Kelly Hempstead

About Kelly Hempstead

With over 10 years of experience in leading and managing operations for managed Medicaid/Medicare, my mission is to deliver impactful, data-driven, and customer-centric solutions that improve the quality, efficiency, and effectiveness of health care delivery.As a Lean Six-Sigma certified professional, I have a proven track record of designing and implementing a comprehensive multi-year roadmap, installing project management and lean six sigma tools, and managing a portfolio of projects across design and optimization. I have also executed process standardization and credentialing automation projects using AI, operationalized a new department, and pioneered data integrity standards. I am passionate about collaborating with cross-functional teams, partners, and stakeholders to drive operational excellence and innovation in the health care industry.

Experience

1. Associate Vice President, Network Solutions & Operations

   Molina Healthcare

   Sep 2023 — Present

   Manage end-to-end provider data operations for Medicaid, Medicare, and Marketplace at Molina Healthcare, ensuring compliance with state and federal regulatory requirements.• Implement initiatives to streamline provider data management, reducing inaccuracies by 25% and improving the timeliness of updates across a multi-system ecosystem.• Work with government agencies, IT, and business teams to enhance provider data systems, aligning with Molina’s operational goals and regulatory standards.• Oversee provider data integration projects, optimizing data workflows for enrollment and credentialing processes, which improved Molina’s provider network accuracy and reduced claims processing errors.

Education

• Arizona State University

  Bachelor of Science (B.S.), Kinesiology and Exercise Science

• Purdue Global

  Master of Health Care Administration, Health/Health Care Administration/Management

  2015

Skills

• Microsoft Excel
• Physical Therapy
• Healthcare Information Technology
• Credentialing
• Medicare
• Injury Prevention
• Cpr Certified
• Injury Treatment
• Medical Terminology
• Contract Management
• Compliance
• Emergency Medicine
• Cross-Functional Team Leadership
• Lean Six Sigma
• Team Building
• Management
• Healthcare Management
• Project Planning
• Managed Care
• Root Cause Analysis
• Project Management
• Sox Compliancy
• Sports Injuries
• Medical Staff Credentialing
• Strategic Planning
• Sharepoint Designer
• Health Law
• Lean Tools
• Lean Management
• Hipaa
• Microsoft Office
• Budgets
• Microsoft Project
• Hospitals
• Databases
• Microsoft Word
• Lean Thinking
• Healthcare
• Data Analysis
• Six Sigma