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Best Buy - Senior Consultant Resume Example

Professional Summary:
Goal-oriented, licensed professional with over twenty-five years experience in multiple healthcare arenas. Areas of expertise include implementation and leadership of clinical and quality improvement programs, operational leadership, and business development in both clinical practice and managed care environments
  • Administration and Management
  • Operations Analysis
  • Quality Improvement Processes
  • Accreditation Readiness-NCQA, URAC, JCAHO
  • Change Management
  • Critical Thinking
Senior Consultant Nov 2011Present Best Buy
  • Project management as a consultant specializing in quality improvement.  
  • Oversight of Medicaid waiver contract implementation and compliance with NCQA and URAC requirements for mental health delivery systems.
Independent Consultant Feb 2006Nov 2011 [Company Name] [City], [State]

  • Consultant to local specialty healthcare practices addressing growth opportunities, quality improvement, managed care contracting, risk management and general operations.
Vice President, Quality Improvement Nov 2003Feb 2006 Assured Guaranty Ltd New York, NY
  • Coordination of accreditation initiatives (NCQA/URAC), clinical quality management, process improvement and customer satisfaction for managed behavioral health organization
  • Enhancement and implementation of quality improvement policies, goals, objectives, and procedures, conferring with board members, organization officials, and staff members as necessary.
Director of Clinical Operations Jun 2000Nov 2003 Amedisys Inc. Staunton, VA
  • Management and development of clinical and medical review staff, ensuring compliance with state, federal and accrediting body regulations relating to utilization review and managed care.
  • Coordination with department heads to facilitate integration with claims, provider development, customer service and financial operations and initiatives.
Clinical Manager Apr 1999May 2000 Fresenius Medical Care Mishawaka, IN
  • Day to day management of  care management and utilization review and processes of managed behavioral healthcare organization.  

  • Oversight of care management and utilization review staff and coordination with other departments to ensure efficient processes within the organization.

Director of Behavioral Health – Fort Worth Apr 1998Mar 1999 [Company Name] [City], [State]
  • Development and integration of behavioral health care services in facilities in Texas to address the needs of geriatric clients, their family members and the community at large. 

  • Management of Partial Hospitalization Program, compliance with Medicare regulations, and facilitation of contractual obligations.

Director of Business Development May 1996Apr 1998 Ac Disaster Consulting New Orleans, LA
  • Business development including managed care contracting, referral development, community relations, and account management
  • Provision of clinical consultation for various programs throughout the facility and function as “Administrator–on-call
  • Perform emergency room assessments and referrals as a member of the Psychiatric Assessment Team
Program Development Specialist Jan 1996May 1996 [Company Name] [City], [State]

Provision of developmental services to network members, development of additional network membership, and provision of assessments and direct clinical services through employee assistance program.

Director of Clinical and Social Services May 1994Dec 1994 [Company Name] [City], [State] Development and management of clinical and social services for inpatient, partial hospitalization, intensive outpatient and residential services of free-standing psychiatric and chemical dependency treatment hospital.
Director of Child and Adolescent Services Sep 1993May 1994 [Company Name] [City], [State]  Oversight of clinical and medical review staff, compliance with state, federal and accrediting body regulations, and coordination with claims, provider development and financial departments.

Nov 1988Aug 1993 [Company Name] [City], [State]
Master of Science : Social Work Aug 1986 University of Texas at Arlington Arlington, TX
Bachelor of Science : Family LIfe and Human Development and Social Work May 1985 Kansas State University Manhattan, KS
Family LIfe and Human Development and Social Work May 1985 Kansas State University Manhattan, KS
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Resume Details

This is a real resume for a Senior Consultant in Fort Worth, Texas with experience working for such companies as Best Buy, Company Name, Assured Guaranty Ltd. This is one of the hundreds of Senior Consultant resumes available on our site for free. Use these resumes as templates to get help creating the best Senior Consultant resume.

Previous Companies:

  • Best Buy
  • Company Name
  • Assured Guaranty Ltd

Previous Job Positions:

  • Senior Consultant
  • Independent Consultant
  • Vice President
  • Quality Improvement
  • Director of Clinical Operations


  • University of Texas at Arlington
  • Kansas State University

Level of Education:

  • Master of Science
  • Bachelor of Science

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