Leslie Neugebauer
Summary
Functional Senior Director driving proven results within managed care. Manages complex issues while leading strategic and tactical business objectives. Strong operational skills and solid experience with regulatory requirements and leading strategic projects. Collaborates with internal teams and external stakeholders to uphold company strategy and values. Engaging personality offering effective communication, team building, and coaching skills with the desire to design and execute strategies to uplift communities.
Overview
20
20
years of professional experience
Work History
Senior Director, Medicaid Governance
PacificSource
2021.05 - Current
- Develop and implement regional, state, and enterprise strategies to maximize governance in Medicaid service areas and procure new Medicaid business
- Develop strategy to engage with regulatory entities to fulfill governance obligations and execute on contractual commitments associated with the Medicaid line of business
- Manage the contracting process between internal and external Medicaid governing bodies or associated stakeholders
- Develop and implement multi-stakeholder strategy for Medicaid transformation efforts, including regional plans and quality strategies and state-level transformation efforts, including waivers, demonstration projects, and pilots
- Implement growth opportunities in product design, benefit, operating, clinical, cost savings, and network changes.
Director, Central Oregon CCO
PacificSource
2015.06 - 2021.01
- Developed and led strategic initiatives aimed at transforming the health of Medicaid members
- Led the CCO's community governance model with the Central Oregon Health Council, subcommittees, and provider partners and provided consultation in other regions
- Developed business plans and contract language for collaborative community health projects, ensuring successful initiatives had a positive impact on the organization and the community
- Continuously improved strategic business partnerships with local and state government, providers, community based organizations, and internal leaders to ensure accomplishments in priority Medicaid objectives
- Implemented strategic plans to increase PacificSource's Medicaid footprint within the Pacific Northwest
- Key strategist, author, and implementer of state applications to procure Medicaid business in additional service areas growing our Oregon Medicaid business from 60,000 to 220,000 members
- Played a key leadership role in standing up new CCO regions and their Health Councils as well as led the recruitment and onboarding process for new CCO Directors and other staff.
Behavioral Health Manager, Government Programs
PacificSource
2013.12 - 2015.06
- Worked with County, State, PacificSource leadership, and provider partners to improve integration of physical and behavioral health that ensured comprehensive management of services and innovative interventions for PacificSource members
- Led and managed policy, value-based payment methodologies, and performance-based contract development with provider partners
- Provided regular oversight of provider partners and collaborated on initiatives to transform the behavioral health care system and effectively integrate with physical and oral health
- Made recommendations for strategic planning as well as cost savings and quality of care improvements across the continuum of care
- Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of department employees
- Developed annual department budget, coordinated business activities by maintaining collaborative partnerships with key departments, and implemented process improvements to improve interdepartmental processes
- Created and maintained visual management board to exhibit key performance indicators.
Clinical Quality Manager
BestCare Treatment Services, Inc
2012.06 - 2013.12
- Developed and managed a comprehensive and standardized quality management plan for the agency's nine clinical programs, across three counties
- Designed and managed quality assurance and performance improvement activities within all clinical programs including significantly decreasing documentation errors, implementation of formal chart audits, implementation of rapid access models, and providing regular trainings for technical assistance and continuing education
- Led effort to meet all standards Commission on Accreditation of Rehabilitation Facilities (CARF)
- Created and managed multiple quality indicators and data points for all clinical programs with an outcome based focus to inform clinical program decisions
- Assisted with clinical program development to improve outcomes, increase revenue, and meet contract responsibilities
- Regularly interfaced with community partners and stakeholders regarding healthcare reform and integration of behavioral and physical health services regionally.
Acute Care Utilization Manager
Accountable Behavioral Health Alliance
2011.06 - 2012.06
- Managed the Adult Mental Health Initiative including participation in Oregon Health Authority planning meetings, collaboration with regional Assertive Community Treatment teams, and participation in interdisciplinary treatment team meetings with State Hospitals to encourage independent living for the Severely and Persistently Mentally Ill population
- Issued authorizations for clinically appropriate acute behavioral healthcare services and alternatives to acute care for Medicaid and uninsured individuals
- Collected and analyzed utilization data and prepared regular reports for external stakeholders
- Assisted county partners with treatment alternatives and settings, discharge planning, development of new programs and services, and participated in initiatives to reduce costs and optimize resource utilization and quality care
- Acted as Integrated Care Management Team Chair with a multidisciplinary group of community partners to assess needs and identify gaps in care for high needs and individuals with complex physical and behavioral health issues.
Clinical Care and Academic Fieldwork Coordinator
Alta Bates Summit Medical Center
2003.06 - 2011.05
- Managed partial hospitalization and intensive outpatient programs for adolescents with complex medical and behavioral issues
- Led weekly treatment planning meetings with multidisciplinary staff to initiate and follow up on treatment and discharge plans, discuss progress/challenges, and implement changes as needed
- Interfaced with insurance companies daily and completed concurrent utilization authorizations
- Initiated and implemented treatment plans, led family sessions, and provided education and support for patients, their families, and outpatient treatment teams
- Responsible for all marketing and advertising strategies including outreach for preventative health and speaking engagements at national behavioral health agencies, colleges, high schools, and community events
- Served as primary liaison with colleges for Occupational Therapy (OT) graduate student interns, provided orientation and supervision for students, and served as a resource for supervisors
- Initiated three multi-family support and education groups for local and surrounding communities, which grew from four participants to 60+ within the first year
- Implemented areas of improvement for billing and flexible staffing based on patient census.
Occupational Therapist
Contra Costa Regional Hospital
2003.06 - 2008.12
- Staff OT on medical/surgical units, intensive care unit, and inpatient behavioral health unit
- Completed initial and ongoing evaluations, individualized treatment plans, and administered standardized assessments
- Led daily cognitive-behavioral, process, and task groups with adolescent and adult populations
- Provided education to patients and their families and completed functional assessments
- Managed individualized treatment with multidisciplinary teams to provide integrated care.
Education
Master of Public Health - Healthcare Administration and Social and Behavioral Sciences
Capella University
Bachelor of Science - Occupational Therapy, Psychology
Dominican University of California
Skills
- Board of Directors Support
- Administrative Oversight
- Stakeholder Relations
- Team Leadership
- Policy and Contract Implementation
- Cross-Functional Collaboration
- Technical Writing
Affiliations
Community Board Membership2018-present KIDS Center Board of Directors, Central Oregon Vice-Chair2017-present Sparrow Clubs Board of Directors, Central Oregon Chair
Timeline
Senior Director, Medicaid Governance
PacificSource
2021.05 - Current
Director, Central Oregon CCO
PacificSource
2015.06 - 2021.01
Behavioral Health Manager, Government Programs
PacificSource
2013.12 - 2015.06
Clinical Quality Manager
BestCare Treatment Services, Inc
2012.06 - 2013.12
Acute Care Utilization Manager
Accountable Behavioral Health Alliance
2011.06 - 2012.06
Clinical Care and Academic Fieldwork Coordinator
Alta Bates Summit Medical Center
2003.06 - 2011.05
Occupational Therapist
Contra Costa Regional Hospital
2003.06 - 2008.12
Master of Public Health - Healthcare Administration and Social and Behavioral Sciences
Capella University
Bachelor of Science - Occupational Therapy, Psychology
Dominican University of California
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