Nataya Amrine Mitchell
Raymore,USA
Summary
10 years of strategic, ethically minded healthcare management experience. Skilled in leading complex, crossfunctional, multidisciplinary project lifecycles within the managed care, valuebased payment and clinical transformation spaces. Experience growing operations to meet increasing demand through strategic planning and execution, organizational accountability and datadriven decision making. Proficient in HEDIS, MIPS, Quality Improvement, and client satisfaction targets; changing regulations and payer/ provider performance standards to optimize outcomes.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Practice Improvement Manager / Account Manager
Caravan Health
Kansas City, MO
06.2018 - 12.2019
- Company Overview: National Rural ACO
- Strategically planned and directed 40 clinical practices for CMS Transformation with a focus on quality metrics and delivery models to generate increased and ongoing revenue.
- Led endtoend project lifecycles, including discovery, client discovery interviews, business process mapping, requirements gathering and defined strategic & tactical goals for delivering operational excellence with optimal ACO results.
- Managed and mentored hybrid internal and external multidisciplinary team; defined and executed project scope, schedule, budget, RACI matrix and resource requirements; accountable for ontime, onbudget and quality deliverables to executive stakeholders and decision makers.
- Analyzed EMR systems and claims data to identify best practices and recurring claims rejections that impact program success. Utilized data from monthly HEDIS report review with internal and external clients to determine opportunities and recommend next best steps for business process improvement and increased revenue.
- Designed and delivered scorecards and customized client roadmaps; Planned and conducted facetoface onsite and virtual trainings (webinars) on MIPS, HIE and HIM systems & processes; Client retention of 99% in training.
- Increase PCPspecialist engagement by 40% through crossfunctional collaboration coaching, strategic planning and operations execution.
- National Rural ACO
Senior Data Analyst, Quality Improvement
Sunflower Health Plan
Kansas City, MO
12.2013 - 10.2016
- Accountable for planning and endtoend management of all data deliverables for state reporting; ensured >$100K in penalty fines did not occur by effectively identifying errors and implementing corrections and workaround processes.
- Led NCQA audit / HEDIS data requirements and analysis to ensure our operations and performance results align with our business objectives; represented our team at multiple meetings as an operational leader to ensure quality metrics and department goals are in alignment with our performance benchmarks.
- Led change readiness assessments and training/coaching for our stakeholder base on transformation initiatives.
- Designed and implemented sustainable business processes, employee engagement programs, training plans to support increased employee engagement, commitment and retention.
Operations Manager
Blue Cross Blue Shield Kansas City
Kansas City, MO
04.2000 - 08.2013
- Planned and directed call center team with oversight of crossfunctional teams, responsible for a 61% increase in First Call Resolution (FCR) and a 70% reduction in QA errors.
- Identified KPIs and utilized SMART goals to develop strategic plans and project objectives which align with corporate objectives. Trained and mentored employees, conducted succession and career mapping, and held performance improvement plans (PIP) to drive team productivity and culture.
- Planned, developed and implemented SOPs and compliance within work processes to adhere to all federal and state regulations, as well as internal policy & procedure design and compliance mandates.
- Coached, mentored and motivated a diverse group of employee stakeholders, provided handson management to staff, team leads and crossfunctional teams.
Education
Doctor of Business Administration - Healthcare Management
South College
TN06.2026
MBA - Healthcare Management
Bellevue University
NE01.2012
BA - Criminal Justice
University of Missouri
Kansas City, MO01.2006
Skills
- Project Management Professional (PMP)
- Microsoft Office Suite
- SQL Server
- PowerBI
- Health information systems
- Lean six sigma
- Organizational development
- Electronic medical records
- Smartsheet
- Data analysis
- Healthcare compliance
- Process improvement
- Client relationship management
- Strategic planning
Certification
Project Management Professional (PMP), certified, 06/01/24
Timeline
Practice Improvement Manager / Account Manager
Caravan Health
06.2018 - 12.2019
Senior Data Analyst, Quality Improvement
Sunflower Health Plan
12.2013 - 10.2016
Operations Manager
Blue Cross Blue Shield Kansas City
04.2000 - 08.2013
Doctor of Business Administration - Healthcare Management
South College
MBA - Healthcare Management
Bellevue University
BA - Criminal Justice
University of Missouri
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