About
In addition to being a mental health counselor, I also have over a decade of experience on the business side of healthcare. I spent years working for a national, billion-dollar insurer in a multitude of roles, followed by several years leading the design and operations for a healthcare start-up company. Some of my areas of expertise include:
- Product Design & Development
- Operational Execution
- Utilization Management
- Clinical Programs
- Case Management
- Project Management
- Medical Cost Savings Initiatives
- Process Improvement & Efficiencies
- Organizational Structures & Design
- Leadership Development
- Clinical Quality Assurance Programs
- Staff Training & Development
- Vendor negotiations and partnering
- Patients and Providers
- Small and Large Employers
- State Health Plans, Regulatory Boards & Federal Governments
- Commercial, Medicaid, & Medicare Lines of Business
Medical Cost Management Initiatives
Services offered include:
- Work with your team to develop a strategy for introducing the new program or product in a way that is meaningful to the customer, health plan and provider
- Define, outline and evaluate all potential impacts on the healthcare system
- Assess and refine the value proposition, including the medical cost savings and quality impacts
- Develop and support an implementation strategy and post-implementation measurement plan
- Outline plans for expansion and resource needs
- Utilize health plan expertise to help you and your team prepare a product proposal across all lines of business (Commercial, Medicaid, and Medicare)
Program Design and Development
Services offered include:
- Lead or participate in program design and development sessions with your team
- Convert desired program outcomes into appropriately scoped and achievable objectives, including healthcare cost savings
- Define and assess all potential impacts to program design, including state and federal regulatory requirements
- Develop operational processes to support the implementation of the program
- Identify and scope necessary tools and technology needed to support the new program
- Develop an implementation plan and strategy
- Complete post-implementation assessments and measurement
Operational Execution
Services offered include:
- Assess your organization’s current processes for effectiveness and efficiency and provide a summary of recommendations.
- Identify pain points and develop plans for improvement
- Develop business processes to align with your key performance metrics and targets
- Define and execute improvement initiatives in order to drive performance and outcomes
- Identify data needs and develop measurement plans to support the desired performance metrics and outcomes
- Consult with your teams to develop all necessary operational documentation as needed, including project plans, process flows, standard operating procedures, job aids, etc.
Project Management Support
Services offered include:
- Provide a dedicated resource to assist your business whether you need someone to lead a team or someone to participate in a team, completing necessary tasks
- Project planning services to help convert ideas and goals into actionable tasks and objectives, including deliverable timelines
- Develop all supporting documentation such as project plans, charters, process maps, and policies and procedures
- Outline plans for growth and expansion, including capacity planning
- Drive and/or support technology implementations
What to Expect
From our initial introduction to our final project meeting, your consulting experience will be completely personalized to meet your needs. Every business is unique and so is your project. However, there are a few things that you can expect to occur consistently:
- A complimentary initial consultation will help us each to better understand your business needs, goals, timeline and budget.
- A project proposal review resulting in mutually agreed-upon project goals, expected outputs, road maps, and costs.
- Data and information gathering sessions - it is important for me to understand your business so that I can be most effective.
- Regular progress updates and any supporting documentation and materials you need.
- Regular check-ins to make sure that I am meeting your needs and my commitments to you.