Renea DeGeorge
Bend,OR
Summary
Dynamic program manager with a proven track record at multiple Health Plans, excelling in strategic planning and process improvement. Spearheaded initiatives that achieved over $3 million in savings while fostering collaboration across teams. Adept in project management and creative problem-solving, driving successful outcomes through effective communication and leadership.
Overview
15
15
years of professional experience
Work History
Senior Planning & Operations
CareOregon Health Plans
Portland, OR
05.2024 - Current
- Co-developed and managed strategic planning initiatives to achieve financial and mission outcomes.
- Facilitated collaborative meetings to ensure alignment and maintain project momentum.
- Collaborated with regional executive leadership to prioritize and implement projects for successful results.
- Effectively coordinated with internal and external teams to advance initiatives.
- Analyzed program performance, identified improvement opportunities, and implemented necessary changes.
Program Manager for Value Based Payments
CareOregon Health Plans
Portland, Oregon
10.2023 - 05.2024
- Participate in and lead internal and external project stakeholders through a portfolio of projects and program improvements.
- Conducted discovery meetings to identify program needs and requirements for project planning.
- Created project plans for executive submission and approval.
- Developed training items, process improvements, including system automations, new program materials, and dashboards.
- Liaised between departments to align deliverables with strategic objectives.
- Assisted departmental projects to ensure successful outcomes and alignment with goals.
Value Based Care Program Manager
St Charles Health Systems
Bend, OR
01.2022 - 10.2023
- Managed multiple strategic projects and associated workstreams to achieve organizational goals.
- Collaborated with CFO and executive leadership to establish priorities aligned with business needs.
- Implemented enhancements in payer credentialing, capturing savings exceeding two million dollars.
- Coordinated with VP of Contracting and CFO on Medicaid and Medicare contracts to optimize outcomes.
- Participated in pilot testing and implementation of new systems and vendor onboarding processes.
- Served as primary contact for departments to ensure efficient program development through cross-functional collaboration.
Program Manager for Strategic Partnerships
PacificSource Health Plans
Bend, OR
06.2018 - 01.2022
- Appointed by the Chief Medical Officer and Regional Executive Vice President to the position.
- Managed JOC meetings, presenting materials for value-based initiatives and executive projects.
- Coordinated multiple Committees for planning and monitoring strategies and outcomes.
- Created and maintained a dashboard for the company's reference to track committee results..
- Conducted regular meetings with project stakeholders to assess progress and implement adjustments.
- Collaborated with Executive Leadership and Chief Medical Officer to align priorities with business needs.
- Achieved 80% reduction in provider setup errors and decreased capitation payment errors by $3 million through process optimization.
- Developed logistics workflows and analytical reports for executive leadership, ensuring compliance and regulatory updates.
Provider Service Team Lead
PacificSource Health Plans
Bend, OR
11.2017 - 06.2018
- Mentored office employees on administrative procedures and software usage to enhance operational consistency.
- Recruited, hired, trained, and supervised statewide staff of 10 while implementing a mentoring program for employee engagement.
- Delegated tasks to administrative support staff to optimize office efficiency.
- Developed and implemented management procedures that increased team productivity and accuracy.
- Established internal requirements and standards to reduce regulatory risks across programs.
- Applied conflict resolution and problem-solving skills to improve customer satisfaction scores.
Provider Service Representative
PacificSource Health Plans
Bend, OR
04.2016 - 11.2017
- Strengthened relationships with three Health Systems and CCO Tribal Community to optimize costs and utilization across all business lines.
- Hosted workshops and improvement meetings for diverse internal and external stakeholders.
- Educated providers on billing, payment processing, and support policies to enhance understanding.
- Managed relationships with over 50 providers across six counties and two CCO Regions, ensuring high service standards.
- Facilitated effective inter-departmental communication to enhance customer support delivery.
- Maintained current information on product and service updates for informed stakeholder engagement.
- Identified opportunities to streamline processes and enhance service offerings.
- Conducted ongoing communications and site visits to promote partnership development and compliance.
Account Manager & Implementation
UnitedHealth Group, UHG
Philadelphia, PA
04.2010 - 04.2016
- Managed and monitored over 150 Medicare Employer account portfolios for optimal performance.
- Conducted nationwide Medicare presentations for Employer group populations.
- Served as liaison among clients, company, and TPAs to resolve issues and enhance relationships.
- Implemented new employer group accounts, some with over 500 retirees.
- Acted as Subject Matter Expert for product and client development initiatives.
- Identified obstacles and devised solutions to maintain project timelines.
- Maintained timely communication across diverse account portfolios to ensure effective problem resolution.
- Conducted regular account reviews to pinpoint improvement areas and drive success.
Education
Bachelor of Science - Business Management
Albright College
Reading, PASkills
- Strategic planning
- Team leadership
- Process improvement
- Project management
- Creative problem solving
- Collaboration and teamwork
- Adaptability and flexibility
- Implementation coordination
- Microsoft Office Suite
- Microsoft Teams
- SharePoint expertise
- Smartsheet proficiency
- Systems experience
Additional Information
Project Management continuing education through PMI Institute., Lean Principles and Si Sigma Training., Formerly held Series 7 and 63 Stockbroker's licenses., Member of Executive Fiduciary Committee for Employee Retirement & Pension plans- PacificSource Health plans.
Additional Information
- Continuing Education for Project Management Certification through PMI Institute
- Member of Executive Fiduciary Committee for employee retirement and pension plans at PacificSource
- Lean Principles and Six Sigma trainings
- Formerly held Series 7 and 63 Stockbroker's licenses
Timeline
Senior Planning & Operations
CareOregon Health Plans
05.2024 - Current
Program Manager for Value Based Payments
CareOregon Health Plans
10.2023 - 05.2024
Value Based Care Program Manager
St Charles Health Systems
01.2022 - 10.2023
Program Manager for Strategic Partnerships
PacificSource Health Plans
06.2018 - 01.2022
Provider Service Team Lead
PacificSource Health Plans
11.2017 - 06.2018
Provider Service Representative
PacificSource Health Plans
04.2016 - 11.2017
Account Manager & Implementation
UnitedHealth Group, UHG
04.2010 - 04.2016
Bachelor of Science - Business Management
Albright College
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