Head Project Manager - Provider Compliance & Quality Assurance (Remote), Tennessee Department of Health at AM LLC (2021-10 – 2022-04)
- Led statewide provider compliance and quality-assurance work for Tennessee COVID-19 and Vaccines for Children providers, including provider compliance assessments, corrective workflows, SOP development, reporting cadence, and stakeholder communication.
- Developed and implemented processes and procedures to bring provider offices into alignment with state, federal, CMS, and CDC policies, standards, guidelines, and regulations while creating usable documentation and operational controls for compliance review.
- Created project plans, budget/resource tracking, data reports, quality-improvement strategies, and executive updates for Tennessee Department of Health stakeholders and local health authorities.
Lead Project Manager - COVID-19 Vaccine Administration at Texas Department of State Health Services (2021-01 – 2021-06)
- Planned and coordinated mass-vaccination operations across the Texas DSHS 6/5 South public-health region, contributing to 100 vaccination events and 58,608 administered vaccines across 11 rural counties.
- Used COVID-19 case, testing, vaccination, demographic, and contact-tracing data to identify vulnerable populations and select event locations with local officials, emergency-management leaders, health entities, and state stakeholders.
- Drafted and sent vendor activation agreements, managed provider quality-assurance reviews, and developed corrective processes for COVID-19 vaccine providers across the region.
Project Manager at HCA Healthcare Physician Services Group (2019-04 – 2020-03)
- Managed physician-facility operations, provider integration, credentialing, revenue review, budgeting, and access-growth work across physician services operations in the Gulf Coast Division.
- Led provider-side managed-care and reimbursement contract negotiations for 15 physician facilities, including reimbursement-term review, contract-language analysis, and participation determinations.
- Supported a $10,500,000 facility expansion and physician-facility growth initiative, including physician onboarding, operational planning, budget analysis, SOP development, and performance reporting.
- Built and executed access-growth strategies that improved throughput efficiency, physician reviews, patient satisfaction, claim-denial turnaround, and no-show/late-cancellation performance metrics.
Contract Negotiator - Network Management Consultant at BlueCross BlueShield of Texas (2017-03 – 2018-07)
- Negotiated hospital contracts and hospital-based provider agreements across Southeast Texas, including PPO, HMO, PAR, managed-care, anesthesiology, pathology, radiology, emergency medicine, and neonatology arrangements.
- Negotiated and executed more than 40 hospital and hospital-based provider contracts using DRG, per diem, case-rate, stop-loss, OPPS, NDC drug-fee, and standard market-rate methodologies.
- Analyzed provider billing data, identified improper pathology billing patterns, and renegotiated pathology group contracts to a place-of-treatment fee schedule that generated $32,000,000 in first-year savings.
- Modeled financial impact during negotiations and built a zip-code-level market-rate platform to support contract strategy, reimbursement analysis, and network participation decisions.
Project Manager at Mondo Sports Therapy (2015-09 – 2017-03)
- Helped build and scale a healthcare startup from two physical therapists and 15 active patients into a leading sports physical therapy company with expanded clinical, administrative, and operational staff.
- Led business operations, finance, accounting functions, budget reporting, EMR implementation, SOP development, policy development, marketing, and growth strategy.
- Conducted provider-side contract negotiations with commercial insurance companies and worked to maximize reimbursement terms while building scalable administrative and clinical processes.
- Created operational reporting, workflow improvements, conflict-resolution processes, and compliance practices to support growth, patient satisfaction, and consistent execution.
Graduate Business Strategy Consultant / Student Project at Primary Care Innovation Center (PCIC) (2014-08 – 2016-07)
- Developed business-plan, strategic-plan, stakeholder, and implementation work for a nonprofit care-coordination model focused on reducing emergency-department utilization and improving outcomes for vulnerable high-cost patients.
- Supported cost-benefit, ROI, operational-planning, and healthcare business-model work tied to care coordination, super-utilizer reduction, stakeholder participation, and community health-system savings.
Sponsored Professional Track Athlete - 1,500 Meters at Inappropriate Inc. (2013-01 – 2016-07)
- Trained full-time for the 2016 Summer Olympic Games in the 1,500 meters.
- Competed under an individual athletic sponsorship/endorsement with Inappropriate Inc.
- Time-trial personal best in the 1,500 meters: 3:39.8 (3:57.6 mile equivalent).
Project Manager at TMC Orthopedic (2010-07 – 2012-04)
- Worked with senior leadership on budgeting, financial analysis, operations, business development, cost-of-goods-sold review, profit-and-loss analysis, accounts payable, and compliance processes.
- Supported transaction-readiness, pre-sale preparation, investor-transition work, and post-acquisition financial and operational analysis.
- Improved operational controls for prosthetic department and patient-care-center workflows while maintaining policy, procedure, and regulatory compliance practices.
Project Intern for the Vice President of Operations at The Methodist Hospital (2009-01 – 2010-07)
- Supported hospital operations projects involving throughput efficiency, budget reporting, Joint Commission compliance audits, data collection, financial analysis, and executive reporting.
