Results-driven leader with 15 years of comprehensive experience overseeing healthcare delivery, administration, program management and provider network. Hardworking and versatile professional well-versed in executing business strategies, preparing and implementing business plans and overseeing financial performance. Thorough knowledge of market changes and trends paired with strong grasp of corporate finance and performance measures.
Overview
13
13
years of professional experience
Work History
Senior Healthcare Consultant
Wilkerson Consulting
Baton Rouge, LA
05.2016 - Current
Conducts market research to identify trends in the healthcare industry and analyzed data to provide actionable insights. Facilitates communication between stakeholders and clients to ensure successful project completion. Develops strategies for improving operational efficiency, reducing costs, and increasing profitability of healthcare organizations. Analyze current healthcare policies and procedures to determine areas of improvement or change. Assess existing programs & processes within healthcare organizations and identify potential opportunities for growth. Provide oversight for projects representing 8M-55M in annual revenue.
Account General Manager
Gainwell Technologies
Baton Rouge, LA
08.2021 - 01.2023
Managed client relationship as a trusted advisor and general manager while growing business through sales. Developed and implemented strategies to increase sales and profits. Conducted regular financial analysis to identify areas for improvement in processes, cost reduction and revenue growth. Analyzed financial data to identify trends and potential issues while overseeing preparation of annual budgets and monitored progress against them throughout the year. Researched new technologies or software solutions that could improve efficiency within the account. Identified opportunities for cost savings or increased profitability through improved processes. Provided pan-company leadership working across company and with customer as one unified company account team. Provided leadership to 8 departmental managers.
Director, Plan Operations & Administration
AmeriHealth Caritas Louisiana
Baton Rouge, LA
05.2016 - 08.2021
Supported plan president in executing strategic plan state-wide. Coordinated with enterprise support services to ensure enterprise strategy was executed within the regulatory requirements of state Medicaid program. Executed market strategic initiatives based on market specific requirements, priorities, and stakeholder needs. Ensured that all service levels were met for all functional areas supporting the plan including corporate, regional and local functions. Addressed the need for corrective action when applicable. Acted as liaison between the health plan and enterprise functions of Service Operations, Information Systems and Service Coordination. Provided direct leadership to 6 departmental directors and indirect leadership to 240 associates.
Director, Provider Network Management
AmeriHealth Caritas Louisiana
Baton Rouge, LA
03.2011 - 05.2016
Responsible for all hospital, physician and ancillary provider network development and management. Implemented strategies to improve provider satisfaction. Led short & long term strategic planning and ensured compliance with pricing guidelines, value based payment methodologies and quality of care oversight. Oversaw contract implementation process for all contracts to ensure accurate payment and drove electronic implementation strategies across provider network. Oversaw the compliance of network adequacy standards. Provided direct leadership to 3 and indirect leadership to a field staff of 15.