Melinda Dejeu

Oversees and maintained working relationships with existing provider network and Health Plan clients. Provide strong leadership to enhance team productivity and morale. Engaged with high volume, high visibility providers including Health Plans, Acute, Skilling Nursing Facility, Long Term Care and Inpatient Rehabilitation facilities.

• Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
• Responsible for managing and supporting all aspect of provider relations and all managed care plans.
• Provide continuous training and support to team members to ensure that they possess required knowledge and information to effectively carry out their responsibilities.
• Develop work plans for staff in order to accomplish objectives and meet KPI goals.
• Assisted in organizing and overseeing assignments to drive operational excellence. Team maintains +300 Accounts.
• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
• Defined clear targets and objectives and communicated to other team members.
• Leveraged data and analytics to make informed decisions and drive business improvements.
• Established team priorities, maintained schedules and monitored performance.
• Collaborated closely with peers from other departments to drive organizational success jointly as one cohesive unit.

Engaged with high volume, high visibility Skilled Nursing Facilities, Hospital Networks, and Independent Providers to increase provider satisfaction, increase HEDIS scores, provider development, contracts and education.

• Maintained productivity and quality standards at all times.
• Worked with various managed healthcare providers primarily across Medicaid and Medicare lines of business, including fee-for service, capitation and various forms of risk, and ASO contracts.
• Coordinated provider credentialing and new provider orientations.
• Worked with all departments to ensure that exceptional quality standards are maintained.
• Worked closely with MI Health Link Program and reported for state expansion requirements.
• Built and maintained provider account management of +500 providers.

Oversite of 35 employees a $3 million budget that involves driving cost reductions, as well as improving operational performance, policy issuance, billing, commissions, application processes and customer service. Led a strategic imitative in finance forecasting, business development, sales, marking, pricing, training and hiring practice with the American House Hazel Park Location

• Developed and implemented sales and marketing strategies that resulted 92% occupancy rate annually.
• Improved customer satisfaction to an all-time high and ensuring a quality & customer oriented workforce.
• Streamlined departments that saved Hazel Park location $50K per annum.
• Conducted monthly evaluation of resident care needs, as well as semi-annual review of Resident Service Plans.
• Recruited, trained and supervised multiple teams, including clinical, operations, culinary, wellness, and finance.
• Hosted weekly staff in-services, meetings and trainings.
• Increased NOI by over 60% in first year, by increasing residents and services plans.
• Created safe working and living environment; by provider offsite training on OSHA, MSHA and ensuring organization was in compliance with The Department of Health rules and regulations.