Sandra Ashman
Brookfield,OH
Summary
Accomplished Leader and Business Professional with a proven track record of providing optimal service and operational excellence while exceeding company goals. Results-oriented with expertise in understanding and aligning customer needs with the organization's strategic objectives. Expert in driving outcomes and leading to renewals with expansion and advocacy across an assigned portfolio. Proactively identify risks to the customer by assisting with the best outcomes internally and externally. Executing expertise in Risk Adjustment and Value Based Care in all lines of business. With strong communication skills and implementation strategies.
Resourceful Site Liaison known for high productivity and efficient task completion. Specialize in stakeholder communication, site management, and issue resolution. Excel using negotiation skills, adaptability, and team collaboration to ensure project goals are met with precision.
Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments.
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.
Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Telehealth Site Liaison
Ochin
Oregon, Wisconsin
12.2023 - Current
- Telehealth k-12 Grant Funded Program. Ohio
- Outreach and Education of Grant for Mental Health.
- Strategic Planning, SWOT, Business Plan
- Communication with Key Decision Makers
- Detailed Reports to state for each School District.completion of on- site Needs Assessments
- Outreach, Conferences, ESC Engagement
- Grant Understanding and follow-thru
- Ochin outreach of Other Services.
- Responsible for meeting Time line and Metric Goals
- Organizational Skills
- Internal and external Communication
- Conducted regular site visits to assess needs and ensure proper implementation of policies and procedures.
- Provided technical assistance to staff in the field on a variety of topics related to site operations.
- Collaborated with key personnel at each site to develop solutions that meet organizational objectives.
Quality Medical Consulting, Inc.
Regional, PA
01.2018 - Current
- Provide coaching and support for clinical and administrative teams
- Improve outcomes using data to understand KPI
- Product Management
- Platform Development and Upsells
- Revenue Cycle
- Multi- Site Leadership
- Education on Platform (Quality, Risk Adjustment, etc
- And EMR’s)
- Interim CEO
- Operational oversight of Acute Care Settings, Provider Offices, Clinics, ACO
- Analyzed operational, clinical, and financial performance and diagnosed issues/causes to provide recommendations and drive
- Documented and performed workflow analysis on the business area processes, systems, and information flows with local medical organizations improving customer service, profits margin, and budgeting
- Value Based Care and Risk Adjustment
- Guided organizations in seeing a 30% increase in revenue and 25% increase in compliance and quality metrics
- Educated organizations on following the following gold standard of NCQA
- Taught senior leadership how to align their quality assurance practices with State and Joint Commission Surveys
- Work with CRM’s, Various EMR’s, SOW, Contracts, RFP’s
- Effective Communication with Senior Level Stakeholders
- Teaching
- Compliance
- Microsoft Suite, Google Sheets, Jira, SMS, Tableau, Various platforms and EMR’s
Senior Clinical Education Specialist
Arista, MD
, Remote
07.2022 - 05.2023
- Educated all Providers and Associates on Virtual Visits Platforms for Specialist
- Developed all Teaching Materials and Metrics
- Managed Workflow for each Implementation
- Client Facing for assigned accounts – Lead Communications
- Managed all Internal and external exchanges
- Project Management
- Quality Assurance
- Strategic Planning
- Contracts, SOW, RFP
- Product Knowledge Leadership for new modifications
- Retained and assisted with upsells of Platform
- Developed a Plan for any roadblocks and assisted with Goals for stakeholders
- Quality Metrics obtained during visit per workflow sequence per Individual stakeholder
- Deliverables
- Portfolio of 40 Specialist ( Various Specialties)
Customer Engagement Manager
Pulse8
, Remote
03.2020 - 05.2022
- Build and nurture key relationships instrumentally in the lead aspects of the proposal development process and determine continuous improvements in the delivery process
- Offer learning and planning for dealing with potential risks using Platform
- Exclusively worked with all C suite in Healthcare Plans- All Lines of Business
- Took the helm as lead project manager ensuring projects were delivered on or before schedule
- Reinforced company goals by conducting weekly planning meetings to discuss successes and strategies for developmental opportunities
- Contributed to the profit margin as a vital player in introducing new programs to the owners of HealthPlan and Pulse8 products
- Worked with SAS Products
- Value Based Care, Risk Adjustment, Claims, EDI, Platforms and Strategic Analysis for Customer
- Deliverables
- All Lines of Business – ACA, Medicare, Medicaid, Marketplace, and Commercial
- Contract, SOW, RFP
- SAAs Platform
- Portfolio of 15 Major Health Insurance Companies
- Implementations
- Project Management
- Drafted presentations outlining new methods for engaging customers online.
- Encouraged employees to provide exceptional customer service at all times.
- Collaborated with marketing teams to create content that resonates with target audiences.
- Met with sales and design departments to determine project road maps and create unique products to drive profitability and champion brand.
- Supported sales team members to drive growth and development.
Lead Operations Specialist
Steward Healthcare ACO
Warren, OH
08.2017 - 01.2020
- Cultural change agent advocated for members of the ACO to establish preferred EMR to offer valuable input in the operational workflow
- Strengthened services Quality regularly scheduled on-site visits and audits
- Kick-off MIPS
- Portfolio if Multi-Site Management of Physician Practices to manage under ACO
- Dashboard set-up for Key Metrics
- Risk Contracts with Healthcare Plan
- Risk Adjustment Education with Senior Leadership in Healthcare Settings
- Audits
- Gap Closure
- Strategic Planning and Goals Adoption
- Workflow Analysis
- Implementation of EMR and Dashboards for Monitoring/Other Tools
- Strong Leadership Presence among ACO Members, Developing Solutions
- Held a Portfolio of High-Level Medical Professionals
- Reviewed contracts and agreements to identify potential risks or areas of non-compliance.
- Analyzed company's expenditures and developed financial models.
- Maintained accurate records of operational activities, including documentation of process changes and reports on performance metrics.
- Facilitated team meetings to discuss operational challenges and brainstorm solutions.
- Implemented strategies to take advantage of new opportunities.
- Analyzed existing systems and processes to determine their effectiveness in meeting business objectives.
- Calculated and processed end-of-year bonuses and adjustments with high accuracy.
- Created plans to propose solutions to problems related to efficiency, costs or profits.
- Established performance metrics to evaluate operational efficiency and guide team objectives.
- Set specific goals for projects to measure progress and evaluate end results.
- Trained new employees on operational protocols, significantly reducing onboarding time.
- Negotiated contracts with vendors and suppliers, ensuring cost-effective procurement of resources.
- Implemented new technologies that streamline workflow processes.
- Implemented customer service standards that increased client satisfaction.
- Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
- Conducted regular training sessions to ensure adherence to operational standards.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Participated in strategic planning discussions regarding future growth initiatives.
- Implemented new operational procedures, resultingin an increase in process efficiency.
- Analyzed key performance indicators to identify effective strategies.
- Organized client meetings to provide project updates.
- Monitored operations and reviewed records and metrics to understand company performance.
Program Director
Restorix Health
Pittsburgh, PA
07.2013 - 08.2017
- Re-invigorated the team by meeting with the staff to discuss problem areas to create workplace solutions resulting in a higher quality of work-life and subsequent increased levels of patient care and satisfaction
- Boosted quality of care by forming an advisory panel of physicians
- Championed the timely launching of a new clinic in the hospital to serve the community’s growing needs
- Acute Wound Care Knowledge and Development of Policy and Procedures
- Managed Operations for Various Clinics- Ambulatory Care
- Business Developments
- Physician Recruitment and Oversight
- Staff Oversight
- Budget and Financial Analysis
- Revenue Cycle
- Coding
- Quality and Risk Adjustment
- SWAT, GAP, And Strategic Analysis
- Center of Excellence Award
- Good Outcomes above 90%
- Multi-Clinic Leadership
- Outreach/Marketing
- Oversaw administrative support staff to facilitate day-to-day program activities.
- Hired and developed staff members to collaboratively achieve program goals.
- Conducted needs assessments and developed program objectives.
- Wrote proposals and reports for general and specific program support.
- Met regularly with program stakeholders to make program adjustments and assess progress.
- Developed strategic plans to ensure successful program operations.
- Monitored performance metrics to evaluate effectiveness of programs.
- Directed staff training on technical aspects of programming activities.
- Managed program operations and provided strategic leadership for workers.
- Supported marketing efforts by providing content for promotional materials.
- Negotiated contracts with vendors as needed for supplies or services related to the program.
- Administered budgets and monitored expenditures to keep program operations aligned with budget targets.
- Provided leadership in developing innovative approaches to meet program goals.
- Compiled reports on program outcomes for internal and external stakeholders.
- Collected key program data and analysis to support continuous improvement.
- Initiated and set goals for programs according to strategic objectives of organization.
- Created and implemented new policies and procedures for the program.
- Managed budgeting processes, including creating forecasts and tracking expenses.
- Coordinated with program managers and other stakeholders to create detailed implementation plans, milestones and risk mitigation protocols.
- Monitored program operations for compliance with policies and procedures, applicable standards and relevant contractual policy.
Executive Director
Assisted Living Concepts
Pittsburgh, PA
01.2011 - 01.2013
- Ensured that each resident is on the appropriate level of care
- Developed and executes training programs in accordance with regulations and resident's needs
- Audited and monitors all program requirements and services to assure on-going compliance with state regulations and facility policies
- Recruited hire and schedules all assisted living staff as well as supervises, trains, and disciplines staff in the performance of their duties
- Oversaw all aspects of medication management program including the supervision of storage, distribution, and administration of medications to assure proper compliance
- Conducted pre-admission assessments, develop service plans, reviews the level of care needs with residents, families, and physicians at least annually or as there are changes in resident conditions
- Served as a liaison between residents, families, administrative staff, physicians, and pharmacists
- Produced a zero-audit finding during the Annual State Compliance Survey
- Stayed up-to-date on best practices and cutting-edge ideas to improve organizational effectiveness.
- Developed and implemented strategic plans to ensure organizational growth and development.
- Successfully improved employment turnover through creating incentive and training programs.
- Reviewed and approved annual operating and capital budgets for company.
- Assessed potential collaboration opportunities to enhance organizational value and improve efficiency.
- Determined methods and procedures for staffing requirements and allotment of funds to various departments and projects.
- Recruited, hired, and trained employees on operations and performance expectations.
- Assisted in developing budgets for each departmental unit within the organization.
- Managed the organization's financial resources and operations to maximize efficiency and effectiveness.
- Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies and company policies.
- Improved profitability by accurately maintaining P&L to meet prime fiscal responsibility.
- Delivered speeches and attended industry conferences to promote company image and engage with buyers.
- Performed risk assessments across multiple areas of operations in order to identify potential issues before they arise.
- Cultivated relationships with key stakeholders, including board members, donors, sponsors, partners, and community leaders.
- Promoted public awareness of mission through outreach, advocacy and online presence.
- Implemented quality metrics to track business needs and lead diverse projects.
Education
Master of Health Administration -
University of Phoenix
08.2023
Bachelor of Arts - Human Development and Family Studies
Penn State
Sharon, PAAssociate of Respiratory Therapy -
Thiel College
Greenville, PAAssociate of Applied Science - Medical Assisting
Shenango Valley School of Business
Hermitage, PASkills
- Operational Excellence
- Value Based Care
- Leadership
- Risk Adjustment Management
- Build and Foster Senior Level
- Multi-Site Leadership
- Relationships
- Implementations
- Provide Guidance and Goals to Stakeholders
- Renewal and Growth Opportunities
- Revenue and Budget
- KPI’s and Analysis of Informatics
- Proficient in Various EMR’s /Platforms
- Workflow Management
- Knowledge of Chronic Disease Process
- Medical Terminology
- Cost-Saving Initiatives
- Strategic Road Mapping
- Client Success
- Product Knowledge and delivery of processes AI
- Healthcare Insurance – All LOB Management
- Execute a comprehensive strategic account plan
- Knowledge of Telehealth virtual visits
- Reimbursement Cycle and Billing
- Effective Communication
- Sales and Outreach
Certification
- Hyperbaric Technician, Restorix
- Personal Care Home Administration, Butler College
- Respiratory Care Technician, Thiel College
Professional Development
- Home Care and Hospice
- Business Development
- Account Management
- Budgeting
- Staffing
- Personal Care Home Management in an Aging Population
- Project Management
- EMR Development and Teaching Course
- AI
Timeline
Telehealth Site Liaison
Ochin
12.2023 - Current
Senior Clinical Education Specialist
Arista, MD
07.2022 - 05.2023
Customer Engagement Manager
Pulse8
03.2020 - 05.2022
Quality Medical Consulting, Inc.
01.2018 - Current
Lead Operations Specialist
Steward Healthcare ACO
08.2017 - 01.2020
Program Director
Restorix Health
07.2013 - 08.2017
Executive Director
Assisted Living Concepts
01.2011 - 01.2013
Master of Health Administration -
University of Phoenix
Bachelor of Arts - Human Development and Family Studies
Penn State
Associate of Respiratory Therapy -
Thiel College
Associate of Applied Science - Medical Assisting
Shenango Valley School of Business
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