Amy Smith

Experienced Managed Care Executive with a demonstrated history of working in the insurance industry and primary care provider setting. Skilled in Operations Management, Value Based Care and Contracting, Strong Analytical Skills, Quality Improvement, Commercial, Medicare, Medicaid, Healthcare Industry, and Driving Cost of Care. Experience creating results with value based contracting, driving results to achieve outcomes in Commercial, Medicaid and Medicare (including ACO) on both the MCO and provider side. Demonstrated history of building care management programs in the Primary Care Setting, Generating Cost of Care Savings, and leading MCO Medicaid Programs, Demonstrated success in quality improvement, PDSA work, process mapping, and change management. Successful implementation, oversight, and audit lead, achieving NCQA re-accreditation and LTSS Distinction for VA Medicaid. Strong business development professional with a B.S. of Healthcare Management, Master of Business Administration focused on Project Management from University of Phoenix as well as a Registered Nurse and Certified Case Manager.