Raishonda Jefferson-Lampton
CENTENE CORPORATION
Bowie
1
Certification
20
years of professional experience
Board-Certified Nurse Executive with a robust background in directing and managing large-scale operations, consistently driving success through strategic planning and execution. Adept at implementing innovative solutions that enhance productivity and operational effectiveness. Known for fostering teamwork and adapting to evolving business needs, ensuring alignment with organizational goals.
Work History
Director, Medical Management/Director, Clinical Oversight and Monitoring
5 Years 5 Months- Partner with senior and executive leaders across a national managed care organization to advance care management and utilization management operational, financial, and clinical initiatives aligned with enterprise priorities, DNP Executive Leadership
- Key Achievements:
- Deliver enterprise-wide clinical and operational excellence by ensuring full regulatory compliance (NCQA, CMS, state/federal), driving 95–100% audit success, and improving HEDIS, MSSP, utilization, and population-health outcomes through evidence-based care models and continuous improvement.
- Strengthen system performance by reducing avoidable utilization by 10-20%, achieving > 95% documentation accuracy, clinical reliability, and advancing equity, access, and total cost-of-care outcomes for high-risk populations through data-driven management and cross-functional team leadership.
Quality Consultant/Subject Matter Expert
4 Years- Led enterprise-wide operational excellence by standardizing workflows, strengthening quality and performance infrastructures, and guiding complex organizational change through data-driven decision making, strategic leadership, and strong stakeholder alignment.
- Consulting
- Key Achievements:
- Built scalable quality and performance infrastructures—including standardized workflows, enterprise scorecards, and leader-adopted dashboards—that reduced audit findings by 20–40%, and drove 15–30% KPI improvement within 6-12 months across clinical and operational teams.
- Led complex organizational change initiatives that removed performance barriers, aligned leaders around shared goals, and delivered measurable impact, including $500K–$5M in cost savings, 20–35% reductions in rework, and double-digit gains in patient satisfaction.
Director of Health Center Operations / Chief Operating Officer
11 Years- Progressive and strategic healthcare leadership responsibilities for organization-wide operational, data-driven, evidence-based transformation, and integrated clinical performance through system-wide alignment, cross-sector partnerships, and high-impact accountability
- Advanced from multi-site operational leadership to enterprise-level strategic stewardship, shaping five-year organizational strategy, aligning Nursing and Operations, and overseeing complex portfolios spanning grants, revenue cycle, quality, risk, compliance, and workforce development.
- Led system-wide transformation by evolving program management into executive-level decision-making, driving succession planning, conflict-resolution frameworks, expansion/relocation strategies, and development of clinical decision-support tools that elevated organizational performance and culture.
Education
Doctor of Nursing Practice - Nursing
- Doctoral Project: Staff Education on Person-Centered Care Planning to Improve CAHPS Scores
Master of Science - Nursing
Bachelor of Science - Nursing Leadership And Management
Associate of Science - Nursing
Skills
Enterprise-Level Operational Leadership
Clinical Program Performance & Quality Management
Data-Driven Decision-Making & Performance Analytics
Cross-Functional & Cross-Sector Collaboration
Strategic Planning & Execution
Workforce Leadership
Culture Building & Talent Development
Change Management & Operational Transformation
Certification
Nurse Executive Advanced, Board Certified - American Nurses Credentialing Center (ANCC) thru 4/7/2031
Timeline
Director, Medical Management/Director, Clinical Oversight and Monitoring
CENTENE CORPORATION
01.2021 - CurrentRead More
Quality Consultant/Subject Matter Expert
Inovalon/Consulting
01.2017 - 01.2021Read More
Director of Health Center Operations / Chief Operating Officer
AFFINIA HEALTH CENTERS/GREATER BADEN MEDICAL SERVICES
01.2006 - 01.2017Read More
Walden University
Doctor of Nursing Practice from Nursing
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Webster University
Master of Science from Nursing
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Webster University
Bachelor of Science from Nursing Leadership And Management
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Forest Park Community College
Associate of Science from Nursing
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