Tracy Noble

• Executive team leader responsible for the management, oversight. and development of statewide, community-based services for adults with intellectual and developmental disabilities, mental illness, and challenging behavioral health support needs.
• Expert in the field of disability services in Wisconsin and multi-state services, serving people under Medicaid, Family Care, and County Waiver services.
• Created and defined scope of roles for leadership and supervisory positions to drive accountability, role responsibilities, teamwork, and to position the company for growth.
• Streamlined operational workflows through expansive development of policies and procedures library, to enhance efficiency and productivity across departments while promoting quality standards of operations.
• Led organizational development and growth initiatives through acquisitions, and funder and revenue diversification, growing revenues $3M+ year over year.
• Led cross-functional teams in executing process improvements and standard operating practices with extensive focus on accountability, responsiveness, contract review, and risk mitigation.
• Developed and led change management initiatives across Quality, Behavioral Health, Operations management, and Admissions teams, resulting in expanding 30+ beds/people supported in Home and Community-Based Settings (HCBS).
• Championed a culture of continuous improvement through operational goals and objectives, while driving operational excellence.
• Cultivated accounting and financial reporting to support operational sustainability and profitability.

Consultation services targeted to support, refine, and grow health care operations, with a focus on home and community-based services for adults in Wisconsin.

• Extensive focus on developing policies and procedures to support operational efficiencies, sustainability, and quality improvement.
• Cultivated contracted services to review financials and operational structure, providing analysis of operational risks and opportunities.

Multi-State & Executive Leader - responsible for managing and growing $30M+ book of business within the field of community-based services, supporting people with intellectual, developmental, and cognitive disabilities.

• Led I/DD and mental health multi-state operations across Wisconsin and Nevada, providing expanded leadership support in Illinois and South Dakota.
• Business Development Expert - grew revenue $2M+ year-over-year while promoting organizational focus on program repurposing, revenue diversification, and personnel depth and accountability.
• Developed, wrote, and awarded federal grant ($860k) to support organizational technology integration.
• Led contract negotiation and contract review practices, promoting stakeholder relations, sustainability, and expanded capacity within Managed Care Organization (MCO) and County-Waiver contracts.
• Collaborator - promoted communications and relationships across matrix structure to develop accountability, efficiencies, and practices to meet company growth and performance objectives.

• Operations Leader - responsible for management of Wisconsin operations consisting of 400+ employees and oversight of Quality, Nursing, Admissions, and Operational Directors.
• Led strategic growth initiatives while executing change management, resulting in $2M+ revenue growth.
• Built and sustained critical relationships with funders and stakeholders, establishing reputable operations and competitive advantage.
• Led and executed quality improvement initiatives, resulting in quality service delivery, employee retention (25% improvement), and risk mitigation.
• Strategic planner - developed and led statewide plan with an emphasis on organic growth, repurposing of programs, and effective rate negotiation.
• Developed and implemented training programs to elevate staff performance and ensure compliance with Department of Health Services (DHS) and Department of Quality Assurance (DQA) regulatory standards for Adult Family Home (AFH) and Community-Based Residential Facilities (CBRF).
• Analyzed financial reports to identify areas for improvement, driving data-informed decision-making processes.

• Leader of state division services and business development operations, providing community-based services to 300+ adults with intellectual/developmental, physical, and cognitive disabilities.
• Led strategic planning initiatives for Southern Division, forecasting development of new service pipeline and new service models, resulting in year-over-year growth.
• Facilitated and negotiated contracts, service rates, and revenue increases with MCOs and Health and Human Service Departments across Wisconsin.
• Risk Mitigation - responsible for leading and executing risk mitigation initiatives through policy and system development.
• Fiscal Manager - Oversaw budget management and resource allocation to maximize operational efficiency across division departments and service regions.
• Years 2002 - 2010: served in the Director of Business Development and Regional Director of Operations positions, driving operational management and business development of services across Wisconsin.