Tiffany Hines
Summary
Visionary healthcare executive driving innovation in patient care and healthcare delivery transformation. Strategic leader with demonstrated success in resource optimization, stakeholder collaboration, and outcome-driven strategies. Recognized for fostering high-performing teams and executing organizational change aligned with business priorities.
Overview
25
25
years of professional experience
8
8
Certifications
Work History
Strategy Program Director, OptumCare Home & Community Program Management Office
Optum
01.2019 - Current
- Pioneered the Maryland innovative affordability program, achieving measurable medical expense cost reductions of $70M by 2025, encompassing pre-hospital, in-hospital, and post-hospital care services.
- Led the development of a new per diem in-hospital program to ensure patients receive the most appropriate length of stay as medically indicated, resulting in a targeted reduction of unnecessary hospital stay cost by $77M over the next 3 years.
- Successfully orchestrated the operational integration of a new NEMT solution, projected to reduce transportation costs by $12M over 6 years, with an initial savings of $1.4M in year 1. This initiative has potential for nationwide expansion.
- Influenced corporate strategy to implement one national NEMT operations team, enhancing standard processes, reducing resource costs by $300K, and driving best practices across the organization.
- Developed a comprehensive program strategy, governance policies, performance tracking and execution to support the large-scale integration of one end-to-end full service and operational model for the merger with two acquired Optum companies, resulting in $5M in savings from clinical staff hiring.
- Oversaw 6-person project management team that collaborated 51 stakeholders, successfully delivering on new clinical model readiness, operational readiness, and cross-functional change management across the organization.
Chief of Staff, OptumCare Senior Community Care
Optum
01.2019 - Current
- Acted as key voice and trusted advisor for the Senior VP of Senior Community Care, providing strategic counsel and operational guidance to drive the organization's success to reach annual goals.
- Successfully centralized and assimilated market-led administrators to one cohesive national administrative team, fostering a sense of community and focused leadership support. This significantly improved their engagement levels and contributed to a remarkable 20% increase in the employee experience index.
- Spearheaded the development and implementation of a comprehensive cross-functional communication strategy, ensuring seamless information flow between executive leadership department heads, and frontline staff, resulted in enhanced collaboration, improved decision-making processes, and a 15% reduction in communication-related inefficiencies.
Executive Director, OptumCare Senior Community Care
Optum
01.2019 - Current
- Directed and optimized operational processes, driving efficiency and resource allocation, leading to substantial cost savings while upholding the highest standard of care.
- Implemented performance metrics and tracking systems, facilitating data-driven decisions-making for strategic adjustments, resulting in enhanced organizational performance growth.
- Demonstrated strong leadership during the COVID pandemic by delivering a comprehensive disaster recovery portal, providing critical support to clinical and operational front-line staff, and ensuring seamless continuity of care.
Director of PMO and Strategy/Chief of Staff, Community & State
UnitedHealthcare
01.2002 - 01.2019
- Pioneered the establishment and operationalization of a PMO assembling and leading a team of 12 project managers. Oversaw a $20M budget, and successfully managed the intake of 50+ projects, ensuring seamless execution.
- Spearheaded the development and implementation of a CEO business analytic dashboard, providing critical insights into key performance indicators (KPIs) and identifying areas of business opportunities across all Community & State markets.
- Fostered a culture of excellence and achievement, driving the employee engagement score for a 200+ team to reach and unprecedented 90+%, the highest ever recorded within the organization.
Project Director, Community & State Program Management Office
UnitedHealthcare
01.2002 - 01.2019
- Successfully led a large cross-functional team, collaborating with state partners, in the end-to-end implementation of a new Medicare plan in Indiana, from RFP response to RFP win, ensuring seamless integration throughout the process.
- Spearheaded the development of a groundbreaking initiative by creating member credit account, the first of its kind, enhancing members access to services and benefits.
Project Manager / National Queue Manager
UnitedHealthcare
01.2002 - 01.2019
- Successfully led a team of developers, ensuring the timely delivery of analytic results to national C&S business units.
- Effectively managed an ongoing queue of business analytic requests, prioritizing tasks, and maintaining clear communication, resulting in high client satisfaction.
- Pioneered the development of a key data warehouse attribute, enabling claims business analysis to view pricing at a whole claim level rather than individual line level. This improvement significantly enhanced data accuracy and provided opportunities for insightful data analysis.
Lead Designer- Disney
Accenture
01.2001 - 01.2002
- Conducted a comprehensive feasibility study to integrate three knowledge repository management application with and existing enterprise portal. The outcome was a best-fit recommendation that significantly reduced cost and time, optimizing system efficiency.
Lead Designer/Developer – Electronic Arts
Accenture
01.2001 - 01.2002
- Successfully managed the technical design for the modification to an existing accounting system enabling Electronic Arts to accurately measure and forecast its business by FY2001, resulting in a remarkable 60% increase in key performance indicator efficiencies.
- Recognized with a Merit Award for outstanding achievement, acknowledging the significant impact and value brought to Electronic Arts through the successful implementation of the accounting modification.
Education
Executive Master of Business Administration -
GOIZUETA BUSINESS SCHOOL – EMORY UNIVERSITY
Atlanta, GA05.2024
Master of Computer Information Systems - undefined
AMERICAN UNIVERSITY
Washington, DC05.1997
Bachelor of Computer Science - undefined
Hampton University
Hampton, VA05.1995
Skills
- Organizational skills
- Communication skills
- Presentation skills
- Leadership
- Analytical thinking
- Creative problem-solving
- Strategic planning
Certification
PMP
Hobbies
- Volunteering at local Atlanta food bank
- Avid traveller
- Passionate baker
Leadership
- Owner of Le Gouter, Afternoon Tea Business
- Leading independent study on SDOH related to underprivileged communities in Atlanta.
- Led Health Equity data analysis pilot to determine results by ethnicity, age, disability.
Timeline
Strategy Program Director, OptumCare Home & Community Program Management Office
Optum
01.2019 - Current
Chief of Staff, OptumCare Senior Community Care
Optum
01.2019 - Current
Executive Director, OptumCare Senior Community Care
Optum
01.2019 - Current
Director of PMO and Strategy/Chief of Staff, Community & State
UnitedHealthcare
01.2002 - 01.2019
Project Director, Community & State Program Management Office
UnitedHealthcare
01.2002 - 01.2019
Project Manager / National Queue Manager
UnitedHealthcare
01.2002 - 01.2019
Lead Designer- Disney
Accenture
01.2001 - 01.2002
Lead Designer/Developer – Electronic Arts
Accenture
01.2001 - 01.2002
Master of Computer Information Systems - undefined
AMERICAN UNIVERSITY
Bachelor of Computer Science - undefined
Hampton University
Executive Master of Business Administration -
GOIZUETA BUSINESS SCHOOL – EMORY UNIVERSITY
Similar Profiles
Rushik Reddy GangamRushik Reddy Gangam
Software Engineer - Remote at OptumSoftware Engineer - Remote at Optum
Adam DugginsAdam Duggins
Associate Director, Workforce Planning at OptumAssociate Director, Workforce Planning at Optum
DORIS SENECALDORIS SENECAL
Account Receivable Clerk at OPTUMAccount Receivable Clerk at OPTUM
Manuel SepulvedaManuel Sepulveda
Software Engineer at OptumSoftware Engineer at Optum
Cara McElroyCara McElroy
Associate Director, Program and Project Manager – HR Program Management Office at Organon, LLCAssociate Director, Program and Project Manager – HR Program Management Office at Organon, LLC