Summary
Overview
Work History
Education
Skills
Timeline
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Megan Leach

Scio

Summary

Dynamic healthcare operations consultant with UnitedHealthcare expertise in strategic planning and data analytics. Proven track record in enhancing provider engagement and driving quality performance, leading to increased profitability. Strong leadership and client relationship management skills foster collaboration and innovation in achieving organizational goals.

Overview

20
20
years of professional experience

Work History

Clinical Practice Performance Senior Consultant

UnitedHealthcare
05.2017 - Current
  • Results driven healthcare operations professional with extensive experience in provider network management, HEDIS, and Risk Adjustment factor incentive programs.
  • Adept at driving quality performance, closing care gaps, and optimizing provider engagement to enhance patient outcomes.
  • Skilled in data analysis, compliance, and strategic planning to meet organizational goals.
  • Analyze performance metrics and implement strategies to enhance provider engagement and program effectiveness.
  • Delivered high-quality solutions for clients through comprehensive research and analysis of industry trends.
  • Developed innovative strategies to address complex business challenges, resulting in increased profitability for clients.
  • Presented findings and recommendations to executive-level stakeholders, effectively communicating key insights and action plans.
  • Evaluated clients' needs and created plan of action to provide solutions.
  • Built strong relationships with clients through consistent communication and proactive problem-solving efforts.
  • Facilitate provider education and training on best practices, documentation and regulatory requirements.
  • Evaluated existing business processes, recommending improvements that led to increased operational efficiency.
  • Prioritized projects and project tasks depending upon key milestones and deadline dates.

HEDIS and Quality Manager

WVP Health Authority
06.2015 - 05.2017
  • Lead HEDIS and RAF incentive programs working directly with 7 provider groups to achieve quality and risk adjustment goals.
  • Deployed incentive programs to 7 primary care practices by collaborating with key insurance companies.
  • Train staff and create streamlined workflows to optimize performance and meet quality thresholds.
  • Leverage EHR systems to design and implement new processes that enhance provider efficient and data accuracy.
  • Report program process and financial outcomes to executive leadership, ensuring alignment with organizational objectives.
  • Facilitated cross-functional team collaboration, ensuring seamless communication between departments regarding quality matters.
  • Evaluated quality problems and performed assessments to identify and resolve issues.
  • Championed data-driven decision making by conducting regular reviews of performance metrics and adjusting strategies accordingly.
  • Improved team efficiency with introduction of new tracking system for monitoring quality control metrics.
  • Leveraged data and analytics to make informed decisions and drive business improvements.
  • Defined clear targets and objectives and communicated to other team members.
  • Set aggressive targets for employees to drive company success and strengthen motivation.

Medical Assistant

HOPE Orthopedics
11.2014 - 06.2016
  • Assisted trauma surgeons in the evaluation and testament of orthopedic injuries, including fracture, dislocations, and pre and post surgical complications.
  • Provided hands on wound care, including cleaning, dressing changes and monitoring.
  • Supported patients through pre and post operative care, education and protocols.
  • Assisted in casting, splinting, and bracing to stabilize fractures and injuries.
  • Collaborated with physicians and surgical team to coordinate patients care and optimize efficiency.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Contributed to reduction in patient readmission rates by providing thorough discharge instructions and follow-up care recommendations.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Improved patient satisfaction, efficiently managing appointment schedules and reducing wait times.
  • Administered medications and injections as prescribed, adhering strictly to protocols for patient safety.
  • Performed medical records management, including filing, organizing and scanning documents.

Certified Clinical Hemodialysis Technician

Fresenius Medical
02.2008 - 11.2014
  • Minimized complications related to vascular access sites by performing proper cannulation techniques using both needles and catheters according to established protocols.
  • Reduced the risk of infections by adhering to strict infection control protocols during all procedures.
  • Demonstrated excellent teamwork skills while assisting other technicians during busy shifts for optimal patient care delivery.
  • Explained dialysis procedures to patients and answered questions and concerns prior to starting dialysis.
  • Started and ended reverse osmosis water systems and completed water quality monitoring tests.
  • Supported interdisciplinary team collaboration by sharing relevant patient information with physicians, nurses, and dietitians for comprehensive care planning.
  • Assisted in the training and onboarding of new technicians, sharing valuable knowledge from personal experience to help them quickly become proficient contributors within the clinic team.
  • Facilitated smooth transitions between shifts through thorough handover reports highlighting key aspects of each patient's condition and treatment progress.
  • Set up and operated dialysis machines for patients receiving treatment for kidney failure.
  • Followed directions when mixing dialysate and priming dialyzer with saline or heparinized solutions.
  • Advised patients and families on health topics pertinent to care and treatment.
  • Participated in hospital and clinic staff meetings to discuss patient care.
  • Utilized medical software to document and track patient progress.

Health Information Manager

Salem Health
05.2005 - 02.2008
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
  • Maintained relationships with medical providers, suppliers, and reporters.
  • Followed up with patients about medical and healthcare processes.
  • Participated in committees to discuss electronic health records and methods to improve overall workflows.
  • Increased efficiency in handling medical records by transitioning from paper to electronic health records systems.
  • Managed complex projects effectively, leading a team of Health Information Technicians to complete tasks on time and with high-quality results.
  • Effectively managed release of information requests, safeguarding patient privacy while adhering to legal requirements for disclosure purposes.
  • Maintained high levels of customer satisfaction by addressing concerns related to health information management promptly and professionally.

CNA

Marian Estates
10.2004 - 01.2005
  • Assisted patients with daily living activities, promoting independence and dignity.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
  • Enhanced patient satisfaction by providing compassionate and attentive care.

Education

University of Oregon
Eugene, OR

Regis High School
Stayton, OR

Skills

  • Strategic planning
  • Teamwork mindset
  • Consulting
  • Systems analysis
  • Data analytics
  • Network administration
  • Productivity improvement
  • Data-driven decision making
  • Client relationship management
  • Cross-functional collaboration
  • Financial forecasting
  • Strong leadership skills
  • Best practices implementation

Timeline

Clinical Practice Performance Senior Consultant

UnitedHealthcare
05.2017 - Current

HEDIS and Quality Manager

WVP Health Authority
06.2015 - 05.2017

Medical Assistant

HOPE Orthopedics
11.2014 - 06.2016

Certified Clinical Hemodialysis Technician

Fresenius Medical
02.2008 - 11.2014

Health Information Manager

Salem Health
05.2005 - 02.2008

CNA

Marian Estates
10.2004 - 01.2005

University of Oregon

Regis High School

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Megan Leach