Heather Scalia is a eficient professional, that works in Innovative Provider Solutions on the position of Vice President, Consulting from 2012. This person has earned professional experience in more than seven positions at different companies. Heather Scalia went to the University of Notre Dame and received education there from 2005 to 2007. Heather has these qualifications: Registered Nurse. Chicago, Illinois is the area, where this professional was known to live. This professional's e-mail and phone can be accessed through SoftwareOfficial on demand.
Name variants:
Hettie Scalia,
Hetty Scalia
Contact Information
Last Update
Jun 22, 2022
Email
hs**@humana.com, he**@yahoo.com, he**@outlook.com
Location
Chicago, IL
Company
Innovative Provider Solutions, Inc
Workplace
Vice President, Consulting
Work History
Vice President, Consulting
Illinois
Provide consulting services to corporations for the following specialty areas:
• Audit, compliance, appeals and grievances
• Behavioral, case and disease management
• Precertification, no...
from May 2012
Director, Quality & Medical Management
Greater Chicago Area
• Directed day to day operations – Precertification, Notification and Concurrent review, Quality Management, Case, Behavioral and Disease Management
Nov 2010 — Sep 2011
Director, Health Services
Birmingham, Alabama Area
• Directed day to day operations of the Audit, Compliance, Inpatient Utilization, Quality, Appeals and Precertification clinical and non clinical teams (50+ employees)
• Engaged the staff...
Oct 2008 — Dec 2009
Sr Director, Quality & Utilization Management
Greater Chicago Area
• Developed Quality, Utilization, Case and Disease Management programs focused on improving the health and well being of 142,807 members with access to 4,307 network providers; 435 facilitie...
Mar 2005 — Oct 2008
Regional Director Quality
Greater Chicago Area
• Managed the Midwest Regions quality, outreach and health education programs
• Analyzed claims and encounter data issues and presented a Strategic Tripod resolution to State of IL Senators...
May 2001 — Mar 2005
Project Manager Transplant, Staff Nurse
Greater Chicago Area
•Standardized diagnostic testing requirements, analyzed results and submitted abnormal results for review and identification of additional testing and improvement strategies
•Created and exe...
Jan 1998 — May 2001
Project Manager/Client Services, Human Resources Administrator
Greater Chicago Area
• Established creative, customer oriented solutions within an entrepreneurial atmosphere
• Lead the project team in operational, marketing, settlement and VeriFone equipment deployment ...
Dec 1985 — Mar 1992
Education
2005 — 2007
1993 — 1997
1978 — 1979
1975 — 1978
Occupations
Executive
Director
Vice President
Health Specialist
Hospital Care Professional
Operations Manager
Chief Executive
Health Professional
Health Practitioner
Skills
Process Improvement
Managed Care
Strategic Planning
Medicare
Medicaid
Healthcare
Hipaa
Health Insurance
Management
Leadership
Access
Disease Management
Analysis
Strategy
Program Management
Business Process Improvement
Healthcare Management
Insurance
Healthcare Industry
Quality Assurance
Hospitals
Hmo
Project Management
Operations Management
Executive Operations Management
Microsoft Access
Account Management
Substance Abuse Prevention
Healthcare Information Technology
Team Building
Quality Improvement
Training
Working With Physicians
Performance Improvement
Utilization Management
Cross Functional Team Leadership
Healthcare Consulting
Health Policy
Data Analysis
Customer Service
Physician Relations
Electronic Medical Record
Consulting
Home Care
Provider Relations
Business Development
Public Speaking
Clinical Research
Revenue Cycle
Credentialing
FAQs about Heather Scalia
What's the main profession of Heather Scalia?
This professional's job is Director
What are the profession of Heather?
These person's professions are Executive and Director
Where is Heather Scalia located?
Heather Scalia is currently located in Chicago, Illinois.
Does Heather Scalia have the email address?
hs**@humana.com and he**@yahoo.com is Heather's email address.
How many companies did Heather Scalia work at?
Heather Scalia worked at seven jobs.
What education does Heather Scalia have?
Heather studied at the University of Notre Dame from 2005 to 2007.
What are the certifications of Heather Scalia?
The expert received the following certifications: Registered Nurse.
Are there any industries Heather Scalia is connected to?
This professional works in Hospital & Health Care industry.