operations Director

  • Advised one or more organizations
  • Earned one or more college degrees
  • Endorsed by co-workers or clients
  • Spoken in front of an audience about an area of expertise
  • Has had direct reports in an organization
  • Donates time to philanthropic causes or organizations

Summary

Laurie Douglass-Wilson
Comprehensive, best-practices leadership for compliant, efficient teams, systems, and projects.
I am an innovative operations leader with many years experience in a variety of healthcare and insurance settings. My passions are to help organizations improve efficiencies and stakeholder relations, and to develop engaged and satisfied team.

Timeline

  1. -
    Writer, Freelance
  2. -
    Senior Vice President, Payment Policy, American Chiropractic Association

    Managed all payment policy initiatives for Association, advocating for approximately 150,000 providers nationally. Performed outreach to accreditation organizations and insurance companies related to payment policy negotiations. Gathered state / national data for strategic initiatives. Managed payment policy marketing campaigns and development of resources for providers, their staffs and patients. As a member of leadership, led Payment Policy Team, to include: interface with committees, Board, and state associations; strategic planning; budgeting; presentations at national conferences; performance reviews; recruitment; and policy development.

     

  3. -
    Vice President, Insurance Relations, American Chiropractic Association

    Led Insurance Relations team through coaching, directing creation of resources, support for members, and advocacy. Some successes include:

    • Collaborated with national insurers to change policy to more accurately reflect existing research evidence, resulting in expanded patient coverage and access to provider network. 
    • Led effort assisting a State Department of Insurance with investigation to address compliance, resulting in official orders benefitting patient care.
    • Spearheaded strategic staffing and budgetary changes for Insurance Relations team, resulting in 35% greater productivity after 33% staffing reduction.
    • Directed review/revision of all organizational reimbursement compliance resources for providers and patients.
    • Supervised writing of educational provider/patient web content related to insurance reimbursement and compliance including newsletter and articles in professional journal and magazine.
  4. -
    Director of Insurance, American Chiropractic Association

    Designed databases to quantify trends in payment policy and successfully collaborate with insurers, identifying areas of need and ensuring proper patient access to care. Supervised building of program to address fraud and abuse and to partner with insurers. Provided training for investigators and collaborated with International Association of Special Investigation Units to supply educational resources.

Proudest Accomplishment

Volunteering to work with bereaved families through hospice.

Experience Highlights

  • Senior Vice President, Payment Policy
    led team assisting providers with policy concerns and mediated issues with payers nationally.
  • VP, Insurance Relations
    Created national benefit, policy, and advocacy network resulting in 26-state alliance.
  • Director of Insurance
    led successful effort to create national certification to raise provider quality and compliance.

Education Highlights

  • Alaska Pacific University
    BA, Organizational management - gpa 4.0
  • Sigma Beta Delta
    Member
  • Phi Theta Kappa
    Member

Causes

  • Sensitivity to language barriers in the work setting.
    Research interest
  • Assisting children with reading challenges through pet therapy.

Volunteering

  • Animal Assisted Activities
    Pet therapy
  • Tutor
    assisted spanish-speaking students with English studies

Results

  • 35%
    created 35% productivity increase  after downsize
  • 17%
    increase in employee retention
  • 48%
    productivity increase through database creation

Skills

  • revenue cycle management
    20+
  • project management
    20+
  • compliance
    20+
  • marketing/promotion
    13
  • content development
    15
  • data system design/analysis
    20+
  • credentialing
    15
  • provider relations
    15
  • human Resources
    20+

Location

Clarksburg, MD, USA

Interested In

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