Nancy Trufin
Senior Manager
Thornton,CO
Summary
With an extensive background spanning both behavioral health and medical administration, giving me a blend of expertise. As I seek new opportunities, I am keen to align my knowledge in behavioral sciences and business administration to contribute significantly to your organization. I envision myself as a seamless fit for your company’s values, mission, and vision. I actively fostered team development and navigated organizational changes with finesse. Resourceful Manager offering history of success coordinating and monitoring operations across various departments. Effective leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Highly committed with hardworking mentality to maintain quality of services and products.
Overview
11
11
years of professional experience
9
9
years of post-secondary education
Work History
Behavioral Health Program Manager
Optum
01.2023 - 12.2023
- Monitoring and evaluating performance, outcomes, and satisfaction related to behavioral health services, utilizing data and feedback
- Established strong relationships with key stakeholders, ensuring support for program initiatives.
- Identifying and addressing issues and opportunities for improvement in two market states
- Collaborating and communicating effectively with internal and external stakeholders to implement expanded behavioral health services
- This role combines strategic planning, data-driven decision-making, and effective communication to enhance behavioral health services and drive positive outcomes.
- Led change management efforts, supporting staff through transitions and promoting buy-in for new initiatives.
- Enhanced project visibility with regular status updates, leading to increased stakeholder engagement.
- Coached team members on productivity strategies to accomplish challenging goals.
- Facilitated successful cross-functional collaborations for completion of key projects, fostering strong working relationships among team members.
- Captivated attention with dynamic speaking styles and skillful use of visual aids.
- Connected with attendees through empathetic listening and genuine responses during Q&A sessions.
- Continuously refined speaking skills through ongoing professional development opportunities such as workshops or coaching sessions.
Senior Provider Manager
Elevance Health
10.2021 - 12.2022
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Successfully resolved complex disputes involving reimbursement rates or other contractual disagreements between providers and the organization through skilled negotiation tactics.
- Provided exceptional support to healthcare providers during times of transition or crisis, resulting in minimal disruption to patient care delivery and maintaining high levels of satisfaction among partners.
- Served as a liaison between healthcare providers and internal departments such as claims processing or customer service, facilitating effective resolution of any issues that arose during day-to-day operations.
- Reviewed financial performance data for contracted providers regularly, identifying areas where improvements could be made in order to optimize revenue generation potential.
- Enhanced provider relations by conducting regular visits and maintaining open communication channels with healthcare providers.
- Answered provider inquiries via email, telephone and written correspondence.
- Initiated physician and hospital orientations to support ongoing education of health care provider community.
School Based Health Center Practice Manager
Mountain Family Health Centers
10.2020 - 04.2021
- Managed and opened multidisciplinary SBHC Clinics across Eagle and Garfield County, providing Dental, Medical, and Behavioral services to students in 6 schools
- Led weekly visits to clinics
- Led logistics and finances of all locations and hired and trained staff
- Attended CDPHE district meetings and advocated for patient-centered care
- Led the operation and administration of health care services to students and staff of a school
- Develop and maintain partnerships with school administrators, teachers, counselors, and other staff to promote the SBHC services and programs and address the health needs and concerns of the school community
- Provide training and education to SBHC staff, school staff, students, parents, and community members on various health topics and issues relevant to the school population
- Collaborated with marketing teams to develop promotional materials that effectively highlighted the practice''s unique offerings.
- Coordinated with physicians to optimize appointment schedules and maximize daily patient flow.
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
- Developed strong relationships with patients, ensuring a high level of care and satisfaction throughout their experience.
- Negotiated contracts with vendors, securing favorable terms for the practice while maintaining quality service levels.
- Implemented new electronic health record system, leading to increased efficiency in patient data management.
- Oversaw facility maintenance projects, ensuring a safe and comfortable environment for both patients and staff members.
- Facilitated communication between staff members, fostering a collaborative work environment that improved overall team performance.
- Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
Practice Manager/Title X Manager
Wesley Community Health Center
08.2017 - 07.2020
- Oversaw daily administrative and operational aspects of a health center that provides comprehensive primary care and preventive services to underserved populations
- Created Master scheduling and served as the family planning program manager
- Led the outreach and enrollment team
- I developed and trained staff on Population Health Management Strategies and implemented quality metric and risk adjustment strategies to ensure network participation with various health plans
- ECW EMR.
Provider Relations Representative
Banner Health Network
04.2013 - 08.2017
- Increased efficiency of provider relations team with the implementation of tracking systems and database management tools.
- Managed high-volume caseloads of dispute resolution cases, providing swift resolutions that maintained positive relationships with both parties involved.
- Participated in cross-functional teams tasked with improving overall performance metrics within the organization''s Provider Relations department.
- Developed positive relationships with external partners and industry stakeholders, enhancing the company''s reputation within the provider community.
- Analyzed trends in provider feedback, identifying areas for improvement within the organization''s processes and systems.
- Presented updates on industry trends during team meetings, keeping colleagues informed about changes affecting their work with providers.
- Served as a subject matter expert on various topics related to healthcare providers, offering guidance to colleagues when needed.
- Ensured accuracy in provider data management, resulting in improved quality of information available to plan members.
- Implemented corrective action plans when necessary to address deficiencies in provider services or documentation practices.
Education
MBA -
University of Phoenix
Phoenix, AZ 02.2017 - 06.2020
Bachelor of Science - Human Services Management
University of Phoenix
Phoenix 03.2008 - 10.2013
Skills
Data Collection & Research
Clinic Management
Detail Oriented
Adobe Applications
Program Management
Vendor Relationship Management
Partnership Development
Project Management
Team Leadership
Data Collection & Research
HeartCore Busines Leadership Program Graduate
Heartcore Bussiness is an entrepreneurial training company designed to give passionate entrepreneurs a proven and powerful step-by-step system for creating a profitable career built upon their talents and gifts. Here are the key points about Heartcore Business: Mission and Vision:Heartcore Business aims to empower entrepreneurs by providing them with the tools and strategies needed to share their unique gifts and create sustainable, successful careers. Program Offerings:Heartcore Business offers a variety of training programs, including self-study courses, live mentoring, and live events. Areas of Focus:Heartcore Business emphasizes systems, mindset, leadership, and support.
Timeline
Behavioral Health Program Manager
Optum
01.2023 - 12.2023
Senior Provider Manager
Elevance Health
10.2021 - 12.2022
School Based Health Center Practice Manager
Mountain Family Health Centers
10.2020 - 04.2021
Practice Manager/Title X Manager
Wesley Community Health Center
08.2017 - 07.2020
MBA -
University of Phoenix
02.2017 - 06.2020
Provider Relations Representative
Banner Health Network
04.2013 - 08.2017
Bachelor of Science - Human Services Management
University of Phoenix
03.2008 - 10.2013