaison between the client and internal partners while maintaining customer success and satisfaction
- Strategically monitored and analyzed monthly reports and raw data to track alignment with both internal and external KPIs and revenue forecasts specific to each client
- Cosponsored implementations as operational manager specializing in reviewing EDI files, workflow process and onboarding of new employees
- Managed up to eight individual hospital contracts concurrently, ensuring maximum third party liability and workers compensation reimbursement for clients, and exceeding all contractual obligations
- Created weekly and monthly workflows for multiple hospital teams and fostered an environment for a team mentality and growth.
- Managed corporate compliance, bonus eligibility, and employee throughput for all active staff
- Worked with respective Patient Financial Service Departments and Health Information Management Departments for each client, ensuring HIPAA compliant Release of Information
Team Leader II
Accelerated Claims Inc.
Kennesaw, GA
10.2014 - 12.2016
- Promoted from Patient Counselor to Team Leader role within 7 months of hire.
- Promoted to Team Lead II within a year of becoming Team Lead.
- Staffed and supported 8 Advent Health facilities for 3 years including: developing workflows, operational management documents, and optimized vendor/client processes for complex claims.
- Documented change management of job aides, tip sheets, workflows, and telephony transitions to create best practice model.
- Oversaw reconciliation project of over 10k complex claims accounts resulting in over 1.3 million in collections for our client.
- Served as the main point of contact to our client for issue review while also advising on additional strategies and services offered.
Education
Early Childhood Education And Care
North Shore Community College
Danvers, MASkills
- Account Management
- Customer Relationship Building
- Process Optimization
- Customer Engagement
- Leadership
- Cross-functional Collaboration
- Communication
- Customer Integration
- Organizational Strategy Development
- Data Analysis
- Effective Problem Resolution
- Performance Monitoring
Timeline
Partner Operations Manager
Evolent
07.2022 - Current
Operations Manager
Kemberton
03.2021 - 07.2022
Manager of Client Services and Field Operations
Accelerated Claims Inc.
12.2016 - 03.2021
Team Leader II
Accelerated Claims Inc.
10.2014 - 12.2016
Early Childhood Education And Care
North Shore Community College