Jaclyn Moeller

A Regional Health Connector (RHC) serves as a vital liaison among primary care providers, public health agencies, and community organizations to enhance health outcomes within a specific region. This role focuses on fostering collaborations that address local health priorities and improve the coordination of care.

Key Responsibilities:

• Facilitate Partnerships: Establish and strengthen connections between clinical practices and community-based organizations to promote comprehensive health services.
• Support Practice Transformation: Collaborate with practice transformation organizations and healthcare providers to implement new models of care delivery and payment systems.
• Community Engagement: Engage with local stakeholders, including Regional Care Coordination Organizations (RCCOs), Community Mental Health Centers, and public health agencies, to align efforts in addressing social determinants of health.
• Resource Development: Create and disseminate tools and resources, such as readiness playbooks and interactive platforms, to standardize practices and enhance efficiency within healthcare settings.
• Data Analysis and Reporting: Conduct data analysis to identify gaps in care, monitor performance metrics, and provide strategic recommendations to improve health outcomes.

• Company Overview: Insurance and Healthcare Provider
• Directed a contact center by managing front-line supervisors and staff, ensuring seamless execution of customer service and operational strategies
• Championed the MSCC Operations vision by promoting excellence in customer service, change management, and performance optimization
• Participated in statewide budget development, forecasting, and day-to-day financial decision-making, impacting payroll and non-payroll expenditures
• Developed and implemented company policies, coached management teams, and established departmental KPIs that drove revenue enhancement and member satisfaction
• Spearheaded key initiatives including the 'Empowering Executive Leaders' program, development of a dynamic SharePoint site, and multiple labor-management partnership ventures
• Insurance and Healthcare Provider

• Company Overview: Insurance and Healthcare Provider
• Acted as a strategic business partner across organizational levels to support national operational readiness of the member services contact center
• Independently investigated client requirements, conducted thorough workflows and gap analyses, and developed business cases incorporating cost, service, and benefit dimensions for executive decision-making
• Initiated and led process improvement projects, standardizing documentation through an interactive SharePoint site and developing operational readiness playbooks
• Provided comprehensive application support and troubleshooting, ensuring uninterrupted service continuity and process compliance
• Insurance and Healthcare Provider

• Company Overview: Provider for Dialysis
• Supported ongoing projects related to publicly reported data as the VP liaison, ensuring accurate and timely reporting through continuous communication with field teams
• Assisted with the implementation of CMS 5-star rating protocols for dialysis facilities and streamlined cross-department communication regarding patient status
• Extracted and analyzed SQL data for AKI patient trends, delivering critical insights to senior leadership, and facilitated project success across the PRD and Wipe Out teams
• Provider for Dialysis

• Company Overview: Provider for Dialysis
• Co-managed an outbound call center, overseeing payroll coordination, performance metric tracking, and quality assurance protocols
• Established comprehensive QA standards, designed evaluation processes, and streamlined the documentation process—enhancing team efficiency and patient satisfaction
• Coordinated with cross-functional teams to conduct interviews and secure next-level candidate evaluations
• Provider for Dialysis

• Company Overview: Insurance and Healthcare Provider
• Oversaw daily operations of an inbound call center, managing onboarding, training, and performance improvements for new Customer Service Representatives (CSRs)
• Collaborated with regional leaders to document issues, design action plans, and implement corrective measures, thereby enhancing communication and reducing customer complaints
• Drove performance management within a union environment, integrating group interviews and feedback loops to optimize team dynamics and service delivery
• Successfully launched the go-live of the Colorado market area, aligning operational readiness with strategic market expansion efforts
• Insurance and Healthcare Provider

• Company Overview: Insurance and Healthcare Provider
• Conducted routine performance evaluations and call assessments, providing constructive, actionable feedback to ensure adherence to quality standards
• Collaborated with training and supervisory teams to establish new documentation systems and departmental structures, generating trending reports for leadership oversight
• Insurance and Healthcare Provider