Rosalyn Beam

About Rosalyn Beam

Recognized senior health care leader for the unique ability in identifying opportunities that are not always obvious and have been dismissed as “not possible” then design and implement solutions that exceed strategic and financial goals. Proven track record of partnering with business and technology teams across a broad delivery spectrum: large, integrated health care systems; Health Plans; multispecialty medical group practices; joint venture organizations; EHR vendors. Accomplished at complex Program and Product Management leadership designed to drive performance excellence, efficiency, and growth while minimizing risk and simplifying and customizing for the consumer. Lead under the principal “If you do nothing you will get nothing in return” and guiding vs. driving change…by building trusting partnerships between all stakeholders.CORE COMPETENCIESHospital & Ambulatory Operations - Care Management - Population Health - Transition of CareRevenue Cycle Management- Development of KPIs - EHR Implementation - Financial Management - Integrated Care Delivery -Shared Services Development - Information Technology - Accountable Care- Human Resource ManagementSELECT ACCOMPLISHMENTS-Strategic Thought Leader and founding member that contributed to the design and launch of a compliant health care plan in 18 months (Author by Humana)-Led the Provider and Quality Portfolio from aspirational concepts to technology development to fully implemented Provider Portal for EDI, B2B, & Portal X12 Transactions (270, 278, 837, 835) – MRA EDS Submissions – CMS compliance reporting – Stars-Led a Lean Six Sigma Electronic Remittance 835 Modernization project that resulted in annual savings of $114k -Developed and implemented strategic and tactical plans to meet business objectives in a large integrated healthcare system with fiscal impact of $110M+ in net income -Co-Led the EHR (EPIC) deployment across the AHC with 15 hospitals, 150+ clinic sites -Development and Implementation of Hospital Pre-Service and Discharge/Service Closure Process-Led the ER Transitions Lean Project across 15 ERs-Restructured system Referral Management strategy to manage 844K+ consult orders annually -Led Additional Compensation/Medicare Advantage Work Team-Designed, developed, and led the implementation of Urgent Care Fast Track in 36 Urgent Cares-Served as a core team member on the AHC Patient Experience team as the System Access leader -Defined and led the implementation of a system hybrid Auto Patient Communication Model

Experience

1. Solution Delivery Leader - Lead Product Manager Provider & Quality Solutions Author by Humana

   Humana

   Jun 2019 — Present

   Conceived, developed, and delivered Provider and Quality Solutions. Provided strategic advice and guidance to a highly skilled functional team(s) with broad and advanced technical experience. Led all phases of the product life cycle, from design to delivery. Led a culture transition from Project to Product through the focus on end-to-end value creation.• Defined and executed the Technology Product Roadmap for Provider & Quality Solutions in partnership with business leaders to support organizational maturity. • Directed the development, alignment, and direction of provider engagement tools, architecture design for claims intake, MRA Claims Modifications, CMS Reporting.• Conduct research on technology adoption and approaches in the healthcare, finance, and retail space to identify new capabilities and technologies to improve technical adoption, reduce friction, and improve health outcomes

Education

• Southern Nazarene University - Bethany, OK

  BA - Management of Human Resources

• Southern Nazarene University - Bethany, OK

  MS - Business Management

• Tulsa Junior College - Tulsa, OK

  Associate of Arts in Applied Science - Computer Programming