Summary
Overview
Work History
Education
Skills
Certification
Assessments
Personal Information
Timeline
Generic

Michelle Lowe

Warner Robins,GA

Summary

Dedicated healthcare professional with over 15 years of experience in the healthcare industry that includes clinical and administrative background. Expert at educating and training medical practices on healthcare preventative metrics and payor/program guidelines. Promoting productivity, quality service, and management skills. Offering over six years of management experience directing healthcare business strategy, operational structure, human resource management, finance, and performance metrics. Proven capacity to continually improve service levels, streamline workflow processes and augment profitability.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Population Health Manager

GPAC/ Citadel Health
10.2022 - Current
  • Build relationships with physician practices to support in value based care incentive goals
  • Educate & train medical staff on MSSP, ACO Reach, & MA programs, and any other shared savings program that which include: preventative care, patient care improvement, and risk management
  • Responsible for educating on the MSSP, ACO Reach, & HEDIS guidelines, and any other shared savings program that is available to physician members
  • Responsible for providing feedback and education to the physicians regarding physician reports on a daily, weekly to monthly basis
  • Drive actionable initiatives from the data and goals
  • Ensures that physicians are educated on care management, utilization management, risk adjustment, annual wellness visit and quality initiatives
  • Expert in training new internal & external staff
  • Assists practices with integrating initiatives in their workflows
  • Build data performance dashboards to manage performance improvement
  • Shares best practices across all physician practices & assist with implementation of effective strategies for improving key performance outcomes
  • Leads provider & practice manager meetings related to value-based care initiatives

Population Health Specialist

Central Georgia Health Network
08.2021 - 10.2022
  • Oversees social determinants of health - and spread within health center, including consistent EHR documentation
  • Actively participates in bi-monthly Population Health peer group meetings at Administration for professional development, performance coaching, networking, and educational in-services
  • Within health center-based complex care management programs
  • Identifies and enrolls eligible providers that practice primary care
  • Initiates and maintains patient care plans, including documentation, health coaching, and collaborating with other members of the patient care team
  • Educates, connects, and refers high-risk patients to additional care services and community services related to their health condition; ensures recommended services were obtained
  • Meet with patient to develop Care Plan and continue monthly or otherwise established meetings with practices to continually revise the care plan according to changes in health status, defined needs, or changes to goals
  • Create data reports to help manage and improve performance goals
  • Initiate case conferences with providers to discuss member/members of the patients care team to address challenging or otherwise notable patients
  • Maintain and share dashboard of key process and outcome measures for use in quality assurance and quality improvement of CCM Program
  • Identify and manage patient data reports for assigned practices/providers to ensure patients remain compliant & not experience gaps in care per best practice standards and under direction of approved workflows
  • Follow patient record activities to ensure services, diagnostics, and follow-ups are timely and complete and address any barriers that may arise
  • Utilization Management
  • Serve as a Quality Team member, track progress on population performance
  • Use some analytic skills for purpose of tracking performance progress
  • Act as a liaison between practice and the payor/program to ensure program understanding and support education of clinical staff
  • Accurately document in portals, such as Salesforce and others
  • Create and maintain a monthly dashboard of work including documentation and summary of reports worked, appointments established, and other significant data as a result of outreach efforts

Practice Manager/Medical Assistant

Middle GA Pulmonary
03.2018 - 09.2021
  • A variety of skills, including but not limited to: Management, credentialing, registration duties, ICD-10 coding, data collection for billing procedures, charge posting , maintains appointment schedules, schedules surgeries/ procedures and obtains appropriate authorizations and referrals, provides appropriate patient instructions per physician orders
  • Phlebotomy, EKG & Injections as well
  • Triage
  • Administered vaccines
  • Scheduled patient appointments
  • Performed patient assessments
  • Utilized payor portals
  • Assisted provider with in-office tests, procedures, and assessments
  • Performed clinical skills under physician supervision
  • Responsible for front office duties
  • Processed medication refill requests & medication reconciliation

Certified Medical Assistant (PRN)

The Little Clinic
08.2017 - 07.2021
  • Schedule patients
  • Tend to ill and injured individuals under the supervision of doctors, nurses and medical professionals
  • Their duties include taking vital signs & collecting specimens
  • Complete the registration process, placing the patient under the respective appointment book for the provider on duty
  • Scanning all appropriate documents, alert the provider if they need to complete the scanning
  • Collect payments and log in the EMR
  • Obtain vital signs and enter the data in the EMR in designated clinics with completed competencies
  • Order & log medical supplies as needed
  • Calculate money at the end of shift record amount and take deposit to bank
  • Lock up and close clinic at end of shift

Phlebotomist Technician- PRN

Luminus Diagnostics
04.2019 - 03.2020
  • Identifying patients via ID, medical record or other means
  • Labeling samples correctly and send them for testing
  • Arrange daily activities based on urgency of requests for fluid samples
  • Determine the proper venipuncture method based on patient age, health etc
  • Reassure patients and help them relax, find veins that are suitable for puncture
  • Draw blood using sterilized needles, vials and other equipment, ensure optimal quality and quantity of samples
  • Label samples correctly and send or deliver them for testing
  • Answer patient questions and provide useful information
  • Keep accurate records on fluid specimens and tests
  • Adhere to all relevant health and safety standards while working
  • Help with blood transfusions when needed

Patient Care Technician

Regency Hospital Company
07.2017 - 07.2019
  • Take vital signs, collecting specimens, performing catheterization and assisting patients with eating, personal hygiene and grooming
  • Chart, take notes and make assessments on care

Health Service Technician

River Edge Behavioral Health
10.2016 - 07.2017
  • Assists in administration of medications and treatments, takes vital signs, and/or draws blood or collects other bodily fluids, as directed by a physician or nurse
  • Bathes, grooms, shaves and dresses clients
  • Conducts activities for recreation and socialization
  • Ensures safety and security of clients
  • Feeds clients who are unable to feed themselves
  • Observes and documents patient data, behavior and activity
  • Prepares clients for treatment or examination

Clinical Tech/ Medical Receptionist

Navicent Health Medical Center of Central Georgia
08.2012 - 10.2016
  • Answers patients call signals
  • Assists in administration of medications and treatments, takes vital signs, and/or draws blood or collects other bodily fluids, as directed by a physician or nurse
  • Bathe, groom, shave and dress patients
  • Feeds patients who are unable to feed themselves
  • Provides patient care by supplying and emptying bedpans, applying dressings and supervising exercise routines
  • Provides patients with help walking, exercising, and moving in and out of bed
  • Provides subprofessional occupational and/or physical therapy services to physically and/or developmentally disabled patients
  • Transports and/or accompanies clients to treatment units, using a wheelchair or stretcher
  • Turns and re-positions bedridden clients, alone or with assistance, to prevent bedsores
  • Performs a number of duties, including greeting and scheduling patients and visitors, bookkeeping, calling patients to remind them of appointments, handling billing, answering and routing calls, making transactions, and keeping paperwork organized

CNA - Certified Nursing Assistant

HomeCare
06.2008 - 07.2012
  • Provided on-the-clock, on-call, in-home assistance for 15 elderly and hospice patients weekly
  • Assisted patients with mobilization, health and hygiene, physical fitness, rehabilitation, assistive medical care, and other personal services
  • Acted as liaison between patient, patient's family, and medical care organizations
  • Organized, filled out, and completed necessary paperwork and documentation required by Medicare, Medicaid, 3rd-party insurance providers

Education

Diploma -

Houston County High

Certification/Diploma in Certified Clinical Medical Assistant -

Health Tech of Georgia
Georgia

EKG Certified -

Health Tech of Georgia

Phlebotomy Certified -

Health Tech of Georgia

Bachelor's degree - Healthcare Management

University of Phoenix
Arizona
09.2025

Skills

  • Microsoft Excel
  • Microsoft Office
  • EClinical Works
  • Time Management
  • Customer Service
  • Medical Receptionist
  • Critical Care Experience
  • Insurance Verification
  • Medical Billing
  • CPT Coding
  • Quality Assurance
  • Appeals
  • Utilization review
  • Healthcare management
  • NCQA standards
  • Supervising Experience
  • Utilization Management
  • Managed Care
  • Medicare
  • Organizational skills
  • EMR systems
  • Salesforce
  • Presentation skills
  • Value Based Care
  • Microsoft Access
  • Microsoft Powerpoint
  • Microsoft Outlook
  • Earned value management
  • Data analytics
  • Project management
  • SharePoint
  • Analytics
  • Pivot tables
  • Contracts
  • Quality management
  • Data collection
  • Maximo

Certification

  • CPR/BLS, 09/01/08
  • CPI, 10/01/18
  • Certified EKG Technician
  • Certified Phlebotomy Technician (CPT)
  • Patient Care Technician
  • Certified Clinical Medical Assistant (CCMA)
  • First Aid Certification
  • Certified Notary Public
  • Certified Medical Assistant
  • CPR Certification
  • ACLS Certification
  • CNA

Assessments

  • Office manager, Proficient, 03/01/22
  • Scheduling and budgeting, Proficient
  • Protecting patient privacy, Proficient, 02/01/22

Personal Information

  • Willing To Relocate: Anywhere
  • Authorized To Work: US for any employer

Timeline

Population Health Manager

GPAC/ Citadel Health
10.2022 - Current

Population Health Specialist

Central Georgia Health Network
08.2021 - 10.2022

Phlebotomist Technician- PRN

Luminus Diagnostics
04.2019 - 03.2020

Practice Manager/Medical Assistant

Middle GA Pulmonary
03.2018 - 09.2021

Certified Medical Assistant (PRN)

The Little Clinic
08.2017 - 07.2021

Patient Care Technician

Regency Hospital Company
07.2017 - 07.2019

Health Service Technician

River Edge Behavioral Health
10.2016 - 07.2017

Clinical Tech/ Medical Receptionist

Navicent Health Medical Center of Central Georgia
08.2012 - 10.2016

CNA - Certified Nursing Assistant

HomeCare
06.2008 - 07.2012

Diploma -

Houston County High

Certification/Diploma in Certified Clinical Medical Assistant -

Health Tech of Georgia

EKG Certified -

Health Tech of Georgia

Phlebotomy Certified -

Health Tech of Georgia

Bachelor's degree - Healthcare Management

University of Phoenix

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Michelle Lowe