Julia Hood
Director of Operations @UST HealthProof
Signup · Get unlimited contacts
WORK HISTORY
Director of Operations @UST HealthProof
Director, Claim and Clinical Operations Direct daily operations, business development, enhancement configurations, and support for claims and clinical operations (BPaSS). Analyze / synthesize complex business problems and concerns utilizing data from internal and external sources. Lead and develop multiple teams to meet operational goals. Manage 5 direct and 25 indirect reports. Report to Associate Vice President. Serve as management consultant with senior executives as a trusted advisor and though partner successfully designing, implementing, and championing enterprise-wide strategic solutions. Implemented new claims system (Health Rules Payor) for large Medicaid client. Implemented Guiding Care for a Medicare client including Utilization Management, Care Management, Appeals and Grievances. Integrated internal communications and ensured proper connectivity for all activities across all business areas.
EDUCATION
University of Phoenix
Master of Business Administration (MBA), Health/Health Care Administration/Management
Medical College of Virginia
Bachelor of Science (BS), Registered Nursing/Registered Nurse
SKILLS
ABOUT JULIA HOOD
Highly motivated and accomplished healthcare professional with varied clinical experience, including inpatient, home health, physician practice, managed care, service utilization, and provider relations. Exceptionally skilled in liaising between teams to interpret business needs for IT process buildouts through system implementation. Strong stakeholder management capabilities to drive effective communication and meet strategic objectives. Proven history of leadership within clinical operations, IT integrations, and system enhancements aimed toward reaching organizational goals.Areas of Expertise: Product Management System Modernization EMR / Technology Integrations Risk Management / Adjustments Data Modeling Change Management Agile Development Methodology Clinical Operations / Innovation Strategy Development Project Management Service Utilization Business Transformation Implementation Leadership & Training Requirements Analysis / Documentation Business Process ImprovementsAvailable to discuss new opportunities. Contact me at j••••••••@gmail.com
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.