Cole M
@colem
I improve healthcare operations, provider performance, and value-based care outcomes.
What I'm looking for
At WellMed Medical Group and UnitedHealth Group, I partner with physicians and practice leaders across Texas to improve Medicare Advantage, ACO, and value-based care performance. I turn HEDIS/STAR results, risk adjustment, utilization, admissions, referrals, and financial data into provider-specific action plans.
I previously directed administrative and business operations for high-volume urgent care practices at MedStar Health, overseeing patient access, staffing, scheduling, payroll, budgets, compliance, provider support, and service performance. I led workflow and reimbursement improvements while supporting EHR and practice-management processes across multi-specialty environments.
As a Provider Training Coordinator at MedStar Health, I designed and delivered EHR/EMR, workflow, policy, and customer-service training for physicians, managers, and staff. I translated system and business requirements into practical daily workflows, job aids, and targeted retraining.
I bring payer and provider-side experience from Superior Health Plan, MedStar Health, and WellMed, helping teams connect people, processes, technology, data, and business strategy. I’m focused on sustainable operational solutions that strengthen quality, compliance, provider engagement, and the patient and member experience.
Experience
Work history, roles, and key accomplishments
Physician Business Manager
WellMed Medical Group / UnitedHealth Group
Jan 2025 - Present (1 year 7 months)
Serves as a strategic business partner to physicians and practice administrators, supporting Medicare Advantage, ACO, and value-based care performance. Manages provider relationships, conducts business reviews, and leads education on program requirements.
Education
Degrees, certifications, and relevant coursework
Capella University
Master of Health Administration, Health Informatics
Master of Health Administration in Health Informatics from Capella University.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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