SHARON L. COLAIZZI

• Consultant for startup business in areas of marketing, logistics, and training to various behavioral healthcare service professionals.
• Experience with assess data to evaluate and improve operations, target current business conditions and forecast needs.
• Gathered, organize and input information into digital database.
• Developed effective improvement plans in alignment with goals and specifications.
• Created and managed project plans, timelines and budgets.
• Devised processes and procedures to streamline operations.
• Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
• Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.

• Developed business plans to capitalize on new services and facilitate successful future growth and practice acquisitions.
• Built and implemented programming strategy and standards that supported enterprise goals and mission.
• Overhauled outdated policies and procedures with modernized approaches that improved operational efficiency without compromising quality standards.
• Managed organizational change effectively by developing thorough transition plans and providing clear direction to employees.
• Delivered consistent revenue growth with innovative marketing strategies and targeted customer engagement campaigns.
• Championed diversity and inclusion efforts, promoting more inclusive work environment that attracted top talent from various backgrounds.
• Implemented business strategies, increasing revenue, and effectively targeting new markets.
• Improved financial performance by analyzing data trends and implementing cost-saving measures across various department
• Met regulatory, compliance and safety requirements.

Maintained professional, organized, and safe environment for employees, patients and families.

• Accomplished multiple tasks within established timeframes.
• Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
• Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
• Developed strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
• Reduced operational costs through comprehensive process improvement initiatives and resource management.
• Ensured compliance with industry regulations and legal requirements by implementing comprehensive policies and training programs for staff members.
• Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.
• Led change management initiatives to drive organizational transformation without compromising employee morale or productivity levels.
• Championed diversity and inclusion efforts within workplace, resulting in an inclusive environment that fostered creativity and innovation among employees from various backgrounds.
• Assisted in organizing and overseeing assignments to drive operational excellence.

• Evaluated emerging technologies for potential integration into existing clinical workflows, optimizing efficiency and effectiveness of care delivery systems.
• Improved workflow automation to reduce wasted time and resources.
• Contributed to development of evidence-based protocols, promoting consistent clinical practices across clinical platform.
• Developed and maintained electronic record management systems to analyze and process data.
• Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
• Created customized care plans, collaborating and working with other healthcare professionals to develop comprehensive clinical platform providing comprehensive personal care plans that provide the highest quality of care to meet individual needs.

• Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
• Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
• Worked closely with organizational leadership and board of directors to guide operational strategy.
• Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
• Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
• Monitored and coordinated workflows to optimize resources.
• Established departmental performance goals and provided feedback for underperforming areas.
• Facilitated cross-functional collaboration for improved decision-making processes within the organization.
• Improved project efficiency with strategic planning, resource allocation, and time management practices.
• Optimized staff performance by designing comprehensive training programs tailored to department needs.
• Assist with projects to improve HEDIS® and Star measure outcomes, manage contractual requirements mandated by state and CMS, and participate in performance improvement projects by analyzing and interpreting data to ensure compliance with standards.
• Evaluated policies & procedures to verify alignment with regulatory requirements.
• Leveraged data analytics insights for informed decision-making.
• Serves as subject matter expert for Critical Incident Reporting to regulators. Foster relationships and maintain communication with multiple internal and external disciplines (e.g., internal Clinical teams, EOHHS, CMS)
• Investigate Quality problems identified and collect additional information to close gaps.
• Responsible for supporting State contractual requirements, and initiatives mandated by CMS. Responsible for reporting and analysis of clinical quality measure data, and development of plans and programs to support continuous quality improvement.

• Established performance goals for department and outlined processes for achievement.
• Managed financial planning and budgeting processes for multiple lines of business, ensuring fiscal responsibility and maximizing return on investments.
• Established culture of continuous improvement, fostering innovation and driving sustainable growth across the organization.
• Leveraged technology to automate workflows and streamline processes, resulting in increased productivity and cost savings across the organization.
• Enhanced company profitability by implementing strategic business plans and optimizing operational processes.
• Built high-performance teams through effective recruitment practices focused on competency alignment coupled with ongoing performance management processes.
• Delivered strong financial performance despite challenging economic conditions by executing prudent risk management strategies throughout all aspects of business operations.
• Mitigated regulatory risks by overseeing adherence to insurance and safety regulations.
• Ensured regulatory compliance at all times by implementing robust internal controls systems coupled with proactive monitoring mechanisms.
• Oversaw mergers and acquisitions activities that expanded company footprint into new markets or regions while ensuring seamless integration processes post-acquisition.
• Create clinical key performance indicators to measure performance for client-based reporting around Disease Management, Case/Care Management, Utilization Management, and Appeals/Grievances programs.

• Managed a diverse team of professionals, fostering collaborative work environment for increased productivity.
• Guided staff through periods of organizational change, maintaining morale and engagement during transitions.
• Standardize operations and streamline efficiencies in Utilization Management processes; realign prior authorization team to provide state specific knowledge of rules and regulations.
• Establish relationship with the United Healthcare plans throughout the acquisition & merger.
• Evaluated program outcomes using data-driven metrics, identifying areas for improvement and implementing targeted interventions.
• Promoted a culture of continuous improvement by encouraging professional development opportunities for staff members.
• Collaborate with UHG National Quality Team to develop the UMQM program description and annual evaluations.
• Collaborated with UGH Corporate compliance to review and administer new policy, procedures and standards of care and maintain compliance with local, state and CMS regulations.
• Monitor compliance with work plans and goals.
• Direct and manage workflows and processes related to medical necessity review: approval processes of predetermination, prior authorization, out-of-network, transition of care and selected other reviews for all State plans and lines of business.

• Reorganized Clinical Operations into line of business specific and streamlined processes to increase compliance with local, state, and CMS regulations.
• Spearheaded innovative approaches to resource allocation and strategic planning.
• Launched a robust reporting tool that increased quality reporting to include demographic, gender diversity, gaps in care highlighted by utilization of services.
• Proactively identified gaps in care
• Implemented key performance strategies to improve member/customer quality outcome measures.
• 1983-2004 additional positions held: Maternity L & D, OR, ADON and Manager of the Ambulatory Care & Community Centers.