Sara B. Kelley
Summary
Clinical operations leader with expertise in healthcare policy implementation and quality compliance. Skilled in driving growth and efficiency while enhancing patient outcomes. Known for fostering collaborative environments and supporting innovative payment models.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Behavioral Health Provider Quality Manager
Carelon Behavioral Health
Boston, MA
12.2024 - Current
- Established and maintained relationships with BH providers to enhance clinical outcomes.
- Collaborated with internal departments to improve member care, and achieved HEDIS performance.
- Supported regional initiatives in alternative payment models, enhancing provider collaboration.
- Analyzed provider reports and presented data to highlight utilization trends and improvement opportunities.
- Identified high-performing providers for innovative program participation.
Provider Clinical Liaison
Carelon Behavioral Health
Boston, MA
03.2014 - 11.2024
- Implemented targeted assistance programs for at-risk commercial sectors.
- Ensured providers meet program standards and objectives through detailed clinical and technical assistance.
- Analyzed the implementation of planned interventions to identify execution barriers and promote best practice model usage.
- Coordinated with providers to drive continuous quality enhancements.
Education
Master of Arts - Mental Health Counseling
Boston University
Boston, Massachusetts, MA05-2005
Bachelor of Arts - Psychology
Butler University
Indianapolis, IN12-2002
Skills
- Data analysis
- Healthcare policy implementation
- Provider engagement
- Strategic growth planning
- Collaborative leadership
- Quality assurance
- Clinical operations management
- Project, program planning, and implementation
Additional Experience
- CBHI Specialist, Carelon Behavioral Health, Boston, MA
- Community-Based Acute Treatment (C-BAT) Clinician, Italian Home for Children, Jamaica Plain, MA
- Lead Clinician Saturday Club, Wayside Youth & Family Support Services, Waltham, MA
Certification
- Licensed Mental Health Counselor (LMHC)
Accomplishments
- Enhanced performance through assistance in gathering outcomes data.
- Managed healthcare operations while maintaining adherence to internal guidelines and standards.
- Led and executed intricate clinical programs from inception to finalization within designated timelines for Commercial and Medicaid plans.
- Leveraged distinct leadership and clinical expertise to assemble and guide cross-functional teams for outstanding results.
Timeline
Behavioral Health Provider Quality Manager
Carelon Behavioral Health
12.2024 - Current
Provider Clinical Liaison
Carelon Behavioral Health
03.2014 - 11.2024
Master of Arts - Mental Health Counseling
Boston University
Bachelor of Arts - Psychology
Butler University