Summary
Overview
Work History
Education
Skills
Training
Key Accomplishments
Timeline
Mary Leigh George

Mary Leigh George

Healthcare Executive
Prosper,TX

Summary

Successful Healthcare Executive with over 20 years of experience in provider/payer relations, account management, operations, hospital revenue-cycle, and product management. Demonstrated ability in delivering mission-critical results. Offering outstanding communication and cross-cultural team management skills. Entrepreneurial attitude for optimal profitability. Ambitious team leader adept at creating strategic alliances with organizational leaders and effectively aligning with and supporting key business initiatives.

Overview

28
28
years of professional experience

Work History

Regional Vice-President, Client Engagement

EnableComp
12.2022 - Current
  • Developed and maintained C-level/Senior-level client relationships ensuring the success, satisfaction, and retention of Healthcare Provider clients who utilize EnableComp's complex claims solutions.
  • Served as Executive Sponsor for key client accounts, leading and participating in strategy meetings, key business reviews, and serving as point for high level escalation.
  • Managed 63 client accounts across 22 states and successfully maintained an NPS score of 82+ with > 50% client participation.
  • Improved client retention rate to > 90% by implementing customer centric best practices: built trust with clients, provided a feedback loop and delivered the best customer experience.
  • Leveraged customer engagement platforms, including Gainsight & Salesforce, to enhance client success, streamline communication and drive retention and growth initiatives.
  • Strengthened client relationships to drive an 11% revenue increase in 2024 by identifying and capitalizing on whitespace opportunities within existing accounts.

Senior Director/Vice President, Recovery Audit

Cotiviti (formerly known as Health Management Systems, Inc.)
01.2017 - 10.2022
  • Expanded role to oversee multiple product lines within the Payment Integrity Suite, enhancing product management and operational excellence, achieving a 26% increase in product performance.
  • Navigated multiple teams, with zero leadership turnover, through transition after the acquisition by Cotiviti in 2021.
  • Led, inspired and motivated 6 direct and 90+ indirect reports in multiple locations across U.S. driving operational execution with focus on training, quality, key metrics.
  • Successfully navigated a company reorganization, maintaining team cohesion and productivity, reducing Hospital Bill Audit's billing error rate by 25% over 12 months.
  • Generated 14% YoY organizational growth ($118M in client value) by composing creative operations strategies to ensure short and long-term business outcomes.
  • Fostered work culture of collaboration and inclusion to increase morale and reduce turnover.
  • Selected as part of Kotter University Urgency Team and the Guiding Coalition, transformed the culture at HMS.
  • Qualified for the 'Leadership Excellence Circle' 2015 - 2020 for achieving high employee engagement scores and a strong voice of the customer (VOC) rating, improving customer satisfaction by identifying client expectations and exceeding mutually agreed-upon objectives.

VP, Credit Balance Audit

Cotiviti (formerly known as Health Management Systems, Inc.)
01.2012 - 01.2017
  • Recruited to drive growth by introducing Credit Balance Audit, an HMS Payment Integrity solution that was historically a state Medicaid solution, to the commercial insurance market.
  • Responsible for P&L optimization, performance monitoring and management.
  • Oversaw the delivery of services to State Government and commercial clients, owned the relationship management process, full accountability for revenue attainment and for driving organizational planning and risk prevention.
  • Led team of 70+ through 5 direct reports.
  • Built out infrastructure to support commercial clients; led new client implementations, created a client service team responsible for client deliverables, introduced pre-identification process and engaged finance for all invoicing activities.
  • Led a successful transition into the commercial insurance market, which resulted in an increase in revenue by 50% from 2014 - 2016.
  • Cultivated the development of over 800 healthcare providers with a 90% retention rate.
  • Developed trusted advisor relationships with key accounts, providers, business partners and executive sponsors.
  • Collaborated cross-functionally with IT, Product Support, and Data Analytics to build an automated, efficient Credit Balance Audit Platform, enhancing reporting capabilities and driving innovation.
  • Reduced system runtime by 32% and increased reporting accuracy by 16% through the implementation of advanced automation and AI tools.
  • Fostered innovation by integrating cutting-edge technologies, resulting in improved operational efficiency and enhanced member experience.

Licensed Insurance Agent (Texas)

Aflac
01.2009 - 01.2012
  • Sold supplemental insurance to individuals and to employer groups.
  • Built a strong knowledge of product offerings, generated leads through existing relationships, networking, cold calling, and volunteering in the community, this resulted in increased sales and new account activity.
  • Reported to District Sales Coordinator.
  • Built/maintained relationships with customers and employer contacts throughout the North TX region.
  • Increased product offerings in existing accounts to increase overall sales by 38% in 2012.
  • Increased sales by 18% or greater YOY, qualified for 8 sales trips in 4 years.

National Director

Optum (formerly known as AIM Healthcare Services, Inc.)
01.2003 - 01.2009
  • Led field operations, responsible for managing P&Ls and overall margin.
  • Led team of 140+ through 3 direct reports: 3 Regional Directors, which managed 8 Area Directors.
  • Reported to the Vice President, Operations.
  • Increased revenue from $50M to $61M in 18 months without adding additional staff through enhancing account manager efficiencies.
  • Cultivated the development of over 500 healthcare systems with a 98% retention rate.
  • Collaborated with sales team to identify potential growth opportunities in each market, increasing revenue by 19% YOY.
  • Earned multiple Outstanding Performance awards for increasing overall growth through designated market YOY.

Regional Director

Optum (formerly known as AIM Healthcare Services)
Franklin, Tennessee
01.2000 - 01.2003

Regional Account Manager

Optum (formerly known as AIM Healthcare Services,
Franklin, Tennessee
11.1998 - 01.2000

Contract Manager

Tenet Healthcare
01.1997 - 01.1998

Education

Bachelor of Science - Health Administration

Auburn University

Skills

  • Strategic planning and execution
  • Customer relationship management
  • Program management
  • Analytical problem-solving
  • Change management practices
  • Skilled communicator
  • Market insight
  • Strong relationship-building abilities
  • Workplace culture development
  • Commitment to delivering results
  • Cross-functional collaboration
  • Operational efficiency management

Training

  • Annual HIPAA Training
  • Kotter University
  • How to Build Successful Teams
  • Making a Good Team Great

Key Accomplishments

  • Increased revenue by 50% in 2 years by leading CBA team through a successful transition into the commercial healthcare market.
  • Cultivated the development of over 800 healthcare providers and upheld a 90% retention rate by providing best in class service and nurturing key relationships.
  • Championed a high-performance operations mindset by prioritizing specific skillsets in hiring leaders, effectively blending data analysis and strategic management to boost ROI.
  • Leveraged client/provider relationships to increase profit margin by 21% from 2018 to 2021 through closing white space opportunities, growing existing contracts, capturing new business, and optimizing yields through maximum sales effectiveness.

Timeline

Regional Vice-President, Client Engagement - EnableComp
12.2022 - Current
Senior Director/Vice President, Recovery Audit - Cotiviti (formerly known as Health Management Systems, Inc.)
01.2017 - 10.2022
VP, Credit Balance Audit - Cotiviti (formerly known as Health Management Systems, Inc.)
01.2012 - 01.2017
Licensed Insurance Agent (Texas) - Aflac
01.2009 - 01.2012
National Director - Optum (formerly known as AIM Healthcare Services, Inc.)
01.2003 - 01.2009
Regional Director - Optum (formerly known as AIM Healthcare Services)
01.2000 - 01.2003
Regional Account Manager - Optum (formerly known as AIM Healthcare Services,
11.1998 - 01.2000
Contract Manager - Tenet Healthcare
01.1997 - 01.1998
Auburn University - Bachelor of Science, Health Administration

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