Sabrina Stuart
Eugene,OR
Summary
Knowledgeable Population Health Manager with solid background in health management and history of leading teams to improve healthcare delivery. Proven track record in implementing effective health policies and enhancing patient care services. Demonstrated ability in strategic planning and efficient resource allocation.
Overview
27
27
years of professional experience
2
2
Certification
Work History
Population Health manager
Pacificsource Health Plans
08.2019 - Current
- Company Overview: Local non-profit Medicare, Medicaid and Commercial payer in the Pacific Northwest who’s commitment to community health is of upmost importance
- I lead a team of Population Health Strategists and responsible for Strategies for all lines of business to meet Quality metrics for all line of business
- This includes researching, creating and partnering with clinics around best practice work flows to meet CMS, OHA, and NCQA guidelines
- I have done Project Management across a matrixed organization creating standardization and structured work in the absence of a CMR (Customer Relationship Platform)
- Strong skills in implementing efficiencies with LEAN process, relationship building: with staff and the community contacts
- Organized worker training programs to resolve personnel problems, hire new staff and evaluate employee performance.
- Fostered a positive work environment by promoting open communication and teamwork among staff members.
- Managed functions including recruitment, hiring, training, supervision, evaluation, and professional development for all team members.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care with aligned/agreed upon goals.
Risk Adjustment Coding Manager
Pacificsource Health Plans
11.2015 - 08.2019
- Developed the team of Risk Adjustment at Pacificsource Health Plans
- This included expansion of the RA team and developing structure, strategy and training materials for the team
- I also created our Comprehensive Health Assessment program, that is still in place today
- I lead a team of Certified Coders and Quality Program Specialists to obtain chart documentation for coders to review, audit and disperse feedback to our contracted provider groups
- I also led the team through our ACA RADV audits each year as well as being part of a targeted RADV audit through CMS
- I became very involved with Provider Group Strategy around Risk Adjustment and was asked if I was interested in Population Health
- Conducted thorough audits of coding practices, identifying opportunities for optimization and streamlining processes.
- I then moved into the Population Health Manager position
Training Coordinator, Accounts Receivable – Lead, Administrative assistant, coding specialist, Referral/Managed Care specialist
Oregon Medical Group
01.2006 - 11.2015
- Company Overview: Local multispecialty group where I held multiple positions over my tenure
- Started as a referral specialist processing PA and Referral requests for managed care payers to obtain approval of services for the patients we served
- I moved up to the Billing department and started at a customer service role and moved up to the AR Lead of the department
- I then became a Training Coordinator, as that was what a majority of my work was entailing on top of leading a team of Account Receivable Specialists
- I then worked as a coder and obtained coding certifications as this was asked of me to help increase the team’s bench strength around getting denied claims paid/covered so that our days in AR remained at goal
- I was then asked to go back to the Training Coordinator role to not only provide training to the Billing and Coding teams but also the Front Office Staff to help support both the front and back ends of the Revenue Cycle as a whole
- Maintained accurate records of employee participation in training events, tracking progress towards learning objectives.
- Provided coaching and mentoring to employees.
- Coordinated logistics for training events, including scheduling facilities, securing necessary equipment, and managing participant registration.
Swing Manager and Shift Supervisor
McDonald's and Carl's Jr
05.1998 - 09.2003
- I started my working career in fast food services
- I quickly received promotions to lead teams of all different shifts including both opening and closing
- I went through many leadership courses with both companies during my tenure
- I learned how to become a more impactful mentor, increase team engagement, while still holding staff accountable when needed
- I won an award from McDonald’s being recognized as one of the youngest Manager's to be promoted at the time
- Managed inventory levels for optimal stock availability, minimizing waste and maximizing profits.
- Inspected equipment and machinery for proper working condition and directed staff to clean and repair as needed.
- Monitored employee performance closely, providing constructive feedback for continuous improvement opportunities.
Education
Healthcare Administration
Pioneer Pacific College
Springfield, OR01-2005
Skills
- Healthcare Analytics
- Problem-Solving
- Time Management
- Attention to Detail
- Critical Thinking
- Decision-Making
- HEDIS, OHA/QIM, STARS, NCQA Guidelines
- HIPAA Guidelines
- Performance Improvement
- Teamwork and Collaboration
- Employee Recruitment and Hiring
- Staff Management
- Strategic Planning
- Project Management
- Process Implementation
- Effective Communication
Certification
- Certified Professional Coder
- Certified Risk Adjustment Coder
Timeline
Population Health manager
Pacificsource Health Plans
08.2019 - Current
Risk Adjustment Coding Manager
Pacificsource Health Plans
11.2015 - 08.2019
Training Coordinator, Accounts Receivable – Lead, Administrative assistant, coding specialist, Referral/Managed Care specialist
Oregon Medical Group
01.2006 - 11.2015
Swing Manager and Shift Supervisor
McDonald's and Carl's Jr
05.1998 - 09.2003
Healthcare Administration
Pioneer Pacific College
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