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Josie Merrell

Josie Merrell

Regional Vice President of Account Management

PracticeIQ

Regional Vice President of Account Management at PracticeiQ

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PracticeIQ

Regional Vice President of Account Management

• RVP Account Manager with P&L responsibility for two Accountable Care Organizations (ACO) with over 20,000 attributed lives.
• Collaborate with board members and the physician ACO community to improve quality and utilization metrics for the impacted Medicare beneficiaries.
• Support the opportunities for negotiating value based contracts where the ACO can successfully gain-share through utilization, care management, and high performance networks.
• Work with ACO leadership to establish protocols for Population Health Management.

Career medium 06
Career
Career medium 04

Cigna-HealthSpring

Vice President Operations

• Market lead for a start-up health plan with P&L responsibility. Grew the provider network and membership with year over year growth of 400%+ and improved revenue by 16% on a per member per month basis. Led sales and operations successfully.
• Improved STARS scores for the H-plan through comprehensive reporting and interaction with providers. Ensured that both HEDIS measures and CAHPS results were also included in action plans to improve market performance
• Collaborated with sales and marketing teams to create a cohesive approach to market penetration and expansion.
• Established and maintained close customer relationships, participating in the marketing and sales processes and actively promoted the organizations capabilities and strengths resulting in expanding the service base by over 700%.
• Ensured successful execution of compliance and quality programs and documentable improvement in both customer and vendor feedback that is compared across the industry. Focus on internal and vendor service quality, customer needs and wants, and overall product offerings.
• Ensured alignment with global operating model to enable customer-centric operations focused on systems, processes and people making changes as necessary using policy and procedure changes, standardization of processes, and centralization of functions where applicable.
• Led a PCMH (Patient Centered Medical Home) as part of an IPA (Independent Physician Association)
• Proposed and implemented a mentoring program for staff that showed high potential attributes but needed to be mentored within the company culture. Personally mentored 3 people (one per year) into Director or VP roles within the organization.
• Oversaw the data analytics group and the network support teams.
• Evaluate all business operations for efficiency and effectiveness opportunities as well as new business opportunities. Lead multiple interdisciplinary project teams.

Career

Vanderbilt University

Manager

U.S. Army

Air Traffic Controller

Community Psychological Associates

Business Manager

Embry-Riddle Aeronautical University

MBA, Aviation

Villanova University

Certificate program, Six Sigma Green Belt - Healthcare concentration

Prosci

Certified Change Manager, Change Management