Summary
Overview
Work History
Education
Skills
Certification
Technology & Analytics
Accomplishments
Languages
Timeline
Generic

Rosa Gutierrez-Villarreal

Eagle Pass,TX

Summary

Healthcare operations executive with over 15 years of leadership experience in physician practice operations and value-based care. Successfully led networks of 50+ practices, enhancing quality outcomes and increasing provider revenue by $4.8 million. Achieved over $5 million in healthcare savings while building high-performing teams focused on measurable results. Recognized for transforming complex data into actionable strategies that strengthen provider partnerships and enhance financial and clinical performance.

Overview

1
1
Certification
18
18
years of professional experience

Work History

Senior Physician Business Manager (Promoted)

WellMed Medical Management - United Health Group
02.2021 - 05.2026

Promoted after only 18 months in recognition of outstanding leadership, operational performance, and strategic impact.

  • Directed strategic operations for a network of 56 physician practices serving more than 26,900 Medicare Advantage members, driving operational excellence, quality improvement, provider engagement, and value-based performance across South Texas.
  • Expanded provider network from 21 to 56 physician practices, supporting more than 26,900 Medicare Advantage members across South Texas.
  • Generated over $5 million in healthcare savings through value-based care initiatives and utilization management.
  • Increased physician practice revenue by $4.8 million through strategic quality improvement and operational initiatives.
  • Reduced hospital utilization costs by $2.5 million.
  • Improved overall Medicare quality performance from 2.1 Stars to 4.2 Stars.
  • Oversaw three value-based revenue/risk pools, enhancing financial performance and quality metrics through strategic initiatives.
  • Led, coached, and mentored a team of eight Physician Business Managers while providing operational direction, performance coaching, strategic guidance, and best practice standardization across multiple physician markets.
  • Partnered with executive physician leadership, medical directors, hospital executives, and cross-functional stakeholders to develop strategic initiatives that improved operational and financial performance.
  • Designed operational strategies adopted throughout the organization (Created and launched the No patient Left Behind initiative to improve patient access and continuity of care.)
  • Developed the Call Us First Campaign, reducing avoidable emergency department utilization through patient education and improved provider access.
  • Expanded preventive healthcare access by securing increased mobile breast cancer screening services for rural communities.
  • Led processes and technology improvement initiatives that strengthened provider performance, optimized operational workflows, and improved Medicare Advantage quality, HEDIS/STAR, and financial outcomes.
  • Leveraged operational, financial, and quality performance data to identify trends, uncover improvement opportunities, and develop strategic recommendations that enhanced provider and organizational performance.
  • Developed and executed strategic operational plans aligned with organizational priorities, driving measurable improvements in provider engagement, quality outcomes, financial performance and value-based care initiatives.
  • Strengthened provider relationships by leading operational implementations, improving workflows, and driving change management initiatives that enhanced physician engagement and practice performance.
  • Collaborated with regional operational leaders, local Medical Director(s), and Physician Business Managers to standardize best practices, improve cross-market collaboration, monitor utilization trends and profit pools to assist with developing strategic plans to improve performance and ensure consistent execution of organizational initiatives.
  • Evaluated provider performance, value-based contracts, and risk pool metrics to identify performance gaps, implement targeted improvement strategies, and strengthen financial and quality outcomes.
  • Developed targeted action plans with physicians and practice leadership to improve coding accuracy, quality metrics, operational performance, and financial results across multiple physician practices.
  • Acted as a trusted operational advisor and subject matter expert, providing strategic guidance, coaching, and performance support to Physician Business Managers across multiple markets.
  • Built and maintained trusted partnerships with more than 50 physician practices, practice administrators, and executive leaders to improve operational performance, quality outcomes, and provider engagement.

Admissions & Marketing Director

La Hacienda De Paz Rehabilitation and Care Center
10.2017 - 02.2021
  • Directed the end-to-end admissions process, including referral review, pre-admission assessments, insurance verification, prior authorizations, interdisciplinary coordination, and patient placement to ensure timely, appropriate admissions.
  • Developed and executed data-driven referral and census growth strategies that maintained 100% facility occupancy for two consecutive years while increasing weekly referrals sevenfold.
  • Cultivated strategic referral partnerships with hospitals, physicians, discharge planners, assisted living facilities, home health agencies, and community organizations to drive sustained admissions growth.
  • Developed and implemented comprehensive marketing strategies to enhance brand visibility and attract admissions.
  • Managed admissions operations, departmental budgets, and referral strategies to optimize patient intake and resource allocation.
  • Maintained 100% facility occupancy for two consecutive years.
  • Created Continuation of Care Program to enhance successful transitions for short-term rehabilitation patients, improving overall patient satisfaction.
  • Collaborated with healthcare professionals to develop targeted outreach initiatives, effectively connecting potential clients and families with necessary services.
  • Managed digital marketing campaigns across social media platforms, increasing engagement and awareness of services.
  • Established partnerships with local organizations to boost referral sources and community involvement in rehabilitation programs.
  • Built strong relationships with hospitals, physicians, and community organizations.
  • Oversaw three employees to ensure effective task completion.
  • Mentored staff on best practices in client relations, fostering a culture of excellence in service delivery throughout the organization.
  • Developed the facility's Skilled Nursing Program for long-term care residents.
  • Partnered closely with nursing leadership, therapy, physicians, and administrative departments to coordinate admissions, streamline workflows, and ensure seamless patient transitions.
  • Maintained accurate admissions documentation, referral tracking, and census reporting to support operational performance and leadership decision-making.
  • Evaluated admissions workflows and implemented process improvements that enhanced efficiency, referral conversion, and patient experience.
  • Recruited, trained, coached, and supervised a high-performing admissions and marketing team while fostering accountability, customer service excellence, and professional development.
  • Prepared and presented census, referral, and operational performance reports to executive leadership to support strategic planning and resource allocation.
  • Educated referral partners and community stakeholders on rehabilitation services, admission criteria, and available programs to strengthen referral relationships and increase market awareness.

Healthcare Policy Advisor

Texas State Senate - District 19
01.2012 - 10.2017
  • Conducted legislative and healthcare policy research, monitored proposed state legislation, and analyzed potential impacts on constituents, healthcare providers, and community stakeholders to support policy development and legislative decision-making.
  • Prepared policy summaries, briefing materials, talking points, and constituent reports to support legislative meetings, committee discussions, and public engagement activities.
  • Conducted research and contributed to the development and implementation of healthcare-related Senate Bills.
  • Worked closely with healthcare organizations and state agencies to identify policy solutions for rural healthcare challenges.
  • Served as a healthcare policy resource for legislative staff by researching healthcare, public health, and community issues to support informed policy discussions.
  • Researched emerging healthcare issues and provided policy recommendations and supporting analysis to assist legislative leadership in evaluating community needs and healthcare priorities.
  • Engaged with stakeholders to align legislative priorities with constituent needs.
  • Collaborated with healthcare organizations, government agencies, community leaders, and advocacy groups to address constituent concerns and advance healthcare and community initiatives.
  • Built collaborative relationships with healthcare providers, hospitals, community organizations, local governments, and state agencies to facilitate communication and improve access to public resources.
  • Supported healthcare and public policy initiatives focused on improving access to care, strengthening community resources, and addressing the needs of rural and underserved populations.

Southwest Regional Director

Texas State Senate - District 19
01.2008 - 10.2017
  • Managed regional strategic initiatives addressing healthcare access, economic development, and public services.
  • Directed regional operations and constituent services across Maverick, Dimmit, Zavala, Uvalde and Val Verde counties.
  • Led regional policy initiatives to enhance legislative effectiveness and community engagement.
  • Collaborated with stakeholders to advocate for funding allocations and resource distribution within the district.
  • Liaised between Senate leadership and healthcare organizations, schools, and community leaders to enhance collaboration and resource sharing.
  • Cultivated long-term partnerships that improved collaborative efforts across South Texas.
  • Created strategic plans to address constituent needs and improve communication across district offices.

Special Events Coordinator

Texas State Senate - District 19
01.2008 - 10.2017
  • Coordinated the District 19 Back-to-School Fair, distributing more than 55,000 backpacks and school supplies to students across Senate District 19.
  • Organized annual Senator Santa initiative providing healthcare supplies to rehabilitation and long-term care facilities across Senate District 19.
  • Coordinated logistics for large-scale events, ensuring seamless execution and attendee satisfaction.
  • Managed sponsorships, volunteers, vendors, and event logistics to enhance community partnerships.
  • Led volunteer recruitment and training initiatives, enhancing team performance and engagement.
  • Managed vendor relationships to secure essential services and negotiate favorable contracts.
  • Developed event timelines and schedules, optimizing resource allocation and workflow efficiency.
  • Oversaw budget management, tracking expenditures to maintain financial compliance and support event objectives.
  • Collaborated with legislative staff to align event objectives with district goals, ensuring community engagement and support.
  • Executed community outreach initiatives across diverse populations to raise awareness. across 14 South Texas counties.

Education

Bachelor of Science - Healthcare Administration

Western Governors University
Salt Lake City, UT
12-2026

Skills

Healthcare Leadership & Operations

  • Healthcare Operations
  • Healthcare Leadership
  • Physician Practice Operations
  • Provider Relations
  • Physician Engagement
  • Healthcare Strategy and Strategic Planning
  • Population Health
  • Value-Based Care
  • Practice Transformation
  • Operational Excellence
  • Medicare Advantage
  • Risk Adjustment
  • Healthcare Compliance

Performance & Analytics

  • Healthcare Analytics
  • Data Analysis
  • Performance Analysis
  • Financial Performance
  • Revenue Optimization
  • Budget Oversight
  • Quality Improvement
  • HEDIS/STAR Performance
  • CAHPS & HOS
  • Utilization Management

Leadership & Business Strategy

  • Executive Stakeholder Management
  • Cross-Functional Leadership
  • Project Management
  • Community Partnerships
  • Rural Healthcare

Certification

  • Certified Physician Practice Manager (CPPM)-July 2026
  • Certified Rural Health Clinic Professional (CRHCP)-Expected December 2026
  • Certified Professional Coder (CPC)-Expected 2026

Technology & Analytics

Business Intelligence & Analytics

  • Microsoft Power BI
  • Tableau
  • SQL (Working Knowledge)
  • Alteryx
  • Dashboard Development
  • Data Visualization
  • Performance Analytics
  • Operational Reporting
  • KPI Development
  • Microsoft Excel (Advanced)
  • Performance Reporting

CRM & Relationship Management

  • Salesforce
  • Microsoft Dynamics CRM
  • Customer Relationship Management (CRM) Platforms

Healthcare Information Systems

  • Athenahealth
  • eClinicalWorks (ECW)
  • NextGen
  • Oracle Health / Cerner
  • Electronic Health Records (EHR/EMR)
  • Medicare Advantage Reporting Tools
  • Value-Based Care Analytics
  • Population Health Management Platforms

Project & Process Management

  • Microsoft Project
  • Smartsheet
  • Microsoft Visio
  • Azure DevOps
  • ServiceNow

Collaboration & Productivity

  • SharePoint
  • Microsoft Teams
  • Microsoft Office Suite (Excel, PowerPoint, Word, Outlook)

Professional Development

  • Python for Data Analytics (In Progress)

Accomplishments

  • Generated over $5 million in healthcare cost savings
  • Increased provider revenue by $4.8 million
  • Reduced hospital utilization costs by $2.5 million
  • Improved Medicare quality performance from 2.1 Stars to 4.2 Stars
  • Expanded Medicare Advantage membership by more than 130% growing from 11,598 to 26,908 members.
  • Developed corporation-wide operational strategies

Languages

Spanish

Timeline

Senior Physician Business Manager (Promoted)

WellMed Medical Management - United Health Group
02.2021 - 05.2026

Admissions & Marketing Director

La Hacienda De Paz Rehabilitation and Care Center
10.2017 - 02.2021

Healthcare Policy Advisor

Texas State Senate - District 19
01.2012 - 10.2017

Southwest Regional Director

Texas State Senate - District 19
01.2008 - 10.2017

Special Events Coordinator

Texas State Senate - District 19
01.2008 - 10.2017

Bachelor of Science - Healthcare Administration

Western Governors University
Rosa Gutierrez-Villarreal