Lauren Parker
Sylvania,OH
Summary
Dynamic and results-oriented healthcare professional with a proven track record at Humana. Excelled in fostering robust strategic value-based partnerships, enhancing processes and provider/patient experience, and leading innovative projects with a keen analytical approach. Skilled in operations management, presentation, and identifying effective and efficient solutions that drive improved performance.
Overview
9
9
years of professional experience
Work History
Provider Engagement Executive
Humana
05.2016 - Current
- Develop and manage successful and engaged value-based provider relationships
- Execute strategic goals customized to specific payment models to improve provider performance and experience
- Attentively manage several timelines, project scopes, and business plans
- Lead operational work groups to tackle mutually agreed upon action plans around target areas, such as risk adjustment, quality, clinical utilization, and finance
- Lead Joint Operating Committees
- Advise both providers and Humana leadership on opportunities for functional strategies
- Execute interoperability solutions to allow for a more centralized and efficient patient/provider experience
- Solve complex technical issues related to attribution reconciliation, claims, and access
- Educate on Medicare and Medicaid policy and procedure changes/updates
Administrative Fellow
Trinity Health; Mount Carmel Health System (MCHS)
06.2015 - 05.2016
- Managed projects in strategy, population health, and finance
- Participated in executive senior level meetings
- Analyzed and presented market utilization for the clinically integrated network (CIN), Health Partners
- Obtained experience in development of an employee health plan and at-risk contracts within a CIN
- Developed a value stream current and future state map for care coordination and service lines
- Proposed a strategic, systematic approach to an efficient care management delivery integration model which was implemented
- Executed a market assessment and business plan for a Community Paramedicine Program
- Designed a business plan for a telemedicine worksite clinic
- Analyzed market pediatric care utilization to improve prenatal and pediatric wellness, care management, and outcomes
Education
Master of Health Administration - Health Services Management & Policy
Ohio State University
Columbus, OH05.2015
Bachelor of Science -
Ohio State University
Columbus05.2013
Skills
- Interpersonal Skills
- Relationship Building
- Teamwork and Collaboration
- Project Management
- Strategy Development
- Operations Management
- Analytical Skills
- Financial Reporting
- Proficient in Word, Excel, PowerPoint, Tableau and Visio
- Problem Resolution
- Customer-Oriented
- Motivation
Timeline
Provider Engagement Executive
Humana
05.2016 - Current
Administrative Fellow
Trinity Health; Mount Carmel Health System (MCHS)
06.2015 - 05.2016
Master of Health Administration - Health Services Management & Policy
Ohio State University
Bachelor of Science -
Ohio State University