Hi, I’m
Stephanie McNeal Gunn
White Bluff,TN
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
15
years of professional experience
Work History
naviHealth
Associate Director Clinical Compliance
05.2022 - Current
Job overview
- Provider quarterly and bi-annual operational reports to Optum
- Chair QMC and QC committees
- Reviewed proposed regulatory changes and evaluated potential impacts on business operations
- Defined clear targets and objectives and communicated to other team members
- Established performance goals for employees and provided feedback on methods for reaching those milestones
- Prioritized tasks and allocated resources appropriately to keep teams focused and productive.
Amerigroup
Manager II GBD Special Programs
08.2018 - 04.2022
Job overview
- Managed 26 employees including utilization management for home health, private duty nursing and requests for outpatient benefits for Medicaid
- Analyze reports to identify cost effective and cost saving initiatives
- Ensure provider satisfaction by providing excellent customer service
- Develop and educate teams on new policies and desktop processes
- Work closely with State partners to develop processes for home health including tools and manuals which were the result of my ideation.
- Established team priorities, maintained schedules and monitored performance.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
HMS
Manager Appeals
05.2018 - 08.2018
Job overview
- Managed and motivated employees to be productive and engaged in work
- Accomplished multiple tasks within established timeframes
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments
- Developed and implemented business strategies to achieve business goals and stay competitive
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
- Onboarded new employees with training and new hire documentation.
- Developed and implemented business strategies to achieve business goals and stay competitive.
- Assisted in organizing and overseeing assignments to drive operational excellence.
Amerigroup
Manager, Outpatient Utilization Management
01.2016 - 05.2018
Job overview
- Managed a team of 10 employees who reviewed and managed home health and private duty nursing benefits for Medicaid
- Management of daily operations including regulatory, compliance and adherence to Anthem/State/CMS policies
- Education and monitor productivity and quality of work by employees
- Work with internal teams to identify cost effective and cost saving initiatives for outpatient service requests with a current focus on home health care
- Ensure provider satisfaction by providing excellent customer service
- Identify gaps in processes and efficiencies in internal processes
- Work with State partners to develop processes for transitioning members another level of care
- Managed and motivated employees to be productive and engaged in work
- Accomplished multiple tasks within established timeframes
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments
- Communicated clearly with employees and stakeholders to keep everyone on same page and working toward established business goals
- Developed and implemented business strategies to achieve business goals and stay competitive
- Established team priorities, maintained schedules and monitored performance
myNEXUS
Director, Care Management
05.2015 - 01.2016
Job overview
- Managed a team of 12-15 clinical staff to ensure processes are being followed and metrics are being met
- Oversaw operations and provided corrective feedback to achieve daily and long-term goals
- Worked closely with organizational leadership and board of directors to guide operational strategy
- Monitored and coordinated workflows to optimize resources
- Evaluated company documentation to verify alignment with regulatory requirements
- Assisted with sales and marketing strategies to foster achievement of revenue goals
- Optimized operational processes using analytics tools to address client-specific metrics
- Remained highly composed and calm in very fast-paced, stressful and constantly changing environments to provide optimal leadership and achieve desired results
United Healthcare
Director of Operations, Private Duty Nursing
12.2008 - 05.2015
Job overview
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Developed systems and procedures to improve operational quality and team efficiency.
- Collaborated with senior management to develop and execute long-term corporate goals and objectives.
- Analyzed business operations and implemented strategies to improve operational cohesiveness.
- Established and monitored quality assurance standards to achieve operational excellence.
- Defined, implemented, and revised operational policies and guidelines.
- Spearheaded implementation of process improvements and cost-saving initiatives to increase value and maximize profits.
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity
- Oversaw day-to-day production activities in accordance with business objectives
Education
Capella UniversityMinneapolis, MN
Bachelor of Science from Nursing
03.2024
Aquinas CollegeNashville, TN
Associate Degree Nursing
Skills
- Strategic Leadership
- Expense Control
- Process Improvement
- Key Relationship Management
- Program Development
- Relationship Building
- Hiring and Training
- Coaching and Mentoring
- Team Collaboration and Leadership
- Analytical Thinking
- Decision-Making
- Work Planning and Prioritization
- Compliance knowledge
References
References provided upon request.
Timeline
Associate Director Clinical Compliance
naviHealth
05.2022 - Current
Manager II GBD Special Programs
Amerigroup
08.2018 - 04.2022
Manager Appeals
HMS
05.2018 - 08.2018
Manager, Outpatient Utilization Management
Amerigroup
01.2016 - 05.2018
Director, Care Management
myNEXUS
05.2015 - 01.2016
Director of Operations, Private Duty Nursing
United Healthcare
12.2008 - 05.2015
Capella University
Bachelor of Science from Nursing
Aquinas College
Associate Degree Nursing
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