Melissa Davis
Healthcare Consultant
Alexandria,VA
Summary
A Registered Nurse with over 12 years of experience in the healthcare industry, recognized for building trusting relationships with clients and stakeholders. Specializes in value-based care, practice transformation, and healthcare operations, helping organizations enhance workflows, quality metrics, and patient outcomes. Passionate about guiding healthcare organizations through change, implementing data-driven solutions, and driving sustainable improvements in care delivery and financial performance.
Overview
13
13
years of professional experience
Work History
Home Health Specialist
Goodwin Living
Alexandria, VA
09.2024 - Current
- Coordinated interdisciplinary team meetings to ensure effective collaboration and optimal patient care
- Conducted and documented patient visits in compliance with OASIS guidelines, ensuring accurate assessments and regulatory adherence across various payers while proficiently navigating multiple EHR systems
- Proactively intervened to mitigate risks, prevent complications, and enhance patient outcomes, ensuring safe and effective home health care
- Maintained accurate records of patient assessments, interventions, goals, progress reports, and referrals in accordance with regulatory requirements
- Facilitated timely communication between patients, families, and healthcare providers to coordinate optimal care strategies.
- Developed strong rapport with patients and families, fostering trust and open communication during challenging times
- Worked with a multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
- Contributed to the overall success of the home health agency by maintaining high levels of patient satisfaction and positive outcomes
- Facilitated smooth transitions from hospital discharge to home-based care by coordinating necessary resources and support systems
- Maintained strong relationships with local healthcare organizations to foster collaboration in providing comprehensive care for shared patients
- Key Skills Gained: Client Relations, Patient Advocacy, Project Management, Clinical Documentation, Payer Contracts, Healthcare Quality, Process Improvement, OASIS & Regulatory Compliance | Interdisciplinary Team Coordination | Quality Assurance & Performance Improvement | Payer Contract Management | Risk Assessment & Mitigation | Healthcare Technology | Stakeholder Engagement | Change Management | Resource Allocation
Practice Transformation Specialist
Aledade, Inc.
Alexandria, VA
10.2021 - 04.2024
- Led practice transformation initiatives for 12+ primary care and specialty practices, shifting towards Served as a trusted advisor to senior leaders within client organizations, providing expert guidance on best practices for driving successful healthcare transformations
- Provided client consulting to 12 healthcare practices (including 1 FQHC, 9 Primary Care Practices, and 2 Specialty Practices), overseeing 24,200 lives under management, ensuring high-quality patient care and compliance with best practices
- Achieved top market performance across key healthcare metrics, including: Diagnosis Resolution: Improved accuracy and efficiency in patient diagnoses through targeted provider support
- ED Prevention: Implemented proactive care strategies that reduced emergency department visits by 24% across multiple practices
- Hospitalization & Readmission Reduction: Led initiatives that decreased hospital admissions and 30-day readmissions by 20%
- Medication Adherence & Compliance: Developed patient education and monitoring programs, increasing adherence rates across all assigned practices
- Achieved a 93% average medication adherence score across all practices and payer contracts
- All assigned practices met or exceeded medication adherence success criteria in all payer contracts
- Cancer Prevention Quality Measures: Drove the highest member participation in the market, exceeding benchmarks for screenings and early detection
- Streamlined processes, reduced operational costs, and improved quality of care by identifying areas for improvement and implementing innovative solutions across multiple stakeholders
- Collaborated with cross-functional teams to develop integrated solutions addressing clients' most pressing business challenges, ultimately resulting in improved operational efficiencies and increased profitability
- Identified growth opportunities through data, research, creative problem-solving, and customer feedback insights; presented findings to the senior leadership team through powerful and compelling data visuals, which were used in future strategic planning efforts
- Key Skills Gained: Healthcare Consulting | Value-Based Care | Practice Transformation | Quality Improvement | Population Health | Physician Relations | Client Relationship Building | Stakeholder Engagement | Regulatory Compliance | Payer Contracts & Performance Metrics | Strategic Planning | Data-Driven Decision-Making | Process Optimization | Change Management | Healthcare Analytics & Reporting | Risk Mitigation | Operational Efficiency | Workflow Redesign | Facilitating Cross-Functional Collaborations | Resource Allocation & Utilization | Patient Engagement & Education | Health Equity Initiatives | Performance Tracking & Reporting | Business Development & Growth Strategies
Director of Medical Support
Patient First
Falls Church, Virginia
09.2019 - 10.2021
- Directed operations for a high-volume urgent care and primary care center, overseeing five departments and more than 50 employees to ensure seamless daily operations
- Managed all aspects of center performance, handling 200+ patient visits per day while optimizing efficiency, quality care, and staff coordination
- Tracked and analyzed performance data from multiple sources to implement improvement measures, ensuring success across various payer contracts
- Achieved and maintained quality excellence, earning the 'Top Center Award' in 2020, within my first year in the role
- Consistently maintained top performance throughout my employment
- Proactively identified potential risks and implemented mitigation strategies to improve the patient experience while delivering high-quality patient care
- Partnered with the Center Medical Director and clinicians to enhance the physician experience, improve efficiency, and elevate the quality of care
- Trained physicians, PAs, and NPs on the Electronic Health Record (EHR) system
- Implemented innovative solutions to solve complex problems, increasing productivity and streamlining operations to enhance efficiency, service delivery, and overall quality
- Established a culture of continuous improvement by fostering open communication and empowering employees to voice their ideas
- Key Skills Gained: Healthcare Operations | Leadership | Management | Quality Improvement | Quality Assurance | Physician Relations | Relationship Building | Payer Health Plans | Cross-Functional Collaboration | Process Optimization | Quality & Regulatory Compliance | Data-Driven Decision-Making | Key Performance Indicators (KPI) | Budgeting & Resource Allocation | Revenue Cycle Management | Resource Allocation
Clinical Trainer | Nurse
Patient First
Alexandria, VA
06.2012 - 09.2019
- Led training and change management initiatives, ensuring staff readiness, seamless workflow adoption, and operational efficiency
- Trained providers (physicians, NPs, & PAs) on HEDIS measures, Medicare Advantage STAR ratings, regulatory compliance, and EHR systems, including Diagnosis Documentation to enhance quality performance and reimbursement outcomes
- Developed and delivered clinical training programs across 28+ urgent care centers, ensuring compliance with OSHA, payer requirements, and value-based care initiatives
- Worked with management to update policies and procedures based on training data, staff performance trends, and industry best practices
- Communicated with senior leadership, providing strategic insights and progress reports on trainee performance, center operations, and compliance improvements
- Implemented evidence-based training strategies, increasing trainee retention, engagement, and overall clinical effectiveness
- Evaluated training effectiveness through progress tracking and participant feedback, driving continuous quality improvement
- Mentored and coached new hires, fostering professional development and competency in value-based care models
- Created a collaborative learning environment, promoting open communication, clinical excellence, and adherence to best practices
- Key Skills Gained: Healthcare Consulting | Value-Based Care | Quality Improvement | HEDIS & Medicare Advantage STAR Ratings | Regulatory Compliance | Change Management | Clinical Training & Development | EHR Implementation | Diagnosis Documentation | Payer Requirements & Contract Management | Workflow Optimization | Process Improvement | Policy Development | Data-Driven Decision-Making | Relationship Building & Stakeholder Engagement | Cross-Functional Collaboration | Performance Tracking & Reporting | Continuous Education & Mentorship | Training Program Development | Healthcare Operations Management
Education
Certificate - Artificial Intelligence in Healthcare
Stanford University
California 05.2025 -
Bachelor of Science - Nursing
University of Maryland Global Campus
Maryland 01.2018 - 01.2020
Associate Degree - Nursing
College of Southern Maryland
Maryland 01.2015 - 01.2017
Certifications And Licensures
- Registered Nurse (RN), Virginia, Current
- Lean Six Sigma Yellow Belt, Kennesaw State University
- Artificial Intelligence in Healthcare, Stanford School of Medicine, In Progress
- Introduction to Clinical Data, Stanford School of Medicine
- Google Data Analytics Courses Completed
Timeline
Certificate - Artificial Intelligence in Healthcare
Stanford University
05.2025 -
Home Health Specialist
Goodwin Living
09.2024 - Current
Practice Transformation Specialist
Aledade, Inc.
10.2021 - 04.2024
Director of Medical Support
Patient First
09.2019 - 10.2021
Bachelor of Science - Nursing
University of Maryland Global Campus
01.2018 - 01.2020
Associate Degree - Nursing
College of Southern Maryland
01.2015 - 01.2017
Clinical Trainer | Nurse
Patient First
06.2012 - 09.2019
Similar Profiles
RONALD A ARCHILA VALLEJOSRONALD A ARCHILA VALLEJOS
Health Care / Assisted Living Dining Manager at Goodwin LivingHealth Care / Assisted Living Dining Manager at Goodwin Living
Sheila CaldwellSheila Caldwell
Certified Nursing Assistant at Goodwin LivingCertified Nursing Assistant at Goodwin Living
Emilia MazloomEmilia Mazloom
Assistant Nursing Home Administrator at Goodwin Living Inc.Assistant Nursing Home Administrator at Goodwin Living Inc.
ERICA CASTROERICA CASTRO
Travel Specialist/Junior Data Analyst at National Oceanic and Atmospheric Administration, NOAATravel Specialist/Junior Data Analyst at National Oceanic and Atmospheric Administration, NOAA
Mayan Al BakhatMayan Al Bakhat
Teacher at Iqra Learning CenterTeacher at Iqra Learning Center