Marian Antona
Rialto,CA
Summary
Talented professional considered knowledgeable leader and dedicated problem solver. Brings 20+ years of valuable healthcare expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.
Overview
23
23
years of professional experience
Work History
Post Acute Care Program Manager
CommonSpirit Health
Glendale, CA
08.2015 - Current
- Managed post acute care provider networks in Southern California region encompassing six Dignity Health hospitals and leveraging the collaboration of multidisciplinary teams of clinicians to optimize transition of patients from acute to post acute care settings.
- Served as key internal point of contact for issue escalations and resolutions of complex case discharges and/or post acute care related concerns i.e. Placement barriers, Transportation challenges, Home Health Start of Care, etc. reducing inpatient utilization by 30% and/or cost savings of $3.6M/year.
- Developed and implemented initiatives to improve performance against value-based care programs i.e. Medicare Shared Savings Program, Bundled Payment Care Improvement by establishing strong personal relationships with medical directors, administrative staff and management in skilled nursing facilities, inpatient rehabilitation and long term care hospitals.
- During Covid19 surges, lead and supported 26 hospitals on DME/oxygen supply chain issues across three states California, Nevada and Arizona on resource allocation strategies and agile problem solving with DME vendors and hospital leaders.
- Collaborated with Payer Strategy and Contracting department to develop and maintain detailed knowledge of capitation programs.
- Excellent interpersonal skills and demonstrated ability to influence internal and external constituents.
- Researched industry best practices in support of training development and program content.
Business Analyst Population Health
Dignity Health
San Bernardino, CA
10.2011 - 08.2015
- Conducted 30+ organizational studies and evaluations to determine work variations and deviations from policy and procedures manuals to assist management to enhance department/staff performance and efficiency by 20%.
- Analyzed key aspects of business and compiled intrinsic data from multiple information systems to evaluate factors driving results and summarized into presentations.
- Assisted in ensuring clinical processes/operations, policies and procedures meet regulatory/NCQA/CMS standards and are consistent with State and Federal guidelines and national policy.
- Created dashboards to monitor and track key performance indicators.
- Deployed predictive analytics models to forecast future trends.
- Conducted interviews with key business users to collect information on business processes and user requirements.
Senior Internal Auditor
City Of Hope, Comprehensive Cancer Center
Duarte, CA
08.2001 - 10.2011
- Served as lead and managed staff auditors in risk assessment, quality assurance evaluations and special projects across City of Hope business entities: Medical Center, Development and Research.
- Performed 60+ internal audits of financial and departmental operations, developing appropriate internal controls and conducting process walk throughs for compliance with documented processes minimizing legal and financial risks by 50%.
- Developed auditing program to address risks and evaluate regulatory requirements.
- Guided departments in developing remediation plans based on audit findings and recommendations.
- Explained risk and compliance concepts to managers and executives.
- Investigated discrepancies discovered during auditing process.
- Evaluated company's policies to determine how well standards adhered to best practices.
Patient Service Representative
Kaiser Permanente
Baldwin Park, CA
09.2000 - 08.2001
- Assisted Emergency Department patients in filling out check-in and payment paperwork.
- Verified insurance eligibility and coverage for patients.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Filed and maintained patient records in accordance with HIPAA regulations.
Education
MBA - INFORMATION TECHNOLOGY
University of La Verne
La Verne, CA12.2017
Bachelor of Science - Health Administration
University of La Verne
La Verne, CA05.2007
Associate of Science - Biology
Citrus College
Glendora, CA08.2005
Skills
- Business Acumen
- Case Management
- Communication
- Contracts
- Critical Thinking
- Data Analysis
- Executive/Stakeholder Management
- Lean Six Sigma Methodologies
- Policy Development
- Partnerships and Resource Mobilization
- Strategic Direction
- Time Management
- Team Leadership
- Healthcare administration
- Administration and management
- Masters of Business Administration (MBA)
- Health insurance plan knowledge
- Provider Relations
- Strategic Business Relationships
- Networking and relationship building
- Relationship and rapport building
- Strong customer relations
- Managed Service Provider (MSP) Relationship Management
Technical Skills
- Microsoft Excel (macros, pivot tables, data visualization)
- Google Workspace Suite
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The best way out is always through.
Robert Frost
Timeline
Post Acute Care Program Manager
CommonSpirit Health
08.2015 - Current
Business Analyst Population Health
Dignity Health
10.2011 - 08.2015
Senior Internal Auditor
City Of Hope, Comprehensive Cancer Center
08.2001 - 10.2011
Patient Service Representative
Kaiser Permanente
09.2000 - 08.2001
MBA - INFORMATION TECHNOLOGY
University of La Verne
Bachelor of Science - Health Administration
University of La Verne
Associate of Science - Biology
Citrus College