# Chelsey Leasure-Gomez

Chelsey Leasure-Gomez is a remote worker on Himalayas, Delegation Oversight Program Manager at Gold Coast Health Plan, based in United States.

Source: https://himalayas.app/@chelseyleasure-gomez

```text
Healthcare operations leader at Gold Coast Health Plan who cut contract implementation gaps from 40% to 2%.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 143k+ USD |
| Job categories | Healthcare Operations Manager |
| Skills | Healthcare Operations, Vendor Governance, Network Performance, Delegation Oversight, Medicaid Operations, Medicare Operations, Medicaid Medi Cal Managed Care, Medicare Advantage, Medicare Part D, DSNP, CalMedi Connect, CalAIM, Regulatory Compliance, DMHC Audits, DHCS Audits |
| LinkedIn | https://linkedin.com/in/chelsey-g-5655a338 |

## About

```text
At Gold Coast Health Plan, I designed and implemented a delegation oversight tool and operational oversight committee where no centralized function previously existed. I also created the first process for translating contract updates into operational changes, reducing implementation gaps from 40% to 2%.

I own performance accountability for 18 vendors and delegated entities, and introduced internal benchmarking through KPIs and dashboards. I also created a committee review path for findings from 70 annual delegate audits, where those findings previously went nowhere.

At EasyHealth, I piloted and refined a post-sale service model that delivered 80% member retention and 80% annual wellness visit completion, against a 60% industry benchmark. I co-developed the system used to manage members from enrollment through retention and served as executive lead for health plan partner accounts.

At Health Net, I worked across public programs serving Medi-Cal and dual-eligible members. My work included reducing emergency room utilization by 10%, increasing LTSS utilization by 15%, and leading annual DMHC and DHCS audits.
```

## Experience

### Delegation Oversight Program Manager (current)

Gold Coast Health Plan. Oct 2022 - Present

```text
Owns performance accountability for 18 vendors and delegated entities, ensuring contractual deliverables and reporting requirements are met. Designed and implemented the organization's delegation oversight tool and operational oversight committee.
```

Skills: Vendor-Governance, Network-Performance, Governance-Frameworks, Escalation-Management, Root-Cause-Analysis, Corrective-Actions, QA, Executive-Reporting, Budgets, Capacity, Power-BI, Microsoft-Project, Planner, Microsoft-Visio, SharePoint, Azure, Jira, Confluence, Monday.Com, TruCare, Chart-Path, PUREDI, MAXQDA

### Vice President, Health System Integration

EasyHealth. Apr 2021 - Jul 2022

```text
Piloted and refined a post-sale service model aligning broker and healthcare services teams, standardizing it into a scalable process. Served as executive lead for health plan partner accounts across Medicare Advantage and Part D products.
```

Skills: Medicare-Enrollment, Member-Engagement, Data-Driven-Insights, Service-Model-Design, Partner-Account-Management, KPI-Ownership, Program-Risk, Customer-Service-Leadership, Operational-Processes

### Senior Manager, Operations

Health Net. Mar 2015 - Apr 2021

```text
Led the Public Programs Coordinator team supporting member access to care for Cal MediConnect, dual-eligible, and Medi-Cal populations. Reduced emergency room utilization 10% through member education and expanded telehealth access.
```

Skills: Medical, CalMedi-Connect, Dual-Eligible, Member-Access, Emergency-Department-Utilization-Reduction, Telehealth, LTSS, Motivational-Interviewing, Health-Risk-Assessment, Medicare-STARS, Staff-Engagement

### Manager, Public Programs Operations

Health Net

```text
Managed contract-funded programs, including the $10M Multipurpose Senior Services Program (MSSP) and Care Plan Options, with accountability for deliverables and budget. Led a 20-person team, building individual training and development plans.
```

Skills: Contract-Management, MSSP, Care-Plan-Options, Budget-Management, Team-Leadership, Training-and-Development, DMHC-Audits, DHCS-Audits, Population-Health, Data-Driven-Strategy

## Education

### Capella University

Doctor of Healthcare Administration, Health Care Quality Analytics

```text
Doctor of Healthcare Administration with a focus on Health Care Quality Analytics.
```

### California State University, Northridge

Master of Public Administration, Public Policy Analysis and Management

```text
Master of Public Administration with a focus on Public Policy Analysis and Management.
```

### University of Northern Colorado

Bachelor of Science, Dietetics

```text
Bachelor of Science in Dietetics.
```

## Tech stack

- Jira
- Confluence
- Microsoft Excel
- monday.com
- MAXQDA
- Microsoft Word
- Power BI
- Microsoft PowerPoint

To contact Chelsey, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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