kelly yori

open to new opportunities

About

Passionate healthcare leader with extensive experience with health policy and analytics associated to the costs and quality of care of that may lead to better health quality and cost savings attributable to avoidance and delay of onset of chronic diseases. Specialties: Medicaid/Medicare Policy and Reimbursement, Healthcare Reform and EDI (Electronic Data Interchange). Strengths in Payor analytics, data-mining, modeling, and healthcare spending cost minimization.

Country

united states

City

west chester

Industry

hospital & health care

Skill

healthcare management, medicare, medicare/medicaid reimbursement, healthcare consulting, hippa, u.s. health insurance portability and accountability act, healthcare information technology, health care reform, healthcare compliance, davita, dialysis, cms 1500, regulatory compliance, ndc, icd 10 cm, qms, peritoneal dialysis, healthcare, leadership, medicaid, healthcare information technology, strategic planning, hipaa, healthcare industry, ehr, physicians, management, health policy, clinical research, hospitals, health insurance, process improvement, managed care, health education, project management, medical devices, nonprofits, strategy, analysis, physician relations, revenue cycle, medicine, healthcare reimbursement, insurance, public health, informatics, music, djing, end stage renal disease, government relations, corporate governance, state government

Experience

principal

healthcare minimization strategies

2011-7 - Present · 15 yrs 3 mos

president of the board of directors

explore transplant

2011-12 - 2014-10 · 2 yrs 11 mos

open to new opportunities

hcm

2019-7 - Present · 7 yrs 3 mos

manager, payor specialists and clearinghouse teams

davita

1997-6 - 2010-1 · 12 yrs 8 mos

Lead a team of 14 teammates who supported the entire DaVita dialysis village for the interpretation of policy and reimbursement changes, system implementation and billing of over 2,000 payors/ 130,000 claims/month.

public policy, manager strategic planning and payor analytics

davita

2010-1 - 2011-5 · 1 yr 5 mos

 Variety of projects in multiple states for Medicaid reimbursement and policy changes relating to the improvement of patient quality of care and clinical processes for ESRD beneficiaries.  Developed and implemented multiple cost saving strategies related to HealthCare reform legislation.  Developed relations with State Medicaid Directors and Staff to analyze new business opportunities, developed operating business models and implementation plans for new strategic and cost saving initiatives related to End Stage Renal Disease (ESRD) Medicaid Beneficiaries.  Worked with teams, inside and outside of DaVita monitored, communicated, and facilitated both State and regulatory reimbursement and policy changes.  Developed business recommendations and proposals for pricing and reimbursement strategies at individual State levels to use and assist in discussions with State officials to mitigate healthcare funding cuts.