Clinical Executive, Managed Care, BPO

Dynamic business executive accustomed to change in a fast-paced corporate environment with USA and international experiences.

Seventeen years of business experience in the healthcare industry has allowed me to hone skills in the area of operations management and executive leadership. I directed a team of nearly 300 professional staff in a virtual, multi-site environment across multiple regions in the USA.

I have a proven track record of successes in employee retention, talent development, mentoring and team building. Employee satisfaction in the areas of trust, feeling valued and recognition of employee performance, improved annually. I was nationally recognized with Aetna’s Silver Award for Leadership and was proud to have several members of my team recognized with Gold and Silver awards.

Category
E-mail
mjszabo99@gmail.com
Phone Number
+1 215-793-4132

Education

Bachelor of Science in Nursing @ Bloomsburg University
Oct 2017 — Nov 2017
Started: 1981/08/30
Finished: 1985/05/15

Experience

Director of Patient Management - Mid-America Region @ Aetna
Oct 2017 — Nov 2017
Started: 1996/05
Finished: 2012/11

Director of a large regional case management/utilization review unit in a national US insurance company. Team consisted of 5 nurse managers and 13 front-line supervisors with total responsibility for 320 nurses and support staff. Made all decisions related to program design and implementation, hiring, staff development and performance management. Provided all oversight from a telework environment. Participated on national leadership teams responsible for designing and implementing company-wide programs.
Associate Vice President - Healthcare Services @ Molina Healthcare of Ohio
Aug 2016 — Current
Provides strategic vision to the Care Management and Utilization Management programs at Molina Healthcare of Ohio. Provides leadership and direction for the Managed Medicaid and Dual-Eligible Medicare programs including Long Term Services and Support.

Leads a team of 500+ clinical professionals and administrative support staff to provide a comprehensive benefits package to Molina members. Through data analysis, identifies trends where focused programming has brought about improved health outcomes for members. Designs care management programs, based on sound clinical practice guidelines, where quality improvement activities drive meaningful change and set direction for a high-performing workforce.

Contributes clinical expertise, in collaboration with the Ohio Association of Health Plans, to the Ohio Department of Medicaid for improving their managed Medicaid program; setting policy and influencing legislation.

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