Mel Galvez, MBA, Health Care Leadership
Wichita,KS
Summary
As an accomplished and innovative leader, I am dedicated to driving success through a combination of creativity, compassion, and strategic acumen. With a proven ability to design and implement processes that are intricately linked to the overall revenue cycle and budget, I bring a unique blend of vision, leadership, and operational expertise to steer organizations toward sustained growth and prosperity.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Senior Clinical Transformation Consultant
UnitedHealth Group, UHG
Minnetonka, MN
10.2021 - Current
- Managing the continual clinical oversight of participating providers and specialists in the Accountable Care Organization (ACO), Value-Based Programs, Patient-Centered Medical Home (PCMH), and Population Health Management initiatives, working towards 4.50 Average Star Rating.
- Lead quality improvement initiatives aimed at enhancing overall healthcare experience for all members/patients.
- Regularly facilitating efficient, effective practice improvement meetings with multidisciplinary C-Suite Level members at hospital and FQHC health systems to monitor, present, and discuss progress on the transformation action plan and achievement in KPIs.
- Establish positive and productive relationships with member physicians, with the goal of influencing physician behavior through education and monthly touchpoints.
- Conducting regular reviews of operations/data to identify areas for improvement and developing/implementing transformation strategies to improve performance.
- Analyzed large datasets to identify trends, patterns and correlations for business insights.
Chief Operations / Strategy Officer -
HealthCore Clinic, Inc
Wichita, KS
03.2018 - 10.2021
- Engaged with the organization’s Board of Directors, participating in monthly board meetings, and worked directly with Board members to create and update policies based on regulations.
- Developed strategies in providing healthcare services to Medicare, Medicare, Commerical, and the uninsured beneficiaries.
- Developed integrated care scheduling processes to deliver a comprehensive integrated care experience encompassing pharmacy, dental, behavioral, and medical services.
- Track record of improving health outcomes and patient satisfaction among patients.
- Ensured compliance with CMS guidelines and regulations related to Medicare/Medicaid population.
- Developed dashboards with Tableau to monitor key performance indicators. Used data-driven solutions to support decision making.
Kansas Statewide Refugee Health Coordinator -
International Rescue Committee, IRC
New York City, NY
11.2016 - 03.2018
- Facilitated access to care across multiple FQHCs in Kansas by drafting comprehensive contracts that ensured seamless coordination and delivery of services, optimizing patient outcomes and satisfaction.
- Provided education to FQHC healthcare professionals on current immunization guidelines and standards for refugee population.
- Collaborated with multi-disciplinary partners in the state of Kansas to improve access to refugee care and reduce health disparities.
- Mobilized and provided education to community partners around social determinants of health and health equity.
- Submitted grants to secure funding for refugee learning programs.
Practice Manager
Genesis Family Health
2013 - 2016
- Oversaw day-to-day operations, policies and procedures of four rural clinic sites.
- Identified, planned, and implemented key projects to improve quality, reduce cost, and increase productivity, and improve revenue cycle.
- Oversaw and optimized the patient experience through coordinating productivity, patient access, patient wait time, and resolving escalated patient complaints.
- Maintained budgeting documents for accurate tracking of expenses.
- Assisted with writing, coordination, and implementation of grants.
Education
Masters - Global Master of Business Administration
Friends University
Bachelor of Business Administration -
Friends University
Skills
- Quality Improvement
- DSNP Population
- Integrated Care
- Process Improvement
- Organizational Behavior
- STARS & HEDIS Experience
- Solid Written & Communication Skills
- Negotiation Skills
- Organizational Management
- Project Management
- Contract Management
- Regulatory Compliance
- Business Planning
- Policy Development
- Staff Management
- Consulting
- Strategic Planning
- Change Management
- Cash Management
- Risk Management
- Fiscal Management
- Stakeholder Relations
- Administrative Leadership
- Relationship Management
- Organizational Leadership
- Procedure Redesign
- Financial Oversight
- Operations Management
- Process Improvements
- Operating Budgets
- Executive Leadership
- Innovation Management
- Friendly, Positive Attitude
- Cultural Awareness
- Relationship Building
- Market Research
- Risk Assessment
- Client Relationship Management
- HRSA
- PCMH
- Innovation
- Board Relations
- Grant Writing
- Compassion
- Operational Leadership
- Budgeting and Cost Control
- Corporate Governance
- Data-Driven Decision-Making
- Operational Efficiency
- Cost Breakdown Analysis
- Business Administration
- Revenue Growth
- Strategic Partnerships
- Budget Planning
- Operational Oversight
- Public Relations
- Policy Updates
- Business Alliances
- Productivity Performance
Certification
- eClinicalWorks Certified Electronic Health Record Trainer - Practice Management (Billing)
- eClinicalWorks Certified Electronic Health Record Trainer - EHR
Languages
Spanish
Native/ Bilingual
Volunteer Expereince
- Multicultural Advisory Board
- Police / Citizens Advisory Board
- Public Utilities Advisory Board
- Big Brother Big Sister of America
Publications
Examining Patient and Provider Experiences with Integrated Care at a Community Health Clinic
https://pubmed.ncbi.nlm.nih.gov/34476684/
Timeline
Senior Clinical Transformation Consultant
UnitedHealth Group, UHG
10.2021 - Current
Chief Operations / Strategy Officer -
HealthCore Clinic, Inc
03.2018 - 10.2021
Kansas Statewide Refugee Health Coordinator -
International Rescue Committee, IRC
11.2016 - 03.2018
Practice Manager
Genesis Family Health
2013 - 2016
Masters - Global Master of Business Administration
Friends University
Bachelor of Business Administration -
Friends University
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