Summary
Overview
Work History
Education
Skills
Accomplishments
Education And Licensure
Timeline
Generic

Ashley Beckom

Senoia

Summary

Resolute professional with over 10 years within behavioral health utilization management and clinical program consulting. Proven strategic leadership skills with experience in people management.

Overview

16
16
years of professional experience

Work History

Clinical Program Manager

Optum
10.2024 - Current
  • Lead and managed a team of 18 - 23 clinicians on Utilization Management Triage and Concurrent Review workflows for IFP/Exchange Accounts.
  • Applied account performance data to diagnose issues, coordinate improvement efforts across clinical and operational teams, and deliver insights to senior leaders.
  • Ensured timely implementation of regulatory, compliance, and internal deadlines during execution of new processes and guidelines.
  • Conduct monthly call and chart audits to ensure clinical, compliance, and regulatory guidelines are being met.
  • Analyzed monthly individual performance metrics and provided targeted coaching to improve clinician outcomes.
  • Developed new staffing model for Care Advocates that promoted time management and efficiency.
  • Facilitated weekly leadership meetings to align strategy and enhance communication and process improvements.

Clinical Program Consultant/Solution and Design Architect

Optum
08.2022 - 10.2024
  • Integrated multiple departments, aligning stakeholders and maintaining momentum toward project deliverables.
  • Globalized 98% of business operations within six months, delivering $700K SG&A savings.
  • Enhanced MD Business Operations Support for over 200 physicians, improving service delivery.
  • Redesigned intake and discovery workflows to deliver $79K in efficiencies while strengthening prioritization and alignment.
  • Owned Business Continuity Plan with passing certification completion for 2 consecutive years.
  • Completed Emerging Leaders Program and led multi‑team employee engagement initiatives.

Clinical Program Manager

Optum
11.2020 - 08.2022
  • Lead and managed a team of 13-17 clinicians, including 1 Team Lead, on Utilization Management for Medicaid, Commercial and Medicare accounts.
  • Provided clinical and procedural support to Care Advocates while leading new process training to ensure seamless integration.
  • Developed and improved workflows and job aids for efficient process and account implementations.
  • Facilitated employee engagement, development, and coaching initiatives to enhance team capabilities.
  • Collaborated with health plan leaders, Medical Directors, Provider Relations, and Legal.
  • Conducted call audits, staffed clinical cases, and supported provider audit appeals.

Senior Care Advocate/Team Lead

Optum
04.2018 - 11.2020
  • Supported Care Advocates with clinical and procedural guidance while leading new-process training to enhance team capabilities.
  • Conducted call audits and staffed clinical cases, while facilitating provider audit appeals to ensure compliance and quality.
  • Identified fraudulent billing practices at two facilities by actively participating in provider audit appeal hearings, contributing to integrity in billing processes.

Facility Based Care Advocate

Optum
12.2014 - 04.2018
  • Managed caseload of 20+ patients and assessed medical necessity using clinical guidelines.
  • Enhanced case formulation and collaboration during clinical rounds to improve patient care.
  • Contributed to UM pilots and time-study initiatives to optimize care processes.

Utilization Review Specialist

Anchor Hospital
10.2013 - 07.2014
  • Handled a caseload of 20–30 patients and collaborated with payers for continued authorization.
  • Conducted comprehensive reviews of patient treatment plans for medical necessity.
  • Collaborated with healthcare providers to ensure compliance with regulations.
  • Analyzed clinical documentation to assess appropriateness of care services.

Social Services Inpatient Counselor

Anchor Hospital
05.2010 - 10.2013
  • Managed caseload of 12–18 patients while facilitating therapy groups to promote patient progress.
  • Supported discharge planning through collaboration with psychiatrists to ensure comprehensive patient care.
  • Led inpatient internship program for graduate students, enhancing their practical experience in a clinical setting.

Education

Masters of Science - Professional Counseling

Mercer University

Bachelor of Arts - Psychology and minor in Sociology

University of West Georgia

Skills

  • Behavioral Health Clinical Acumen
  • Regulatory Compliance
  • Data and Trend Analysis
  • Process Optimization & Operational Efficiency
  • Time Management & Project Prioritization
  • Strong Analytical and Problem-solving skills
  • Microsoft Office Proficiency
  • Facilitation, Communication and Presentation skills

Accomplishments

  • Sages Clinical Award Nominee – 2025
  • Superhero Award Nominee – 2019

Education And Licensure

  • Licensed Professional Counselor, GA, 09/30/26
  • Masters of Science in Professional Counseling, Mercer University
  • Bachelor of Arts in Psychology, Sociology, University of West Georgia

Timeline

Clinical Program Manager

Optum
10.2024 - Current

Clinical Program Consultant/Solution and Design Architect

Optum
08.2022 - 10.2024

Clinical Program Manager

Optum
11.2020 - 08.2022

Senior Care Advocate/Team Lead

Optum
04.2018 - 11.2020

Facility Based Care Advocate

Optum
12.2014 - 04.2018

Utilization Review Specialist

Anchor Hospital
10.2013 - 07.2014

Social Services Inpatient Counselor

Anchor Hospital
05.2010 - 10.2013

Masters of Science - Professional Counseling

Mercer University

Bachelor of Arts - Psychology and minor in Sociology

University of West Georgia
Ashley Beckom