Tiffany Beck
Edmond
Summary
Dynamic operations leader with extensive experience in healthcare administration, excelling in strategic planning and process improvement. Proven track record in enhancing operational efficiency and driving organizational growth. Skilled in performance analysis and adept at cultivating strong client relationships, ensuring successful implementation of innovative solutions.
Overview
13
13
years of professional experience
Work History
Director of Operations
LifeCare Health Services, LLC
04.2022 - Current
- Oversight of operations for 9 Oklahoma non-profit hospital systems.
- Development and oversight of ACO Compliance Program.
- Oversight of Provider Credentialing for Medicaid and Medicare Advantage contracts.
- Monitored budget and utilized operational resources.
- Defined, implemented, and revised operational policies and guidelines.
- Oversaw day-to-day production activities in accordance with business objectives.
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Analyzed business operations and implemented strategies to improve operational cohesiveness.
- Collaborated with senior management to develop and execute long-term corporate goals and objectives.
- Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
Operations Manager
New Directions
12.2015 - 12.2021
- Management of day-to-day operations of teams providing utilization management and case management services, including expedited appeals, for commerical and Medicare Advantage contracts.
- Collaborate with local facilities, providers, and payors to ensure members receive optimal health care services; this includes extensive work with our Clinical Network dept to identify problem providers and participate in engagement and collaboration with such providers to improve outcomes.
- Responsible for quarterly Quality CMC reports and Annual Health Plan Evaluations.
- Updated and resolved incidents and managed accessorial charges objectively while maximizing profit.
- Member of Regional QM Committee.
- Increased profit by streamlining operations through management of $4 million budget.
- Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
- Led hiring, onboarding and training of new hires to fulfill business requirements.
- Directed initiatives to improve work environment, company culture or overall business strategy.
- Analyzed and reported on key performance metrics to senior management.
- Reduced operational risks while organizing data to forecast performance trends.
Business Consultant
Blue Cross Blue Shield of Texas
01.2013 - 12.2015
- Manager over value-based care contract implementations and ongoing client success in the value-based payment model.
- Coordinate stakeholders involved in successfully implementing value-based contracts.
- Developed complete business plans and operational strategies for new and existing business.
- Develop and update Project Plan through completion of implementation.
- Use of Agile methodology to approach implementations.
- Use of Salesforce.
- Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships.
Business Development Manager
Cenpatico
01.2012 - 01.2013
- Responsible for helping the health plan and specialty plans attain and implement new business in both new and existing markets across the nation.
- Established relationships with key decision-makers within customer's organization to promote growth and retention.
- Performed client research and identified opportunities for account growth, account penetration and market expansion.
- Respond to RFPs.
Education
MBA - Health Care Administration
Dallas Baptist University
Dallas, TX12-2011
Master of Science - Clinical Social Work
The University of Texas At Arlington
Arlington, TX08-2005
Skills
- Leadership training
- Strategic planning and execution
- Process improvement
- Performance analysis
- Strategic planning
- Business management
- Process improvements
- Operations oversight
- Analytical skills
- Program administration
Timeline
Director of Operations
LifeCare Health Services, LLC
04.2022 - Current
Operations Manager
New Directions
12.2015 - 12.2021
Business Consultant
Blue Cross Blue Shield of Texas
01.2013 - 12.2015
Business Development Manager
Cenpatico
01.2012 - 01.2013
MBA - Health Care Administration
Dallas Baptist University
Master of Science - Clinical Social Work
The University of Texas At Arlington
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