Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Megan Nugent

Alden,IA

Summary

Professional with expertise in provider relations, prepared to enhance partnerships and streamline processes. Skilled in contract negotiations, conflict resolution, and data analysis. Strong focus on team collaboration and achieving results in dynamic healthcare environment. Known for adaptability, reliability, and effective communication. Enthusiastic, innovative, goal-oriented leader with excellent customer service skills. Specializes in collaborating with providers, nurses, vendors, C-Suite leaders, and various stakeholders. Proficient in optimizing workflows and developing training materials across multiple areas such as, Patient Access, Ambulatory, and Providers. Known for exceptional care delivery and maintaining a positive demeanor. Recognized for successful execution, networking, team leadership, organizational change management, effective communication, and resource optimization in information systems operations. Skilled at fostering exceptional care and operational efficiency through team building and collaboration with diverse teams including provider teams, nursing teams, and information technology teams. Demonstrated success in conducting clinician trainings and implementing workflow optimizations utilizing EMR best practices and expertise in many EMR's.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Provider Relations Manager

Data Dimensions
10.2024 - Current
  • Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
  • Provided exceptional support to healthcare providers during times of transition or crisis, resulting in minimal disruption to patient care delivery and maintaining high levels of satisfaction among partners.
  • Successfully resolved complex disputes involving reimbursement rates or other contractual disagreements between providers and the organization through skilled negotiation tactics.
  • Developed standard operating procedures for the provider relations department, leading to increased efficiency and consistency across all functions.
  • Promoted a culture of continuous improvement within the provider relations team, regularly soliciting feedback from healthcare providers and incorporating suggestions into strategic plans.
  • Analyzed data from various sources to identify trends, anticipate future needs, and inform strategic planning efforts related to provider relations.
  • Conducted in-depth market research to identify potential gaps in coverage within the provider network and develop targeted strategies for expanding reach in those areas.
  • Coordinated educational events for providers aimed at increasing awareness of regulatory changes as well as best practices in patient care delivery.
  • Established strong relationships with key stakeholders in the healthcare industry, positioning the organization as a trusted partner in patient care.
  • Negotiated favorable contract terms with new partners while maintaining positive relationships with existing ones, leading to sustained growth in the provider network.
  • Identified opportunities for process improvement within the provider relations department, implementing changes that led to increased efficiency and cost savings.
  • Monitored changes in industry regulations and government policies that could impact healthcare providers, ensuring timely communication of relevant information to affected parties.
  • Improved provider satisfaction through the development and implementation of targeted training programs for staff on provider policies and procedures.
  • Streamlined operations for network expansion, identifying potential providers and negotiating contracts to onboard them efficiently.
  • Reviewed financial performance data for contracted providers regularly, identifying areas where improvements could be made in order to optimize revenue generation potential.
  • Served as a liaison between healthcare providers and internal departments such as claims processing or customer service, facilitating effective resolution of any issues that arose during day-to-day operations.
  • Collaborated with cross-functional teams to address contractual issues, ensuring timely resolution and minimizing disruption to services.
  • Enhanced provider relations by conducting regular visits and maintaining open communication channels with healthcare providers.
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
  • Established team priorities, maintained schedules and monitored performance.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
  • Set aggressive targets for employees to drive company success and strengthen motivation.
  • Leveraged data and analytics to make informed decisions and drive business improvements.
  • Reduced waste and pursued revenue development strategies to keep department aligned with sales and profit targets.
  • Reduced project downtime [Number]% and boosted client retention [Number]% by maintaining practitioner contract stipulations and addressing grievances.

Senior Healthcare Consultant

GHR Technology
06.2022 - 10.2024
  • Responsible for Revenue Cycle and EMR design, working directly with CEO, CFO, managers and others ensuring a deep understanding of needs from the system and expected outcomes.
  • Development and preparation of training environment building patients and scenarios for training for all users prior to go live.
  • Go-Live support/training and Post Go-Live Support/Training.
  • Provided expert guidance to clients on best practices for patient safety and risk management.
  • In depth knowledge of Revenue Cycle, Coding, Billing, Scheduling, Registration and Patient Access workflows, as well as Clinical Workflows in all clinical departments.
  • Enhanced client satisfaction through consistent communication and proactive issue resolution.
  • Collaborated with stakeholders to develop strategic plans for growth and improved performance in the healthcare industry.
  • Improved patient care quality by implementing innovative healthcare strategies and streamlining processes.
  • Developed customized healthcare solutions for clients, resulting in enhanced operational efficiency.
  • Optimized resource allocation by analyzing financial data and identifying cost-saving measures.
  • Facilitated stakeholder engagement, fostering collaborative relationships between clients and key partners.
  • Mentored junior team members, helping them develop essential skills required for success in the rapidly evolving healthcare industry.
  • Assisted healthcare organizations with regulatory compliance, reducing potential risks and penalties.
  • Streamlined workflow processes, resulting in increased productivity and reduced operational costs.
  • Conducted thorough data analysis to identify areas of improvement for healthcare systems, driving positive change initiatives.
  • Led cross-functional teams to successfully complete complex healthcare consulting projects on time and within budget.

Senior Clinical Informaticist and Coordinator

Van Diest Medical Center
05.2017 - 06.2022
  • In depth knowledge of Cerner applications, (specifically Cerner Millennium) included but not limited to, Patient Access, Revenue Cycle, Ambulatory, Provider Workflow, Radiology, PowerChart, FirstNet, PathNet, AccessHIM, and others.
  • Optimization of all systems utilized in EMR systems for all Ambulatory, Hospital and Revenue Cycle departments.
  • Co-lead of Senior Data team, and Organizational Report team.
  • Selected by co-workers and C-Suite professionals to be one of the Organization’s Service Excellence Ambassadors.
  • Successful Implementations with multiple software and products, as lead.
  • Extensive track record for building and maintaining relationships with all staff and vendors.
  • Successful optimization of health information and EMR systems by demonstrating advanced knowledge of clinical processes and supporting technology.
  • IT support, build and project management.
  • Proven ability to see the big picture and goal.
  • Proven success in guidance for cross-departmental clinical improvements.
  • Proven success working remotely.
  • Supporting and optimization of provider use of EMR systems with expertise in both hospital and ambulatory EMR as well as many other applications.
  • Extensive knowledge of HIPAA and hospital policies and procedures.
  • EMR Site Lead, Clinic Liaison, Hospital Liaison, Scheduling Lead Site Contact, Registration Lead Site Contact, Discern Analytics Lead and Provider Champion Site Lead.
  • Training of EMR users, using principles of adult learning in clinical environments.
  • Always marketing EMR product to providers and others to encourage utilization of the system.
  • Expert at building lasting relationships with all Providers, staff, patients and C-Suite members.
  • Expert report writer using EMR systems.
  • Responsible for build, design and workflows for all ambulatory and hospital departments, along with Revenue Cycle departments.
  • Experience implementing IRIS into EMR system and knowledge of HL7 messages along with training of users on IRIS and immunization requirements.
  • Familiar with HL7 and others along with Global Administrator of Azure and all Microsoft products.
  • Responsible for Meaningful Use/Promoting Interoperability reports and implementation of changes to workflows along with eCQM experience and NCQM.
  • Responsible for past, present and future workflow documentation.
  • Documentation of all processes in detail.
  • Submit build tickets to EMR vendor for ordersets, and medications along with appropriate Charge codes, Rev. Codes and charge dropping process.
  • Scheduling builds and Patient access new builds.
  • Expert knowledge on all Registration, Scheduling and Patient access workflows.
  • Expert at all Ambulatory Workflows, including but not limited to, Reg/Sched, Providers (all types) Nursing, Referrals, etc.
  • Knowledge of DRG codes and mapping codes into reports.
  • Experience working with ICD-10 codes, and working to fix errors within the EMR system to ensure proper codes are utilized.
  • Knowledge of clinical processes and revenue cycle processes.
  • Successful building of all organization reports using data from EMR.
  • Training of users in Report Building and extracting data.
  • Analysis and redesign of clinical workflows and best practice workflows.
  • Design, development, execution and delivery of clinical programs.
  • Responsible for change processes and end user engagement along with redesigning and testing new build of EMR.
  • Successful training of all new hire Providers and current providers in the EMR system.
  • Assisted multiple affiliate organizations with their health record transition and remediation of issues.
  • Responsible for developing, building, implementing, tracking, and running 340B reports.
  • Provided input within facility and Mercy One network for strategic EMR optimization and informatics team development.
  • Advanced site as a reference partner with EMR vendor.
  • Voice of providers and their needs.
  • Defined and described relationships between clinical workflows, guidelines, care plans, pathways and decision support to improve healthcare outcomes.
  • Leveraged advanced knowledge of regulatory requirements to ensure compliance with relevant standards across all aspects of clinical informatics practice.
  • Oversaw timely software updates and system maintenance activities, ensuring minimal disruption to daily operations while maintaining optimal functionality of clinical applications.
  • Managed complex projects from inception through completion, consistently delivering high-quality results within tight timeframes and budget constraints.
  • Optimized patient safety with effective clinical decision support tools integrated into EHR systems.
  • Facilitated cross-functional collaboration among healthcare providers, administrators, and IT professionals to optimize the use of clinical informatics systems for improved patient care delivery.
  • Provided technical assistance to staff members as needed, ensuring smooth adoption of new technologies and seamless integration with existing workflows.
  • Conducted thorough data analysis to identify trends in patient care delivery, using insights gained to inform decision-making processes and optimize resource allocation strategies.
  • Wrote reports, correspondence and document workflows.
  • Conducted thorough evaluations of existing clinical informatics systems, proposing actionable recommendations for improvements that increased overall efficiency.
  • Improved patient care by implementing clinical informatics solutions to streamline workflows and optimize data management.
  • Facilitated staff training sessions on the use of health IT systems, resulting in increased proficiency among healthcare providers and improved overall patient care outcomes.

Lead Clinic Navigator/ LPN

Hansen Family Hospital
07.2015 - 05.2017
  • Proven success implementing project plans to increase Medicare visit numbers with exceptional results.
  • Managed work of two other navigators as well as delegation of assigned projects and duties.
  • Successfully created and scheduled reports for Revenue Cycle Department, Clinics, Hospital and Administration.
  • Worked within Cerner to successfully reorganize and maintain charting materials that were used to complete day to day functions of all nurses.
  • Training of staff on Cerner workflows and best practices.
  • Successful implementation of multiple Population Health Initiatives, working closely with Mercy sites, and Accountable Care Organizations.
  • Very familiar with population health measure, such as Hypertension, Colorectal Cancer, Diabetes, etc.
  • Successful report writing for all population health measures, to track patients’ preventative health care.
  • Worked within IRIS to successfully input immunizations, as well as CSNAP for determining Medicare eligibility and successfully reaching out to patients to successfully fulfill organizational goal of Medicare visit numbers.
  • Daily use of IRIS and importing of immunization records and updating of IRIS patient records.
  • Responsible for all organization’s HEIDIS reports, including but not limited to, Wellmark BCBS, United Healthcare, and all others.
  • Successfully prepared reports, and organizational change to obtain Level 3 PCMH accreditation.
  • Worked as intake nurse for clinics and specialty clinics as well as the go-to contact for Medicare Annual Wellness appointments along with piloting many projects and taking the lead.
  • Streamlined communication between bridge team members, fostering a collaborative working environment for successful navigation.
  • Exercised strong decision-making skills during high-stress emergency scenarios while adhering to company policies and procedures.
  • Increased navigational accuracy by consistently updating and maintaining electronic charts and navigation tools.
  • Promoted safe navigation in restricted visibility situations through proficient use of radar functions like target tracking and range scaling.
  • Optimized voyage planning for improved efficiency, selecting routes based on weather conditions and maritime traffic.
  • Played key role in emergency response planning, minimizing potential damage and ensuring crew safety.

Charge Nurse

Heritage Care Center
02.2014 - 05.2016
  • Managed 10 CNAs on shift.
  • Passed medications, completed rounding with providers.
  • Completed and ordered cares for residents and helped to improve life for residents.

CNA

Heritage Care Center
08.2010 - 02.2014
  • Duties as a CNA; Including but not limited to, assisting residents with activities of daily living, such as changing, toileting, stretching, bathing and feeding.
  • Assisting with grooming, dressing, and taking vitals.
  • Assisted nurses with gathering medical supplies and doing daily cares.

Education

Bachelor of Science - Healthcare Management

Grand Canyon University
Phoenix, AZ
05-2026

PRACTICAL NURSING/ LPN - Practical Nursing

MARSHALLTOWN COMMUNITY COLLEGE
01.2013

Skills

  • Health plan operations
  • Strategic business relationships
  • Healthcare industry
  • Educational presentations
  • Workflow Analysis
  • Provider relationship management
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Attention to detail
  • Team leadership
  • Positive attitude

Certification

  • Advanced Report Writing: Revenue Cycle and Clinical
  • Informatics Bootcamp
  • Epic CareLink (Site Administrator)
  • IHA Site Administrator
  • Physician Trainer
  • Cerner Certification in Informatics Training
  • Train the Trainer Classes
  • HCISPP- Working towards certification

Timeline

Provider Relations Manager

Data Dimensions
10.2024 - Current

Senior Healthcare Consultant

GHR Technology
06.2022 - 10.2024

Senior Clinical Informaticist and Coordinator

Van Diest Medical Center
05.2017 - 06.2022

Lead Clinic Navigator/ LPN

Hansen Family Hospital
07.2015 - 05.2017

Charge Nurse

Heritage Care Center
02.2014 - 05.2016

CNA

Heritage Care Center
08.2010 - 02.2014

PRACTICAL NURSING/ LPN - Practical Nursing

MARSHALLTOWN COMMUNITY COLLEGE

Bachelor of Science - Healthcare Management

Grand Canyon University

Similar Profiles

CREATE PROFILE
Megan Nugent