Dynamic Senior Practice Transformation Specialist at Molina Healthcare with a proven track record in enhancing operational workflows and provider performance. Expert in data analysis and relationship management, driving quality initiatives and corrective action plans. Skilled in coordinating cross-functional teams and maintaining compliance, ensuring efficient onboarding and documentation processes.
Overview
12
12
years of professional experience
Work History
Senior Practice Transformation Specialist
Molina Healthcare
Remote, CA
03.2023 - Current
Serve as primary liaison for contracted IPAs and provider groups supporting Medicare populations across multiple operational and quality initiatives.
Lead recurring meetings with provider organizations to review performance metrics, operational barriers, documentation needs, and action plans.
Build collaborative working relationships with provider offices, medical groups, and cross-functional internal teams to support network performance goals.
Analyze provider performance data and identify trends impacting quality measures, medication adherence, and operational workflows.
Coordinate closely with quality, pharmacy, compliance, and operational departments to address provider concerns and support ongoing initiatives.
Support implementation and follow-through of corrective action plans, provider outreach efforts, and operational process improvements.
Manage sensitive provider communications while balancing organizational expectations, timelines, and relationship management.
Maintain detailed documentation, meeting follow-ups, and tracking reports to support operational oversight and accountability.
Practice Administrator
Vituity
John Muir Behavioral Health | Concord, CA
08.2017 - 03.2023
Oversaw daily administrative and operational functions for a hospital-based physician practice in a fast-paced healthcare environment.
Partnered with physicians, hospital leadership, and operational teams to support provider onboarding, workflow coordination, and operational performance.
Assisted with provider contract-related documentation, credentialing coordination, and operational compliance requirements.
Served as key point of contact for providers and internal departments regarding operational issues, scheduling concerns, onboarding needs, and documentation requests.
Implemented operational process improvements that enhanced efficiency, documentation accuracy, and communication across teams.
Maintained organized tracking systems, reports, and provider records while ensuring confidentiality and attention to detail.
Supported leadership with reporting, meeting coordination, follow-up communication, and operational planning activities.
Credentialing Specialist
Vituity
Emeryville, CA (Hybrid)
11.2014 - 08.2017
Managed provider credentialing and recredentialing processes for physicians and allied health professionals.
Reviewed provider applications and coordinated primary source verification activities to ensure compliance with regulatory and organizational standards.
Maintained accurate provider files, documentation records, and tracking systems for credentialing and enrollment activities.
Coordinated with providers, hospitals, and internal departments to obtain missing documentation and resolve credentialing issues.
Assisted with provider enrollment activities to support timely onboarding and minimize reimbursement delays.
Responded to provider questions and follow-up requests regarding credentialing status and required documentation.
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division
Head of Strategy, Finance & Marketing (Owner-Operated Business) at St. Croix Coating Co.Head of Strategy, Finance & Marketing (Owner-Operated Business) at St. Croix Coating Co.