Results-driven and strategic healthcare professional with over 15 years of experience in practice optimization and performance management. Proven track record of implementing successful programs, building strong relationships, and achieving business goals. Seeking a challenging role to utilize my expertise and leadership skills in driving healthcare initiatives and optimizing patient care.
· Spearhead the strategic vision and initiatives related to the Practice Optimization Program implementation, resulting in the successful launch in the Puerto Rico market with an impressive 89% engagement rate among primary care physician practices, impacting approximately 17,000 patients.
· Cultivate and maintain strong relationships with stakeholders at all levels, from C-suite to field employees, to maximize team operational performance and drive successful business outcomes in the market.
· Lead and mentor a high-performing team, providing training and coaching on value-based care and optimization strategies for implementation at provider practices.
· Develop and curate training decks, educational materials, and articles for quarterly provider newsletters, fostering knowledge sharing and continuous improvement. Provide onsite support to ensure best practices, workflows, process improvements, and technology application are optimized to enhance patient care.
· Collaborated seamlessly with cross-functional teams to achieve organizational objectives
· Proactively assessed client-partner needs, identifying strategic opportunities for improvement and growth
· Revamped operation manuals, training programs and job descriptions to improve enterprise operations.
· Checked team performance and KPIs to address deficiencies and manage territory.
· Managed the largest territory in the team, overseeing 34 accounts across four counties in the Tampa Bay area, serving UHC Provider Groups to enhance the quality of services for UnitedHealth Group members.
· Educated UHC providers on CMS/Medicare Five Stars methodology and developed stars rating improvement strategies for UHG.
· Successfully closed gaps in care by promoting company tools and conducting site audits for UHG network providers, adhering to policies and standards.
· Analyzed data and implemented process improvements to enhance performance and minimize errors in service delivery. Devised customized actions for accounts, driving superior compliance on the MA-PCPi incentive program and positioning accounts at the top tiers of the program.
· Collaborated with pharmacists to improve compliance on Part D measures.
· Assisted organization with successful maintenance of internal systems and accurate reporting structures for performance management.
· Partnered with project stakeholders, vendors and service providers to coordinate delivery of business performance solutions.
· Managed effective implementation, monitoring personnel and reviewing progress.
Operational improvement
Performance optimization & management
Territory management
Employee training
Staffing oversight
Strategic Planning and Implementation
Relationship Building and Management
Team Leadership and Development
Value-Based Care and Optimization Strategies
Healthcare Program Development and Execution
Data Analysis and Process Improvement
Compliance and Standards Adherence
National Association for Healthcare Quality (NAHQ)
American College of Healthcare Executives (ACHE)
National Association of Latino Healthcare Executives (NALHE)
Innovating in Health Care Verified Certificate
HarvardX, issued July 27, 2023