Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Software
Certification
Timeline
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Meagan L. Weese

Meagan L. Weese

MBA
Papillion,NE

Summary

Demonstrated leader and visionary skilled at assisting business executives in operational excellence. Proficient in managing and building lasting relationships with clients and vendors. Dedicated to improving efficiency, maximizing performance, and increasing client bases.

Overview

22
22
years of professional experience
8
8
years of post-secondary education
1
1
Certification

Work History

Associate Director of Operations

UnitedHealthcare Community Plan
Omaha , NE
2020.03 - Current
  • Monitor operational performance of health plan with 85,000 member lives utilizing internal tools and processes (e.g., dashboards; scorecards; reports, etc.).
  • Supported business growth through strategic planning and process development
  • Lead team of 10 business analysts and contractors
  • Delivered business strategy and developed systems and procedures to improve operational quality and team efficiency
  • Execute on tasks from implementation of Nebraska Medicaid Expansion to fulfill contractual agreements.
  • Analyze impacts of regulatory changes on operations and establish mitigation plans.

Manager, Provider Service and Advocacy

UnitedHealthcare
Omaha , NE
2016.10 - 2020.03
  • Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
  • Developed network of provider contacts, including C-Suite, to maintain two-tier provider relationship strategy within assigned market.
  • Presented at government client meetings, provider association conferences, forums, and committees.
  • Managed team of 6 provider advocates, adjusting job assignments and schedules to keep pace with dynamic business needs, processes, employee knowledge and customer demands.
  • Evaluated report data to proactively adjust and enhance operations
  • Maximized performance by monitoring daily activities and mentoring team members, increasing provider advocate NPS to mid 60's.

Senior Provider Relations Advocate

UnitedHealthcare
Omaha , NE
2012.01 - 2016.10
  • Built and maintained relationships with five tier one hospitals and physician groups.
  • Developed provider claims resolution procedures, reducing turnaround times by 50%
  • Developed and implemented provider specific strategies to improve internal relationships and operational efficiencies.
  • Performed research to identify operational and process gaps, working within team environment including provider relations, Health Plan, and network management to identify root cause and provide resolution.

Senior Business Analyst/Vendor Manager

OptumInsight
Omaha , NE
2010.03 - 2011.12
  • Managed contracts and relationships with third party payment integrity vendors.
  • Oversight of vendor implementations.
  • Managed internal health plan relationships (Employer and Individual, Medicare and Retirement, Community and State) with OptumInsight Products and Services.
  • Developed and monitored key performance indicators.
  • Collaborated with leadership to achieve affordability through the in-sourcing of vendor business segments.


Client Implementation Manager

UnitedHealthcare
Omaha , NE
2007.10 - 2010.02
  • Managed end to end timeline and milestone tasks for the implementation of new and existing medical and ancillary business for UnitedHealthcare Key Accounts.
  • Researched and resolved barriers to successful system functionality, improving support and issue resolution.
  • Collaborated with Strategic Account Executive to cultivate resources and reference material for group benefit installation, troubleshooting and maintenance.

Senior Account Manager

Omnium Worldwide, Inc
Omaha , NE
2002.07 - 2007.03
  • Cultivated productive relationships with business representatives of nationwide healthcare accounts receivable clients and consulted closely to uncover needs and match to available solutions.
  • Lead internal Healthcare Client Team, identifying strategy for growth and process improvement.
  • Originated new business transactions by incorporating expertise and value propositions.
  • Improved account management by predicting potential competitive threats and outlining proactive solutions.
  • Collaborated with operational employees to update healthcare account information quickly and accurately.

Prevention, Education, and Outreach Coordinator

ValueOptions
Omaha , NE
2001.04 - 2002.07
  • Traveled within the State of Nebraska to develop, implement, and evaluate prevention and education programs for mental health consumers, providers, and community associations.
  • Served as ValueOptions’ representative on community groups, advisory boards and committees.
  • Created messages, position statements and other corporate communications based on company's objectives.

Program Director

REM-Council Bluffs, Inc
Council Bluffs , IA
1999.08 - 2001.04
  • Served as Administrator of two 15 bed Residential Care Facilities.
  • Developed and executed training programs for managers and staff.
  • Managed up to 25 direct reports.
  • Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
  • Collaborated with various teams to uncover issues, identify applicable solutions and offer guidance.

Education

MBA - Healthcare Management Concentration

University of Nebraska At Omaha
Omaha, NE
2006.01 - 2009.12

Bachelor of Science - Psychology, Business Administration

University of Iowa
Iowa City, IA
1987.08 - 1991.05

Skills

    Strategic leadership

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Affiliations

Healthcare Financial Management Association


Accomplishments

  • Managed team of contractors to develop complex data analysis and visualization with Oracle Database and Tableau
  • Achieved Net Promoter Score in mid 60's through development of healthcare provider relationships.
  • Achieved successful implementation of reports and analysis for government clients in expansion of Nebraska Medicaid.

Software

Tableau

Oracle Database

Microsoft Office

Salesforce

Certification

Emerging Leader Program, UnitedHealth Group

Timeline

Associate Director of Operations

UnitedHealthcare Community Plan
2020.03 - Current

Emerging Leader Program, UnitedHealth Group

2019-01

Manager, Provider Service and Advocacy

UnitedHealthcare
2016.10 - 2020.03

Senior Provider Relations Advocate

UnitedHealthcare
2012.01 - 2016.10

Senior Business Analyst/Vendor Manager

OptumInsight
2010.03 - 2011.12

Client Implementation Manager

UnitedHealthcare
2007.10 - 2010.02

MBA - Healthcare Management Concentration

University of Nebraska At Omaha
2006.01 - 2009.12

Senior Account Manager

Omnium Worldwide, Inc
2002.07 - 2007.03

Prevention, Education, and Outreach Coordinator

ValueOptions
2001.04 - 2002.07

Program Director

REM-Council Bluffs, Inc
1999.08 - 2001.04

Bachelor of Science - Psychology, Business Administration

University of Iowa
1987.08 - 1991.05
Meagan L. WeeseMBA