Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Software
Timeline
Hi, I’m

Tiffany Washington

San Pablo,CA

Summary

Dedicated Managed Care professional with a history of meeting company goals, utilizing consistent and organized practices, brings 19 years of valuable expertise to forward company objectives. Considered a knowledgeable leader and dedicated problem solver, skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Attentive to detail with experience in coordinating projects, programs and improvements.

Overview

13
years of professional experience
1
Certification

Work History

Valley Health Plan

Program Manager II
11.2021 - Current

Job overview

Responsible for managing all administrative and daily program operations for the Medi-Cal line of business. Ensure activities are planned, organized, and executed while partnering with internal stakeholders, Santa Clara Health and Hospital System, Santa Clara Family Health Plan, and FQHC to facilitate accessible, affordable, high-quality healthcare

  • Manage cross-functional teams for successful project completion within deadlines.
  • Identify program obstacles and communicate possible impacts to team.
  • Ensure regulatory compliance by closely monitoring adherence to industry standards and guidelines throughout program lifecycle.
  • Collaborate with executive leadership to set priorities based on business needs, resource capacity and risk exposure.
  • Engage and work alongside cross-functional stakeholders to manage strategic initiatives.
  • Lead change management efforts, supporting staff through transitions and promoting buy-in for new initiatives.
  • Streamline and monitor quality programs to alleviate overdue compliance activities.

Anthem Blue Cross

Program Manager
09.2018 - 10.2021

Job overview

Strategically managed programs that supported over 195,000 Medi-Cal members across 5 counties. Served as the liaison for all activities related to assigned counties and bridged gaps between internal and external stakeholders.

  • Managed and supervised administrative and daily program operations, complying with policies and DHCS regulations.
  • Established strong relationships with key legislative, county, clinical, and community stakeholders, ensuring support for program initiatives.
  • Facilitated workshops, trainings, and listening sessions to gather feedback and educate providers and community members.
  • Engaged and worked alongside cross-functional stakeholders to manage strategic initiatives.
  • Leveraged data and analytics to make informed decisions and drive business improvements that would positively impact membership growth and improve care delivery.
  • Coordinated large-scale community events, securing valuable brand exposure and strengthening Anthem's reputation as trusted community partner.
  • Analyzed root causes of recurring issues to implement preventive measures, reducing number of future complaints.

Anthem Blue Cross

Community Relations Representative
03.2017 - 08.2018

Job overview

Responsible for grass-roots development of 4 Bay Area counties. Increased community engagement rate by 60%. Implemented marketing strategies that advanced Anthem's mission and goals.

  • Established positive relationships with community organizations by attending local stakeholder events and increasing sponsorships and grants.
  • Facilitated informative presentations for network providers that highlighted care coordination for patients.
  • Coordinated community outreach events to increase awareness of services offered.
  • Evaluated effectiveness of implemented initiatives using performance metrics, allowing for continuous improvement in programming efforts.
  • Developed partnerships with local businesses and organizations, fostering collaborative approach to community building.
  • Boosted brand recognition by distributing promotional materials such as flyers at events, and posters and other marketing materials in provider clinics.

Family Health Network

Manager, Community Affairs
01.2011 - 06.2017

Job overview

Coordinated all outreach and engagement activities for four lines of business (Medicaid, Medicare, Medi-Medi, and Healthcare Exchange). Developed strategies and programs designed to represent the organization favorably while making positive contributions to the community and increasing member enrollment.

  • Recruited, interviewed and hired 20 permanent and temporary employees, and implemented mentoring program to promote positive feedback and engagement.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Recruited trained, and supervised volunteers for community outreach events and activities.
  • Negotiated contracts with vendors, securing favorable terms that supported budgetary constraints.
  • Reduced operational costs through comprehensive process improvement initiatives and resource management.
  • Implemented innovative marketing campaigns that boosted brand awareness and generated significant sales leads.
  • Conducted competitive analysis to identify market trends and capitalize on emerging opportunities for growth.
  • Championed culture of philanthropy within organization, inspiring all staff to engage in fundraising efforts and donor stewardship.
  • Utilized data-driven decision-making approaches to inform strategy development and optimize outcomes.

Education

Southern New Hampshire University
Hooksett, NH

Bachelor of Science from Healthcare Management
06.2025

Northwestern Business College
Bridgeview

Associate of Applied Science from Paralegal
06.2005

Skills

  • Project Management
  • Strategic Planning
  • Stakeholder Communications
  • Life cycle Management
  • Public Speaking
  • Partnership Development
  • Community Outreach
  • Business Development
  • Contract Development
  • Sales and Marketing

Affiliations

  • Healthier Kids Foundation, Board Member

Certification

  • Certified Birth and Postpartum Doula, DTI - 2021

Software

Microsoft Office

Tableau

Epic - Tapestry

Salesforce

Timeline

Program Manager II

Valley Health Plan
11.2021 - Current

Program Manager

Anthem Blue Cross
09.2018 - 10.2021

Community Relations Representative

Anthem Blue Cross
03.2017 - 08.2018

Manager, Community Affairs

Family Health Network
01.2011 - 06.2017

Southern New Hampshire University

Bachelor of Science from Healthcare Management

Northwestern Business College

Associate of Applied Science from Paralegal
Tiffany Washington