REBECCA KATZOWITZ
Roswell,GA
Summary
Highly skilled healthcare leader with over 20 years of experience managing market network team, strategic planning, operations, quality improvements, value-based reimbursement, customer service, provider engagement and practice transformation. Successfully oversee human resources, budgeting, developing policies and procedures to meet business goals, and driving overall operational improvements.
Overview
22
22
years of professional experience
Work History
Senior Director of Network Performance & Engagement
CareSource
12.2021 - Current
- Develops, implements, manages, and tracks market provider incentive programs, policies, standards, benchmarks, metrics, and quality controls to meet the needs of CareSource and providers
- Successfully creates, negotiates contracts and executes Value-Based Purchasing (VBP) initiatives, which have led to 23% improvement in focused-HEDIS measures for participating provider groups compared to provider groups not enrolled in an initiative
- Members of providers in these VBR initiatives have realized the following outcomes compared to members of groups not contracted in a VBP: 44% increase in Well-Child visits in 2022; Reduced ED visits by 16.4%; 38.4% lower admissions; 5.1% lower readmission rates; 28% lower per member per month costs on medical care
- Develops, analyzes, and drives performance and education of providers on opportunities to maximize their reimbursement and improve their quality performance and risk adjustment scoring
- Partners with market and enterprise leaders on development of overall health strategy and business objectives to ensure business success in multiple lines of business
- Supports and leads cost saving initiatives, including MCR initiative, policy changes, configuration issues and provider contracting opportunities
- Improves relationships with providers and works with providers to improve access and availability for members
- Highest provider satisfaction scores of all CMOs in Georgia (CareSource 66%, Peach State 45%, Amerigroup 48%); *Source Spring 2024 DCH Medicaid Fair
- Monthly provider surveys have increased from 80% in 2020 to 92% in 2024
- Cultivates a culture of innovation by promoting creative thinking and encouraging employees to take calculated risks in pursuit of solutions
- Assures the network meets all applicable standards for all products, including member access, availability, utilization and budget requirements in all regions of the state
- Complies with all compliance, regulatory, accreditation and NCQA audits (0 significant findings).
- 2023 Bobby Jones Crystal Heart Award of Excellence recipient for "extraordinary contribution to the Georgia market."
Director of Plan Performance
CareSource
12.2020 - 12.2021
- Increased VBP participation from 21% to over 80% in 2 years
- Ensured CareSource efficiently collects quality data and medical records by coordinating between providers and Information Technology
- Supported and led cost saving initiatives, including MCR initiative, policy changes, configuration issues and provider contracting opportunities
- Developed, implemented, managed, and tracked market provider incentive programs, policies, standards, benchmarks, metrics, and quality controls to meet the needs of CareSource and the providers
- Cultivated a culture of innovation by promoting creative thinking and encouraging employees to take calculated risks in pursuit of solutions
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
Senior Customer Success Manager
Athenahealth Inc.
06.2018 - 12.2020
- Ensured customer satisfaction and retention of large healthcare practices, which generate between $1M-$60M+ annually
- Completed regular analysis of providers’ performance in key metrics and presented findings and opportunities to maximize their reimbursement, including incentive programs, while increasing their productivity, efficiency, and patient satisfaction
- Monitored CMS and payor regulation changes then educated providers on best practices
- Worked with health plans to ensure practices complied and identified strategies to meet plan's requirements
- Mitigated attrition risks by identifying product gaps and coaching customers to utilize all resources available
- Partnered with internal and external stakeholders to tailor short- and long-term success plans that align with their business goals
- Co-led athenahealth's Healthcare Businesswomen Association (HBA) southeast and remote chapter.
Executive Healthcare Consultant
Bencura Inc./ Mayo Clinic
06.2016 - 07.2018
- Provided consultation services for various settings including home-health, acute-care hospitals, post-acute care, long-term care, and outpatient rehabilitation centers focusing on healthcare revenue cycle, managed care/commercial insurance, EMR/EHR, practice transformation and quality improvement.
Director of Rehabilitation Services
Wellington Healthcare
08.2011 - 06.2018
- Led a team of 30+ employees providing short and long-term rehabilitation services in a 220-bed post-acute rehabilitation hospital
- Identified and led cost-saving initiatives, including BPCI Bundled Payment partnerships to reduce financial burden on health plans, while providing high quality of care to patients
- Confidently managed the overall operation of rehabilitation services and patient care, including financial management, quality assurance, patient care, safety risk management, employee satisfaction, operational excellence, and customer service
- Skillfully managed the revenue cycle for a multi-million-dollar rehabilitation hospital
- Participated in a variety of internal and external speaking engagements.
Director of Rehabilitation
HCR ManorCare
06.2009 - 07.2011
- Directed a team of 20+ employees providing rehabilitation services in a 171-bed post-acute rehabilitation facility serving the greater Washington DC area
- Developed corporate strategic programs to support targeted growth efforts, including increasing employee productivity from 77% to 92% over a 6-month period
- Implemented marketing strategies which resulted in 12% revenue growth
- Managed the rehabilitation revenue cycle earning over $5 million annually.
Speech Language Pathologist
National Rehabilitation Hospital
02.2009 - 06.2009
- Treated adolescent and adult patients in the catastrophic care hospital
- Performed weekly training and presentations with a team of 10 Speech-Language Pathologists.
Speech Language Pathologist
Children's Healthcare of Atlanta
01.2008 - 01.2009
- Treated pediatric and adolescent patients in Day Rehabilitation and Comprehensive Inpatient Rehabilitation Unit at Scottish Rite Hospital.
Business Office Coordinator
Greater Atlanta Speech & Language Clinics
05.2002 - 12.2005
- Prepared and audited patient charts
- Contacted Health Plans to identify opportunities to increase reimbursement for therapy services
- Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation.
Education
CareSource Director's LEAD Program
Dayton02.2023
MBA - General Business & Data Analytics focus
Kennesaw State University
Kennesaw, GA08.2019
Leadership Development Program Graduate -
CareSource Directors LEAD program
08.2019
Master of Education - Speech Language Pathology
Georgia State University
Atlanta, GA12.2007
Bachelor of Science in Education - Education, Communication Sciences and Disorders
The University of Georgia
Athens, GA05.2005
Skills
- Excellent customer service & people skills
- Strategic and forward thinking
- Self-driven & results-oriented
- Accomplished leader
- Quality improvement competency
- Organizational & analytical experience
- Practice Transformation
- Collaborative Leadership
- Data Analysis
- Extensive knowledge of Government healthcare regulations
- Provider education & Provider relations
- Innovation and Adaptability
Timeline
Senior Director of Network Performance & Engagement
CareSource
12.2021 - Current
Director of Plan Performance
CareSource
12.2020 - 12.2021
Senior Customer Success Manager
Athenahealth Inc.
06.2018 - 12.2020
Executive Healthcare Consultant
Bencura Inc./ Mayo Clinic
06.2016 - 07.2018
Director of Rehabilitation Services
Wellington Healthcare
08.2011 - 06.2018
Director of Rehabilitation
HCR ManorCare
06.2009 - 07.2011
Speech Language Pathologist
National Rehabilitation Hospital
02.2009 - 06.2009
Speech Language Pathologist
Children's Healthcare of Atlanta
01.2008 - 01.2009
Business Office Coordinator
Greater Atlanta Speech & Language Clinics
05.2002 - 12.2005
CareSource Director's LEAD Program
MBA - General Business & Data Analytics focus
Kennesaw State University
Leadership Development Program Graduate -
CareSource Directors LEAD program
Master of Education - Speech Language Pathology
Georgia State University
Bachelor of Science in Education - Education, Communication Sciences and Disorders
The University of Georgia
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