Kristina Cade , LSSBB
Functional Business Owner – Director Ops Implementations at Healthmap Solutions @ Healthmap Solutions
About
I am a collaborative problem solver with a track record of client-centered thinking, exceeding complex client commitments by using data driven decision making skills. I have a strong degree of prioritization skills, experience leading process improvements that optimize business processes, and excellent communication skills with a demonstrated success in interpersonal relationship cultivation. I am an expert at working with clients to co-develop transition plans that ensure alignment between all parties while understanding and addressing the complexities and needs of those healthcare clients (provider, patient, healthplan) to meet and exceed all client targets. Top Skills: • Strategic & Operational Planning • Risk Mitigation • Implementation & Transition • Project Management & Project Improvement • Analytical & Critical Thinking • Provider Negotiation & Collaboration • Document Review • Virtual / Remote Leadership • Cross Functional Team Leadership • PowerPoint & Visio Do what you love – Love what you do! KRCade2020@gmail.com
United States
Greater Tampa Bay Area
Hospital & Health Care
Healthcare Management, Leadership, Business Process Improvement, HIPAA, Medicare, Medicaid, Managed Care, Healthcare Industry, Healthcare Information Technology, Policy, Call Centers, Strategic Planning, Health Insurance, Human Resources (HR), Business Process, Project Management, Operations Management, Change Management, Risk Management, Healthcare
Experience

Functional Business Owner – Director Ops Implementations at Healthmap Solutions
Florida, United States
Healthmap Solutions (Healthmap) is a NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization that cares about ALL people! A GREAT Place to work!!!

Process Excellence Leader | Implementation
Tampa/St. Petersburg, Florida Area
CareCentrix, Tampa/Hartford/Kansas/Phoenix/Melville/Stamford Process Excellence Leader, Lean Six Sigma (2017 – 2020) August 2017 to July 7th, 2020 - led and mentored new Lean Practitioners in the concepts and principles of Lean Six Sigma methodologies through in-person and virtual facilitation of class learning, project identification and prioritization, and the completion of process improvement projects. Led Process improvement projects for various business departments throughout the organization. Created cross-functional Visio process maps for better understanding of cross departmental connections and identification of opportunities for improvements.

Sr. Director Implementation and Transition (Home HealthCare Provider, Patient, and Health Plans)
Tampa/St. Petersburg, Florida Area
Senior Director, Implementation & Transition (2012 – 2017) & Director (2009 – 2012) • $200M home health contract (Horizon) - Implemented/Transitioned 500+ providers/30,000+ members. • $300M home health contract (Florida Blue) Implemented/Transitioned, 800+ providers/45,000+ members. Designed, developed, and implemented a Trans-App program that improved transition times for providers and patients, co-developed transition plans between client/organization, provider/organization, and multiple internal business groups (Credentialing/Provider Network/MedEcon /Account Management/BT/Product, UM, Client Services, Finance), strong ability to optimize processes while removing barriers. Strong team player. Built, Led, and Mentored a core team of knowledge experts for 15+ years. • 85% provider clean auto-authorization generation within 48 hours of submission • Decreased provider transition times by 50%, reduced need for temp staffing by 75%, < 1% member complaints resulting in meeting and exceeding all client transition targets. Sr Manager, Implementation and Transition (2006 – 2009) • $500M DME home health contract (Cigna) Implemented/Transitioned 1000+ providers/55,000+ members. Leadership/Management experience in building, guiding, and teaching a high performing cross-functional team of experts in implementing multiple small health plan contracts ($100M or less) and transitional activities for providers. • 6+ smaller health plans implemented with fewer than 10 member complaints including, WellCare Fl. and GA., Centene GA, Lovelace (NM), VSHP (BCBS TN), Tri-care Additional responsibilities at CareCentrix 1999 – 2013: Medical Claims Review Team, Led 2 interim departments during leadership change 2+ yrs., Patient/Client/Claims Resolution team and Service Validation team. Member of the Document Review Committee for 10+ years, member of the Triage Group for 10+ years.
Kristina Cade , LSSBB's Contact Information
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