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associate director clinical quality resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary

Hardworking, experienced healthcare professional knowledgeable about clinical and business practices in highly matrixed population health industry. Adept at leading,supporting and enhancing clinical operations, quality, platform system with a decisive leadership style and strategic approach to decision making.

Skills
  • Team Leadership
  • Managing Operations and Efficiency
  • Clinical Content Governance
  • Critical Thinking
  • Product and Project Management
  • Clinical Translation
  • Consultancy and Advisory
  • Clinical Development and Operations
Work History
Associate Director Clinical Quality, 01/2016 to Current
Optum Health/UHCCity, STATE,
  • Developed and led projects, analyzed data, monitored quality measures/clinical indicators, create strategies for system capabilities collaborating with medical directors and cross-functional teams to improve gaps in care
  • Improved compliance and resolved problems
  • Developed and designed health communications for provider and consumer education interventions with high satisfaction results and demonstrated cost savings
  • Clinical evidence knowledge, including guidelines, coding solutions and governance aligning operations with clinical consistency
  • Created, reviewed and edited policies, annual program quality plans, and multiple clinical initiatives to improve value based clinical care.
  • Developed and implemented performance improvement strategies and plans to promote continuous improvement
  • Drove operational improvements which resulted in savings and improved profit margins
  • Collaborated with team members to achieve target results
VICE-PRESIDENT CLINICAL PRODUCT DEVELOPMENT, 01/2011 to 01/2016
Alere, LLCCity, STATE,
  • Led clinical program strategy, creating platform requirements, medical coding and behavioral analysis for population health programs
  • Launched and expanding products to more diversified offerings to capture new business
  • Oversight and design and review of chronic clinical programs, reporting measures, content with governance, marketing copy, images, and other collateral interventions
  • Analyzed, researched and established benchmarks to optimized clinical performance to meet guarantees and facilitated medical advisory panel
  • Continually monitored clinical guidelines, update program assessment and clinical measures
  • Launched and completed clinical integration of policies, procedures, programs and marketing material inclusive of multiple customer acquisitions
  • Negotiated with vendors to drive cost reduction and quality improvement
  • Developed and implemented performance improvement strategies and plans to promote continuous improvement
  • Actively listened to customers' requests, confirming full understanding before addressing concerns
  • Conducted research, gathered information from multiple sources and presented potential or actual concept to design for product
  • Identified issues, analyzed information and provided solutions to problems
DIRECTOR CLINICAL PRODUCT DEVELOPMENT, 01/2008 to 01/2011
MATRIA HEALTHCARE, INCCity, STATE,
  • Designed and created roadmaps collaborating with operations, product and cross-functional teams gathering aspects of development and rollout
  • Conceptualized customized product roadmaps and strategically designed in collaboration with medical directors, scientific advisors, operations and client sales demand
  • Analyzed claim analysis, targeting population health and research to support innovative program design
  • Directed and mentored professional teams to meet department and career goals
  • Increased customer satisfaction by resolving issues
  • Resolved problems, improved operations and provided exceptional service
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
  • Prepared variety of different written communications, reports and documents
Director of Clinical Product Development, Director of Clinical Operations, Clinical Client Liaison Manager, 01/1999 to 01/2008
CorSolutions Medical, IncCity, STATE,
  • Oversaw clinical operations call center and focused on quality assessments, outcome indicators and customer relations
  • Coached nursing employees and supported positive behavior and interactions with patients and colleagues
  • Created productive matrix score cards to drive efficiencies
  • Planned and managed adherence to project budget, contract expectations, implementation and assisted in identification and development of program systematic clinical algorithms
  • Translated clinical evidence into easy-to-understand content and aligned to product strategy with improved outcome results
  • Planned and managed adherence to project budget and contracts and assisted in identification and development of agile geared scope change
  • Planned and managed adherence to project budget and contracts and assisted in identification and development of scope change documents
  • Developed systems and procedures for effective project management and clinical operations
  • Established and maintained contacts at various management levels regarding clinical operations department and specific projects
  • Participated in nursing research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas
  • Monitored, analyzed and corrected staff performance and worked with nurse manager to raise standards of practice
  • Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs
  • Developed and implemented strategic plans enabling facility to meet budgetary and quality assurance goals
  • Developed, implemented, revised and evaluated policies and procedures
  • Oversaw clinical studies focused on quality assessment, financial health and customer relations
Education
Master of Science: Business Administration And Management, Expected in 06/2012 to Gwynedd Mercy University - Gwynedd Valley, PA,
GPA:
Bachelor of Arts: Social Science And Arts, Expected in 06/1997 to Temple University - Philadelphia, PA,
GPA:
Associate Degree in Nursing: SCIENCE OF NURSING, Expected in 06/1995 to Gwynedd Mercy University - Gwynedd Valley, PA
GPA:

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Resume Overview

School Attended

  • Gwynedd Mercy University
  • Temple University
  • Gwynedd Mercy University

Job Titles Held:

  • Associate Director Clinical Quality
  • VICE-PRESIDENT CLINICAL PRODUCT DEVELOPMENT
  • DIRECTOR CLINICAL PRODUCT DEVELOPMENT
  • Director of Clinical Product Development, Director of Clinical Operations, Clinical Client Liaison Manager

Degrees

  • Master of Science
  • Bachelor of Arts
  • Associate Degree in Nursing

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