Candace Gaddis
Healthcare Consultant | RN | Advisory Services Leader | Expert in Clinical Ops, Accreditation Strategy & AI Integration
- Role
- Manager Advisory Services at Optum
- Location
- Benton, AR, US
- LinkedIn followers
- 500 followers
About Candace Gaddis
A seasoned healthcare consultant and Registered Nurse with deep expertise in clinical operations and advisory services. As Manager, Advisory Services, leads complex client engagements focused on clinical software delivery, health plan operations, and strategic quality initiatives. Consulting experience includes providing clinical subject matter expertise for artificial intelligence applications in healthcare, supporting clients in integrating emerging technologies into care delivery and operational workflows.Successfully led projects involving accreditation readiness (NCQA and URAC), utilization management, and population health strategy. Played a key role in guiding clients through system implementations and optimization efforts, leveraging platforms such as Tapestry, QNXT, CareAdvance, Plexis, and CareRadius.Recent highlights include:Leading a multi-state health plan through a successful NCQA accreditation cycle, improving quality scores and operational efficiency.Serving as the clinical SME for an AI-driven care management solution, helping shape algorithms to align with evidence-based clinical protocols.Mentoring junior consultants and contributing to internal knowledge development around clinical innovation and digital transformation.Ability to translate clinical insight into actionable solutions and collaborative leadership style that fosters client trust and team success.
Experience
Manager Advisory Services
Oct 2024 — Present
Education
Arkansas Tech University
BSN, Nursing
2010 — 2011
Baptist School of Nursing
Diploma, Nursing, RN
1988 — 1990
Skills
- Accreditation
- Healthcare Industry
- Hmo
- Process Improvement
- Leadership
- Health Insurance
- Managed Care
- Utilization Management
- Staff Management Experience
- Medicare
- Healthcare Information Technology (Hit)
- Development of Health Management Programs
- Insurance
- Disease Management
- Ncqa
- Software Implementation
- Healthcare Management
- Case Managment
- Quality Improvement
- Consultant for Medical Management Software
- Health Policy
- Case Management
- Medicaid
- Team Building
- Program Development
- Management
- Healthcare
- Behavioral Health
- Hospitals
- Hipaa
- Icu
- Urac
- Healthcare Consulting
- Healthcare Information Technology
- Training
- Sharepoint
- Staff Management
- Nursing
- Medical Case Management
- Utilization Review
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