Meghan O'Hara
Pulaski,NY
Summary
Result-driven value-based care manager with extensive experience in healthcare contracting, provider relations, practice management, and human resources management. Proven success in the development and implementation of effective policies and programs. Emphasis on implementing strategy development, market analyses, and long-term revenue growth.
Overview
5
5
years of professional experience
Work History
Value Based Care Manager
DataLink Software
06.2023 - Current
- Works with internal and external partners to continually identify opportunities and drive clinical transformation efforts and adherence to evidence-based medicine.
- Works with assigned provider partners and internal resources to identify opportunities for improvement within overall efficiency and create/drive action plans to increase MA STARS scores.
- Achieves business objectives with MSO and IPA contacts, which may include participating in JOC meetings alongside payor engagement managers.
- Builds strong relationships and facilitates the flow of communication amongst engagement managers, outreach managers, clinical personnel, payor project leads and market managers.
Managed Care Contract Analyst
Payrhealth
03.2022 - 06.2023
- Led entire contract lifecycle from start to finish, initiating contracts, managing the negotiation and approval process,
executing the contracts, ensuring ongoing compliance and management, and handling contract renewals. - Annually, accomplished 300 contracts and achieved a success rate of over 67% by implementing effective processes and workflows to ensure all contracts' efficient and effective management.
- Conducted comprehensive market research, identified top payers for outreach; executed strategic engagement plans, resulting in an average of 15 new payor agreements within three months, and an increase of 23% for renegotiations.
Practice Manager
Westside Podiatry Center
07.2021 - 03.2022
- Successfully fostered collaboration among healthcare providers and clinical and non-clinical staff across five office locations, resulting in smooth and efficient care delivery to patients and providers.
- Revitalized physician engagement and increased productivity by collaborating with physician leaders to address critical practice issues, including recruitment, budgeting, staffing model, clinical processes, quality, and project improvement. This resulted in a 15% increase in patient satisfaction scores and reduced appointment wait times by 20%.
- Reviewed payer contracts, identified opportunities for improvement, and implemented a new system resulting in a 20% decrease in claim denials and a 15% increase in reimbursements.
Medical Administrative Specialist
Syracuse VA Medical Center
03.2020 - 07.2021
- Orchestrated medical administration within the VA Hospital by leading a team of 20+ staff members, collaborating with 10+ vendors, and managing 200+ emergent mental health patient engagements and services.
- Improved patient satisfaction by 40% and reduced emergency department wait times by 25%.
- Implemented medical supplies cost-saving initiative, eliminated unnecessary expenses, and saved hospital $50K annually.
Contract Specialist
Naval Supply Systems Command
10.2019 - 03.2020
- Acquired in-depth knowledge of FAR and DFARS, facilitating effective decision-making and compliance with federal procurement regulations.
- Demonstrated strong analytical skills by effectively negotiating and coordinating standard and nonstandard contracts while fulfilling requirements, resulting in successful contracts.
- Analyzed contract performance by maintaining updated acquisition plans, milestone charts, and relation schedules, demonstrating exceptional attention to detail and enabling timely identification and resolution of potential issues.
Group Practice Manager
William Beaumont Army Medical Center
10.2018 - 10.2019
- Measured and assessed service business activities emphasizing improving the service product line performance. Supported a professional staff of 37 Surgeons and 85 nurses and administrators and assisted with optimizing patient care.
- Developed and implemented a highly effective EMR signature training program for providers, resulting in a 92% reduction of unsigned entries within six months and generating $375K in revenue through efficient file closure and coding.
- Led a successful initiative to decrease patient waiting times by 30% by revamping the scheduling process, and introducing innovative appointment reminder systems, resulting in improved patient satisfaction, and reduced wait times.
Education
Master of Arts - Human Resources Development
Pennsylvania State University
University Park, PA05.2018
Bachelor of Science - Psychology
Troy University
Troy, AL05.2016
Skills
- Payer Contracting
- Project Management
- Performance Management
- Practice Operations
- Data Analytics
- Negotiations
- Provider Relations
- Contract Administration
- Relationship Management
Timeline
Value Based Care Manager
DataLink Software
06.2023 - Current
Managed Care Contract Analyst
Payrhealth
03.2022 - 06.2023
Practice Manager
Westside Podiatry Center
07.2021 - 03.2022
Medical Administrative Specialist
Syracuse VA Medical Center
03.2020 - 07.2021
Contract Specialist
Naval Supply Systems Command
10.2019 - 03.2020
Group Practice Manager
William Beaumont Army Medical Center
10.2018 - 10.2019
Master of Arts - Human Resources Development
Pennsylvania State University
Bachelor of Science - Psychology
Troy University
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