Tonya Nicolaisen

About Tonya Nicolaisen

Strategic and results-driven healthcare executive with a proven ability to lead transformative initiatives in value-based care. Delivered 25% year-over-year growth through innovative Primary Care Provider (PCP) contracting strategies and effective change management. Recognized as a top performer in provider engagement, driving measurable improvements in HEDIS quality metrics and Stars ratings. Successfully led cross-functional teams to implement scalable solutions that enhanced care coordination, improved patient outcomes, and optimized performance under value-based reimbursement models. Passionate about aligning clinical and operational goals to deliver high-quality, cost-effective care.* Dynamic leader with extensive experience in driving transformational change, strategic growth, and profitability improvements across diverse companies.* Collaborative coordinator providing team members with tools and skills needed to enable optimal outcomes for projects and operations, as well as creative thinking and collaborative problem solving to meet the expectations of providers. History of success in managing teams and groups of up to 20 people directly.* Adept at establishing and updating roadmaps and plans to meet goals. Reliable, proactive, and responsible coordinator and delegator, leading from the front to determine and launch tough but necessary decisions to protect the market leader and other stakeholders.Areas of Expertise:* Strategic Planning & Execution* Training, Coaching & Mentoring* Continuous Process Improvement* Creating & Delivering Presentations* Six Sigma* Data-Driven Decision-MakingSelected Career Achievements:* Achieved 25% increase in PCP contract and membership growth in OptumCare Arizona Market 20••••25 * Lead and assist multifaceted teams, enabling them to achieve an increase patient outcomes in a very challenging year.

Experience

1. Director Network Programs Arizona

   Optum

   Mar 2024 — Present

   Dynamic leader with over 15 years of extensive experience in Value Base Care driving transformational change, strategic growth, and profitability improvements across diverse Healthcare companies. Collaborative coordinator providing team members with tools and skills needed to enable optimal outcomes for projects and operations, as well as creative thinking and collaborative problem solving to meet the expectations of providers. Experienced in managing risk-based contracts and driving performance in Medicare Advantage and commercial populations. Skilled in leveraging data analytics to inform strategy and improve provider performance. Committed to fostering collaborative relationships across payers, providers, and care teams to advance population health.

Education

• Oregon Health & Science University

  Master's degree

• South Dakota State University

  Bachelor of Science - BS, in Sports Medicine with Athletic Training and Pre-Physical Therapy Degree

• Oregon State University

  Graduate coursework, Sport and Fitness Administration/Management

• University of Nebraska at Kearney

  Master of Science - MS & Masters in Business Administration , Sports and Exercise