Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Samantha Runner

Vacaville,CA

Summary

Healthcare professional with a strong foundation in risk adjustment and healthcare data management. Proven ability to identify risk factors and implement effective strategies to enhance patient outcomes and financial efficiency. Highly collaborative, reliable, and adaptable to changing environments, with a focus on analytical skills and regulatory knowledge.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Network Program Consultant

Optum
03.2023 - Current
  • Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members
  • Develop and present presentations and training to large and small groups of clinicians, practice managers, and certified coders developing training to fit specific providers' needs
  • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and hospitals
  • Develop comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity
  • Supported the implementation and development of the importance of Medicare Risk Adjustment into new clinician orientation for a large HCO
  • Provide feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding
  • Partner with a multi-disciplinary team to implement prospective programs as directed by Market Consultation leadership
  • Assist providers in understanding quality and CMS-HCC Risk Adjustment payment methodology and the importance of proper chart documentation of procedures and diagnosis coding

Health Services Coordinator

Optum
05.2022 - 03.2023
  • Locate medical screening results to ensure closure of gaps/suspect medical conditions
  • Chart collection
  • Data analysis to identify and target members who need care
  • Identify both positive and negative outcomes that could impact Risk & Quality closures
  • Scheduling of meetings with provider groups to discuss concerns/progress for their In-Office Assessment Program (IOA)
  • Field visits locally and travel when needed to assist other team members
  • Remote

Supervisor

Kaiser Permanente
01.2020 - 05.2022
  • Supervise daily operations and provide support to all staff
  • Project Management of COVID-19 & Flu Clinic
  • On-Call Rotation for all Napa- Solano Radiology Departments
  • Bi-weekly timecards
  • Meeting department goals such as Medical Diagnosis Prompt, Annual Wellness Visits
  • Monitoring of department budget, timelines, staffing, workplace safety, and equipment needs
  • Promoted a team environment between management and union staff
  • Effectively coordinated multiple projects with other departments including Radiology, Pediatrics, and Women's Health
  • Liaison between leadership/management and staff ensuring excellent, safe patient care

Medical Assistant

Kaiser Permanente
01.2015 - 12.2019
  • Providing excellent, safe patient care while being a leader in my department as a shop steward.
  • Training of new staff
  • Being a steward has allowed me to show management and staff the two can simultaneously work together in partnership to improve the day to day workflow in my department.
  • Effective time management in rooming patients to allow the provider to stay on time
  • Obtain vital signs
  • Assisting with procedures

Education

Master of Arts - Healthcare Administration

University of Arizona Global Campus
Chandler, AZ
07.2024

Bachelor of Arts - Healthcare Administration

Ashford University
San Diego, CA
11.2012

Skills

  • Team leadership
  • Clinical Operations Management
  • Strategic Planning
  • Epic EMR proficiency
  • Problem Resolution
  • Proficient in meeting deadlines
  • Project Management
  • Process Improvement
  • Development of risk and quality strategies
  • Cross-Functional Collaboration
  • Effective task prioritization
  • MS Office
  • Organizational growth strategies

Certification

  • Certified Risk Adjustment Coder, AAPC - Estimated date of completion July 2025
  • Leading Quality Improvement Training - March 2024
  • Teamwork and Communication Training - March 2024

Timeline

Network Program Consultant

Optum
03.2023 - Current

Health Services Coordinator

Optum
05.2022 - 03.2023

Supervisor

Kaiser Permanente
01.2020 - 05.2022

Medical Assistant

Kaiser Permanente
01.2015 - 12.2019

Master of Arts - Healthcare Administration

University of Arizona Global Campus

Bachelor of Arts - Healthcare Administration

Ashford University

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Samantha Runner