Megan Mills
DeLand,FL
Summary
Strategic healthcare operations leader with progressive leadership experience driving operational excellence, revenue protection, and patient access within complex oncology environments. Proven ability to lead high-performing teams, improve operational performance, reduce authorization-related denials, and implement sustainable process improvements that strengthen organizational outcomes. Currently oversee utilization management operations supporting approximately 83,000 oncology prior authorizations monthly, providing direct leadership to 30 healthcare professionals within a 60-member department. Recognized for developing innovative workflow solutions, improving quality outcomes, mentoring future leaders, and building collaborative relationships across physicians, executive leadership, clinical operations, and payer organizations. Known for building engaged teams, leading through influence, solving operational challenges, and creating scalable processes that improve efficiency while maintaining exceptional patient care.
Overview
1
1
Certification
10
10
years of professional experience
Work History
Utilization Management Supervisor
Florida Cancer Specialists & Research Institute
12.2021 - Current
- Provide operational leadership for one of the organization's high-volume oncology utilization management teams supporting approximately 83,000 prior authorizations monthly while driving productivity, quality outcomes, revenue protection, and patient access.
- Leadership & Operational Impact
- Directly supervise 30 healthcare professionals while contributing to leadership of a 60-member operational department.
- Lead daily operational strategy supporting approximately 83,000 oncology authorizations each month across commercial, Medicare, and specialty payer organizations.
- Drive operational performance through workforce planning, employee coaching, productivity management, quality monitoring, and workflow optimization.
- Reduced utilization management error-related denials through implementation of quality improvement initiatives, protecting organizational revenue.
- Developed a comprehensive Preferred Drug Guide, standardizing payer-preferred oncology medications and significantly improving authorization accuracy, workflow consistency, and staff efficiency.
- Analyze productivity reports, operational metrics, and quality trends to identify opportunities for continuous improvement.
- Partner with physicians, revenue cycle leadership, clinical teams, and executive leadership to resolve complex authorization challenges while maintaining exceptional patient access.
- Lead interviewing, staffing recommendations, onboarding, employee development, coaching, performance evaluations, and corrective action.
- Foster a culture of accountability, collaboration, innovation, and continuous improvement.
Lead Specialty Drug Coordinator
Florida Retina Institute
05.2016 - 12.2021
- Promoted into a lead operational role supporting specialty medication management, reimbursement strategy, and prior authorization operations for retina specialists while serving as the department's primary subject matter expert for specialty pharmaceuticals.
- Leadership & Operational Impact
- Directed specialty medication authorization operations for high-cost ophthalmic therapies across commercial, Medicare, and government payer plans.
- Served as department expert for specialty drug reimbursement, payer requirements, pharmaceutical assistance programs, and authorization processes.
- Coordinated with physicians, specialty pharmacies, infusion providers, pharmaceutical manufacturers, and insurance carriers to ensure timely treatment initiation.
- Managed complex authorizations, appeals, benefits investigations, reimbursement issues, and payer escalations.
- Developed standardized workflows that improved operational consistency and reduced delays in patient treatment.
- Trained, mentored, and supported onboarding of new employees while promoting best practices throughout the department.
- Built collaborative partnerships with pharmaceutical manufacturers and specialty pharmacies to improve patient access and operational efficiency.
- Maintained expertise in specialty drug reimbursement regulations, payer policy changes, and prior authorization requirements.
Education
Bachelor of Science - Healthcare Administration
University of Phoenix
01-2027
Skills
- Healthcare Systems
- OncoEMR
- Athena
- Centricity
- Operational Systems
- Availity
- SharePoint
- Sigma
- Microsoft Excel (Advanced)
- Microsoft Office Suite
- Expertise
- Prior Authorization
- Revenue Cycle
- Commercial Insurance
- Medicare
- Specialty Pharmacy
- Oncology Authorizations
- Payer Portals
- Healthcare Analytics
- Utilization review expertise
Accomplishments
- MVP Award
- Recognized for exceptional leadership, operational excellence, and contributions to organizational success.
Certification
- LION Leadership Certification
- Completed advanced leadership training emphasizing coaching, accountability, communication, and organizational leadership.
EXECUTIVE HIGHLIGHTS
- Direct operational oversight supporting 83,000+ oncology authorizations every month
- Lead and develop 30 direct reports within a 60-person operations department
- Reduced utilization management error denials, protecting organizational revenue
- Created department-wide Preferred Drug Guide improving authorization accuracy
- Florida Cancer Specialists MVP Award
- LION Leadership Certified
- Expertise in Oncology Operations, Revenue Cycle, Prior Authorization, Process Improvement and Operational Leadership
CORE LEADERSHIP COMPETENCIES
- Healthcare Operations
- Operational Excellence
- Oncology Operations
- Utilization Management
- Revenue Cycle
- Strategic Leadership
- Team Development
- Workforce Planning
- Employee Engagement
- Continuous Improvement
- Process Optimization
- Regulatory Compliance
- Patient Access
- Performance Management
- Change Leadership
- Cross-functional Collaboration
- Physician Relations
- Operational Analytics
- Healthcare Administration
- Executive Communication
PROFESSIONAL BRAND
A collaborative healthcare operations leader recognized for developing people, improving operational performance, reducing barriers to patient care, and building sustainable processes that strengthen organizational success.
Timeline
Utilization Management Supervisor
Florida Cancer Specialists & Research Institute
12.2021 - Current
Lead Specialty Drug Coordinator
Florida Retina Institute
05.2016 - 12.2021
Bachelor of Science - Healthcare Administration
University of Phoenix