Open to opportunities

Blanca Melgar

@blancamelgar

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Director of Operations leading value-based healthcare teams to improve access, quality, and patient outcomes.

United States

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What I'm looking for

I’m looking for a leadership role in value-based healthcare where I can drive operational excellence, improve access and patient outcomes, and use KPI dashboards and EMR/EHR insights to strengthen care coordination and sustainable growth.

I’m a Master’s-prepared healthcare leader with 10+ years of experience driving operational excellence and patient-centered outcomes in value-based care and fee-for-service, including Revenue Cycle. I’m known as a servant leader who develops and empowers teams through coaching, accountability, and collaboration.

Across multi-site primary care and senior health centers, I optimize performance by strengthening patient retention and improving access through strategy, workflow optimization, and data-driven accountability. I’ve delivered measurable results by closing care gaps and advancing HEDIS/STARS performance, backed by KPI dashboards and daily operational execution.

As a Center/Operations leader, I manage teams to exceed performance metrics and improve patient experience—standardizing processes, strengthening caregiver satisfaction, and building scalable workflows. In my most recent leadership role, I lead financial engagement and access to care by improving collections, reducing denials/declines, and partnering with admissions, clinical, legal, and executive leadership.

My background also includes managing complex center operations (including an $8M budget), leading departmental goals tied to productivity and member services, and overseeing admissions and practice operations. I bring hands-on technology proficiency across EMR/EHR and analytics tools to support care coordination and operational consistency.

Experience

Work history, roles, and key accomplishments

Current

Director of Patient Experience

Current

ICBD ABA Centers of America

Jan 2025 - Present (1 year 5 months)

Led patient experience and access operations for Financial Counselors across multi-site settings, improving revenue integrity, collections performance, and access to care through KPI dashboards, standardized processes, and coaching. Partnered with Admissions, Clinical, Legal, and Executive leadership to support compliant financial agreements, hardship programs, and scalable patient-centered workfl

Revenue Integrity KPIs Process Standardization Collections Management Denials Management Call Center Operations Healthcare Compliance Cross functional Leadership

Center Leader, Value-Based

Chen Senior Medical Center

Jan 2023 - Jan 2025 (2 years)

Served as center leader with responsibility for a $8M budget, driving daily huddles and physician meetings to meet operational and performance goals. Owned HEDIS, care gaps, and CMAPS performance and supervised call center agents and referral coordinators.

Budget Management STARs Performance CMAPS Ownership Physician Productivity Analysis Call Center Supervision Huddle

Practice Manager III

Baptist Health Medical

Jan 2020 - Jan 2022 (2 years)

Directly supervised personnel across endo, ortho, primary, and concierge services, ensuring adequate staffing and effective scheduling for approximately 50 employees. Managed daily cash reconciliation and reporting, supported policy manual updates, handled member complaints, and monitored payroll completion via Kronos.

Staffing Employee Coaching Member Complaints

Admission Coordinator Lead Supervisor

John Knox Village / Woodlands SNF

Jan 2016 - Jan 2017 (1 year)

Led admitting department operations in a nursing home environment, ensuring compliance with applicable standards and accurate completion of preliminary admission paperwork. Supervised the admission and concierge departments when needed, prepared census reports, coordinated patient placement with medical and nursing teams, and managed staff scheduling.

Census Compliance With Admissions Standards

Patient Service Rep

Pediatric Associates Business Office

Jan 2013 - Jan 2015 (2 years)

Worked in the business office to collect payments, maintain the credit pool, and provide customer service through phone outreach. Posted charges, payments, and adjustments in the information management system, verified benefits for multiple plan types, and trained new employees while maintaining patient confidentiality.

Patient Collections Phone Based Payment Collection Posting Charges Confidentiality EHR XPM Systems Customer Service

Patient Service Representative

BCFHC

Jan 2011 - Jan 2013 (2 years)

Collected patient demographic information, registered patients, and supported financial assessments for uninsured patients using a sliding fee scale. Posted procedures, diagnosis, and payments in the management system and provided backup coverage for Health Information Management as needed.

Patient Registration Sliding Fee Scale Assessments HIM Backup Support Posting Procedures Diagnosis Payments Patient Encounter System Documentation

Administrative/Billing Specialist

Third Step Mental Health Center

Jan 2009 - Jan 2011 (2 years)

Handled confidential patient files and daily medical records management while supporting planning and training for new EHR software implementation. Managed Medicaid reimbursements by gathering/coding/transmitting patient information, resolved rejected and denied claims, and conducted chart retrieval with appropriate documentation.

Medical Records Management Report Preparation Chart Retrieval

Regional Practice Manager

Holy Cross

Jan 2022 - Present (4 years 5 months)

Managed operations for a newly constructed medical practice location, overseeing facility readiness, staffing, scheduling, and day-to-day execution to ensure continuity of patient services. Ensured policy and training implementation, supported regulatory compliance documentation, maintained payroll accuracy via Kronos, and served as a liaison to senior leadership.

Practice Operations Staffing Policy Implementation Physician Productivity Analysis Regulatory Compliance

Admissions Manager

Krystal Bay Nursing & Rehabilitation

Jan 2019 - Present (7 years 5 months)

Supervised and coordinated admitting department operations in a nursing home environment, ensuring compliance with applicable standards and accurate bed assignments. Prepared census reports, coordinated with medical/nursing/accounting teams for patient placement, and verified insurance benefits coverage for admissions.

Nursing Home Admissions Insurance Verification Census Compliance With Admissions Standards Program Marketing And Brochures

Mission & Programs Manager

Susan G. Komen

Jan 2018 - Present (8 years 5 months)

Oversaw affiliate mission programming, including grant making, community outreach, education programs, volunteer activities, and breast cancer survivorship programs. Managed 400+ volunteers and 4 staff/interns, monitored program outcomes and impact, and supported budget/accounting to help reach a $1M fiscal-year goal.

Mission Management Grants Community Outreach Volunteer Supervision Partnership Development

Event/Marketing Programs Intern

Susan G. Komen

Jan 2017 - Present (9 years 5 months)

Supported event, marketing, and program administration for Susan G. Komen in Plantation, Florida. Assisted with program-related administrative tasks to help deliver affiliate initiatives.

Marketing Support Program Coordination Administrative Support Community Program Logistics