Health Director Resume Sample
Jack Windler
507 Huel Tunnel,
Houston,
TX
+1 (555) 522 1332
Work Experience
Health Plan Solutions Account Director
12/2017
-
PRESENT
Phoenix, AZ
- Work usually performed in an office setting
- Significant time engaging customers in OR theatre and hospital or lab settings
- Develops, along with the Medical Director, departmental and team member goals and meets with team members on a periodic basis to review and assess associate’s performance
- Oversees the utilization management-medical advisory committee (UMAC) each quarter along with all agenda, materials and communication with external/internal presenters. Ensures accuracy of meeting minutes and provides to the quality improvement committee timely
- Partners and collaborates with other departments cross functionally to provide all necessary documents for NCQA and/or state quality reviews and to participate in audits as needed
- Coordinates department projects and activities to meet budget figures and appropriate deadlines
- Creates, disseminates and communicates daily, weekly and monthly data and information summaries to both team members and senior management for review
- Manages process improvement initiatives, develops and implements workflows and develops policies & procedures
Director of Health Services
05/2012
-
11/2017
Detroit, MI
- Monitors work flow processes and outcomes to ensure business goals are met
- Manages and develops direct reports who include supervisory and/or exempt professional personnel including but not limited to hiring, focal point reviews, PIP, terminations, etc
- Effectively communicates with internal/external customers to provide information, resolve issues and promote a positive relationship between departments, providers and members
- Accountable for all monthly and quarterly client reports regarding utilization review and case and disease management. Ensures timeliness and accuracy of the reports for Medical Director review and approval
- Serves as a conduit for communication between the client and the company. Works to resolve issues related to members, providers and any WellCare utilization review or case/disease management process
- Provides overall supervision of clinic staff ensuring necessary coverage for delivery of services across three campuses. Leads staff orientation, development, and retention efforts for Health Services. Provides annual staff performance evaluation. Cultivates a cohesive service delivery team
- Collaborates with Director of (CAPS) to ensure responsiveness of front desk operations, coordinate coverage across departments and serve Pacific students effectively
- Maintains relationship with area health care providers and facilities ensuring continued coordination of care for Pacific students. Consults with outside vendors to obtain medications, vaccines, supplies and services. Collaborates with consulting physicians regarding quality assurance and compliance
Director of Health & Productivity
07/2006
-
01/2012
Boston, MA
- Oversees the management of resources for Health Services, including the budget, equipment, pharmaceutical, medical, building and office supplies, and facility for clinics on three campuses. Collaborates with Director of CAPS to make informed resource decisions. Helps negotiate student health insurance options and coverage with assistance from a broker
- Ensures Nurse Practitioner policies and procedures are reviewed and updated as needed to comply with laws and regulations governing medical providers and facilities
- Responsible to support division in areas of strategic planning and outcome assessment of program, accreditation process, and develop and administer outreach activities
- Responsible for coordinating emergency efforts with CDC and local agencies regarding the threat of outbreaks and manages the details involved with our three campuses
- Engages in continual updates of healthcare knowledge and skills related to work with college students
- Accountable for all monthly and quarterly client reports regarding utilization reivew and case and disease management. Ensures timeliness and accuracy of the reports for Medical Director review and approval
- Monitor outpatient utilization trends, communicate them to Care Management team, Medical Management team, the medical group providers, and make recommendations to proactively position the organization to most effectively manage such trends
- Responsible for oversight of Medical Management Programs
- Develop systems and procedures which enhance and improve these operations
Education
University of Pittsburgh
2000 - 2005
School's Degree in Health Related Field
Professional Skills
- Strong consulting skills and ability to shape client’s agenda and articulate complex value propositions
- Experience in current case or utilization management. experience with experience in ER/critical care, discharge planning and bedside care required
- + Proven ability to operate in a matrix organization and work effectively withleadership, customers, and across geographic and organization boundaries
- + Strong interpersonal, verbal and written communication skills
- + Ability to work comfortably with ambiguity and operate effectively in white spaces
- High scientific literacy and a strong background in health reporting and editing
- Master's-level training in a human service field, with specific training in health care administration and compliance, and experience in child development
How to write Health Director Resume
Health Director role is responsible for healthcare, design, finance, training, security, reporting, consulting, research, digital, insurance.
To write great resume for health director job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Health Director Resume
The section contact information is important in your health director resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Health Director Resume
The section work experience is an essential part of your health director resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous health director responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular health director position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Health Director resume experience can include:
- Collaborate with Risk Adjustment Coding teams (SMG and SHS) and promotes compliance and opportunities within the review of documentation and training of physicians
- Collaborate with SMG Quality & Value, Decision Support, and Financial Analyst teams, primary care and specialty physician groups, clinic administrators, health plan partners, as well as ACO, Population Health, and Providence partners in a highly matrixed organization
- Solid leadership with successful track record in leading a large team across Indonesia
- Solid understanding of consumer business and market in Indonesia
- Relevant health editing experience
- Proven track record managing diverse digital editorial lineups of over 25+ stories per week
Education on a Health Director Resume
Make sure to make education a priority on your health director resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your health director experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Health Director Resume
When listing skills on your health director resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical health director skills:
- Strong leadership, communication, organizational, analytical, and budgeting skills
- Strong leadership and project management skills are required
- Strong interpersonal, and communication, and presentation skills
- Expert clinical and critical thinking skills and ability to provide educational programs to varied levels of facility, regional and corporate staff
- + Good judgment with demonstrated integrity and respect of peers and subordinates
- Communicate effectively with students, teachers, coaches, parents and administrators
List of Typical Experience For a Health Director Resume
1
Experience For Health Plan Solutions Account Director Resume
- Advanced Other Previous experience working with treatment teams to meet the healthcare needs of participants
- Partners with Managing Principal and Health Principals in developing and implementing relationship-building with target clients in the region
- Works closely with the Managing Principal, Health Principals, Marketing Coordinators and Pursuit Teams to formulate and implement Health marketing initiatives
- Is responsible for initiating and developing own relationships with other target clients and institutions in the region
- Ensure that schools conduct vision screening, as required by State law and Chancellor’s regulation
- Supervise and evaluate clinical nursing staff
- Work with Human Resources to ensure full staffing of all nurse positions and other health related positions district-wide
2
Experience For Director of Health Services Resume
- Plan, organize and implement orientation and training for health services staff
- PA market lead in implementation of AHA outreach programs and community events, including Check. Change. Control., Go Red Por Tu Corazon and Empowered to Serve
- Freedom from illegal use of drugs and the use of alcohol in the workplace
- Contribute to SELF’s Snapchat Discover needs on an as-needed basis
- Manages and oversees the Site Product Decision Teams (PDT’s), providing expert guidance, prioritization, technical & process insight for core teams to overcome challenges and meet business expectations for product development & resource allocation
- Regularly evaluate the account’s portfolio and pipeline- driving alignment across internal teams
- Provide updates and investment opportunities to the Specialty Product Management Teams (PMT’s)
- + Provides vision and strategic leadership for all innovation research activities associated with the OMH business
- + Drives execution and accountability for all OMH related and interconnected development programs to deliver appropriate scope on time and on budget
3
Experience For Director RD Specialty Obesity & Metabolic Health Resume
- + Actively participate on the OMH leadership staff to develop strategy, tactics and execution of strategic plan initiatives and programs
- + Collaborate with peer leaders in strategy, functional excellence and execution of broad Surgical Innovations research, technology development and product development efforts
- + Partner internally and externally with global stakeholders to ensure the development of the best meaningful innovations of medical device technology to meet unmet medical needs in alignment with the Medtronic Mission
- + Sets the overall vision and strategy for Innovation within the OMH division
- + Participates on the OMH Leadership staff to develop strategy, tactics and execution of strategic plan initiatives and programs and collaborates with peer leaders in strategy, functional excellence and execution of broad Surgical Innovations research, technology and development efforts
- + Leads the OMH research and development organization and attracts, develops and retains the best talent to ensure the highest standard of excellence in industry research and development resulting in accelerated delivery of meaningful innovations to patients globally
- + Develops and maintains an effective external network with key opinion leaders, regional innovation stakeholders, relevant clinical associations and institutions in order to identify future technological trends and developments and being recognized as an influential leader at those external bodies
4
Experience For Director of Health & Productivity Resume
- + Effectively manage significant budget, including different funding sources – driving opportunities for strategic growth and innovation
- + Manages and oversees the Site Product Decision Teams(PDT’s), providing expert guidance, prioritization, technical process insight for core teams to overcome challenges and meet business expectations for product development resource allocation
- + Provide updates and investment opportunities to the Specialty Product Management Teams (PMT’s)
- + Actively engage in the Surgical Innovations Technology Review Board (TRB)
- Plans, organizes and directs the development and implementation of CHT, Utilization Review, Chronic Care and Clinical Program activities
- Assists in the development, implementation, monitoring and ongoing improvement of the Chronic Care department, which includes the functions of CHT, intensive case management and disease management activities
- Establishes performance and productivity standards for all associates. Communicates expectations and individual performance quarterly. Ensures that Chronic Care program enrollment and outreach productivity and performance standards are met. Continuously strives to improve departmental operational efficiencies and workflows
- Assists the Vice President in preparing the Health Services budget. Monitors and implements appropriate intervention to achieve operational budge targets
- Coaches, counsels and implements appropriate disciplinary action within guidelines established by Human Resources
5
Experience For Health Systems Program Director Resume
- Assures congruence and alignment between health management programs and any related medical practice guidelines, utilization management criteria and case management programs. Ensures that medical guidelines are current and valid and communicated to providers and members as appropriate
- Develops implements and revises policies and procedures required to ensure compliance to NCQA, URAC, and CMS requirements. Audits compliance to standards quarterly and implements appropriate interventions to achieve departmental goals
- Completes QI work plan assignments on time and prepares reports of activities to UMQM and QIC. Prepares annual program description and program evaluation noting opportunities for improvement. Participates and presents periodic updates as requested to Leadership Team
- Assists in the annual evaluation of the Consumer Assessment of HealthPlan (CAHPS) member satisfaction survey and Healthcare Employer Data Information Set (HEDIS) results and the Network Provider survey. Identifies opportunities for improvement in process and care and service to members and providers
- Maintains good rapport with participating Network physicians, hospital personnel, social services, ancillary agencies, etc. Acts as liaison for Health Spring with outside entities and regulatory agencies when required
- Participates in organizing and implementing professional nursing in service training programs
- Participates in the organization, scheduling, staffing and operating various clinics, immunizations and other health related programs
- Assumes responsibility for emergency coverage for nursing services
- Supervises all members of the Health Services Division
6
Experience For Executive Director, Self Insured Health Plans Resume
- Prepares and carries out the agenda for scheduled departmental staff meetings. Interviews perspective applicants to the Health Services Department and make recommendations to the Department of Human Resources
- Assists in the preparation of a variety of reports and budget requests
- Assists with the follow up of district employees who are ill or disabled
- Prepares and updates communications to staff, parents and community on health information or related issues
- Plan, develop, and implement a comprehensive health services program which assesses needs of students, establishes objectives and priorities, delegates responsibilities to staff, develops strategies to achieve objectives and continually evaluate program
7
Experience For Director, Field Health Services Resume
- Manage Health Services budget for district and nonpublic schools
- Ensure proper maintenance of student health records
- Serve as a resource to staff and monitor daily health services activity
- Ensure proper communication with health services staff
- Ensure compliance with state and federal laws as they related to Health Services in the SCSD
- Recommend and implement health services procedures for medical emergencies, referrals, communicable diseases and other health related concerns
- Licensed as a Registered Nurse in the state of New York
8
Experience For Cm-health Services Director Resume
- Lead, organize and manage a multi-faceted program
- Current license in state of practice
- Effectively recruit, train and manage volunteers, including community leaders and corporate executives, and strategic community alliances, including faith-based, to support our efforts to create a sustainable culture of health, with a focus on Hispanic communities in Philadelphia
- In collaboration with the Health Strategies Team and volunteer committees, implement a comprehensive multicultural marketing plan, driving to organizational goals and healthy living that includes social media and other marketing opportunities
- In collaboration with development staff partners, support efforts to identify, cultivate and secure program funding, including sponsorship (cash and in-kind) for relevant campaigns
9
Experience For Director Accounting for Physician Enterprise Days CHI Health Mcauley Resume
- At least three years experience in a management position in a health care setting
- Experience in providing health care services to people with intellectual disabilities or other related disabilities, experience in developing and coordinating training for nursing staff and direct support professionals, and experience in organizing and implementing quality assurance and quality improvement systems
- Experience in managed care required
- Travel throughout the five boroughs
- Flexibility and ability to travel frequently (likely up to 40-50% of time)
- Experience in healthcare industry, with demonstrated success in organizational development, leadership, and budgetary responsibility in research, technology development, product development, clinical leadership roles or senior business roles
- Sell ideas and programs to key strategic alliances, professional volunteers, and funding partners and influence them to action
10
Experience For Director, Women s Health Sales Resume
- Knowledge of utilization and case management principles and criteria sets such as InterQual, Medicare guidelines, etc
- + 15+ years’ experience in healthcare industry, with demonstrated success in organizational development, leadership, and budgetary responsibility in research, technology development, product development, clinical leadership roles or senior business roles
- Advanced Knowledge of community, state and federal laws and resources Knowledge of community, state and federal laws and resources
- Advanced Ability to effectively present information and respond to questions from families, members, and providers Strong oral and written communication skills including the ability to effectively present information and respond to questions from families, members, and providers as well as the ability to relate effectively to upper management
- Advanced Ability to work independently Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
List of Typical Skills For a Health Director Resume
1
Skills For Health Plan Solutions Account Director Resume
- Developing relationships with local volunteers, community leaders and other stakeholders to provide effective public education and community outreach
- + Amature, confident and persuasive manager with strong leadership and team building abilities across all levels of the organization
- + Strong ability to influence
- Demonstrated ability in outcome assessment
- Developing our Health Equity department in the state of Colorado with a focus on Denver and surrounding communities
2
Skills For Director of Health Services Resume
- Developing and implementing new programs to best meet identified needs
- Securing funding so that programs can be successfully sustained
- Securing and cultivating collaborative partnerships with public health organizations and community based organizations to advance mutual objectives
- Providing staff leadership to committees with the goal of completing program plans
- + Vision/Strategic Ability – Ability to create a vision, collaborative nature in defining strategies for the future
- + Focus on building strategic alliances partnerships, motivational, etc
- Driver’s license with access to vehicle for frequent travel throughout the Philadelphia market required
- Intermediate proficiency in Microsoft Outlook, Word and Excel required
3
Skills For Director RD Specialty Obesity & Metabolic Health Resume
- + Global Medtronic Mindset – Ability to infuse the Further Together Strategy centrally and locally to ensure future Medtronic success, yet maintain local success
- + Strong Business Acumen
- + Highly oriented to customer service and quality improvement
- + Operational Background in relevant functions (high quality focus, cost center management, lean processes, agility, service provider focused, etc.)
- + Emotional intelligence (e.g. self-awareness, social empathy, team leadership, motivational, etc.)
- + Maintain visibility to key stakeholders globally – Research and technology, development, RD sites, clinical, marketing, strategy, other BU leaders, clinicians, patients, etc. (through: travel, information sharing, performance metrics, strategy engagement, etc.)
- + Assesses behavioral and cultural responses efficiently
- + Openness to people, values and diversity
- + Flexible and tolerance of ambiguity
4
Skills For Director of Health & Productivity Resume
- + Social ability, extraversion
- + Emotional strength and stability
- + Intellectually curious high levels of cognitive ability
- Knowledge of student development and health care needs of college students, management of multi-site clinics, electronic record management systems, and extensive coordination of care
- Develops, monitors, implements and investigates enhancements to the internal control system throughout the Nebraska Physician Enterprise while assuring compliance with GAAP
- Develops, monitors and responds to a full range of financial and operational indicators
- Preparation of timely and accurate financial statements for each identifiable level of reporting activity, including consolidated reports, for the Nebraska Physician Enterprise’s management teams, boards of directors, various committees, and sponsor organization
5
Skills For Health Systems Program Director Resume
- Assist in the implementation, maintenance and communication of a Physician Enterprise allocation methodology structure to result in the accurate reflection of the separate operational elements within the Physician Enterprise
- Assists in the maintenance of an effective chart of accounts that is supportive of all financial and operational needs
- Collaborates with CHI national to implement new accounting policies and procedures and communicate throughout the Nebraska Physician Enterprise
- Provides support and assistance to the monthly analytical review and CHI national coordination efforts
- Leads the development of Physician Enterprise financial policies and procedures in collaboration with national finance
- Assists with the annual operating budget, with a focus on revenue deductions, contracted and other services revenues, intercompany activities, benefits, and depreciation
6
Skills For Executive Director, Self Insured Health Plans Resume
- Coordinates staff responsibilities and processes. Selects and supervises staff, designs work assignments and sets standards of performance, evaluates performance, and makes recommendations for personnel actions such as merit increases, promotions, and disciplinary action
- Lead special projects as requested by CFO
- Responsible for the coordination of external audit efforts related to the Nebraska Physician Enterprise.
- Coordinates monthly financial statement close process and distribution. Reviews monthly journal entries and account reconciliations. Maintains responsibility for subsidiary ledgers
- Expert knowledge of and skill in developing and operating healthcare systems
- Responsible for valuation of patient accounts receivable and maintaining effective valuation methodologies to ensure reserves are appropriately stated
- Four years of experience in registered nursing
- Including legislators and governor’s staff
7
Skills For Director, Field Health Services Resume
- Interacts with HMS executives, supporting staff, state constituencies including legislators and governor’s staff
- Responsible for the integrity of financial systems including Lawson
- A change agent with desire to bring the organization to the next level
- Expert knowledge of the interrelationships and inter-dependencies among various medical and administrative services and programs
- Personal drive: technical & professional expertise, practice self-development, displays integrity, ability to work in culturally diverse environment, pro-active, ‘can-do’ mentality
- Clinical experience with 5+ years in managed care and 5+ years (combined) of progressive management experience required
- Unrestricted and current RN license required
- Possess relevant licensure to practice as a Nurse Practitioner or physician in the state of California or the ability to secure California license within 12 months
8
Skills For Cm-health Services Director Resume
- Partners with the Managing Principals and other regional leaders with pursuit go / no go and strategy meetings
- Directs fee proposal development and negotiation in partnership with the Managing Principal
- Maintains an active and visible presence in the region, with a particular focus on California and targeted clients in contiguous states
- Assists in the preparation of capture plans and qualifications for pursuits in the region
- Assists in interview strategies and implementation
- In collaboration with Health program subject matter experts, and independently when appropriate, develops abstracts and presentations at industry conferences, seminars, workshops, and other similar events promoting program messages, research, project outcomes, lessons learned, trends, etc. related to facility design
- Monitors the Discharged Not Final Coded (DNFC) continuously as aligned with goals; coordinates or directs resources/scheduling/workflow accordingly. Actively participates in the hospital’s Revenue Committee and/or assists with items to facilitate overall DNSP metrics
- Excellent verbal, written, content development, and presentation skills in Bahasa Indonesia and English
9
Skills For Director Accounting for Physician Enterprise Days CHI Health Mcauley Resume
- Relationship Builder; Ability to work effectively with and manage key vendors in the ecosystem, as well as internal stakeholders, at all levels
- More than 15 years of experience in Sales/Key Account Management/Business Development in FMCG or Consumer Electronics industry in Indonesia
- Organizational Savviness; Ability to operate at all levels within the organization and cross functionally within a complex and matrix environment
- Leads, directs and motivates the national sales team and national KAM’s in order to achieve the predefined sales volume and profit goals
- Strong stakeholder management experience; Maturity to engage with people from all levels, including senior management teams within the organization and external stakeholders
- Research and select vendors based on the needs of the Client and become acquainted with each vendor’s services and pricing
- Travel extensively and accept a flexible working schedule
- Contribute to the advancement of the go to market strategy to include the development of the BD, Channel and Sales
10
Skills For Director, Women s Health Sales Resume
- Manage and maintain the Director’s calendar
- Balance stakeholder needs to deliver high quality information at the right time in the right way
- Manage review of monthly profit /responsibility centre and BU reports with commentary on variances
- Provide finance insight for the monthly operational and business performance scorecard
- Manage review of monthly sales revenue reports with insight into trends and variances
- Oversee preparation and provide insight into customer and product profitability analysis
- Oversee preparation and provide insight into development projects
List of Typical Responsibilities For a Health Director Resume
1
Responsibilities For Health Plan Solutions Account Director Resume
- In senior management
- Cross-functional knowledge of issues, policies and programs related to health services and administration
- Advanced Other Knowledge of utilization and case management principles and criteria sets such as InterQual, Medicare guidelines, etc
- Copy of RN License or verification page
- ORGANIZATIONAL RELATIONSHIPS/SCOPE :
- Ensures staff receive appropriate orientation, training and ongoing professional development to meet the needs of the population served. Assists in identifying and establishing educational needs, developing and implementing an education plan, completing educational programs, and monitoring and evaluating the status towards achieving department goals and objectives
- Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with Cigna HealthSpring and Management Company employees and clients at all times. Strives to improve associate morale and retention. Demonstrates and supports commitment to corporate goals and mission
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