Karla Villa
@karlavilla
I secure payer coverage and value-based reimbursement strategies for innovative healthcare and cell therapy solutions.
United StatesWhat I'm looking for
At Terumo Blood and Cell Technology, I advanced market access strategies for cell and gene therapy services, alternative sites of care, and therapeutic plasma exchange reimbursement.
I advocated to CMS for a Medicare Nursing Labor Code rate adjustment from $78,624 to $101,088. I also led research showing Terumo’s automated fill-and-finish system could reduce manufacturing risk and save nearly $4 million annually.
Previously at DaVita, I led EHR clinic onboarding across 60 clinics, reaching 90% staff training completion in four months and helping improve customer satisfaction survey results by 20%. At nVoq and BioScripts, I strengthened healthcare client onboarding, reimbursement processes, billing accuracy, and treatment authorization outcomes.
Across medical devices, specialty pharmacy, post-acute care, and rare disease therapy, I translate clinical and economic evidence into payer value propositions that improve patient access. I’m especially motivated by HEOR, healthcare policy, and practical reimbursement pathways for innovative therapies.
Experience
Work history, roles, and key accomplishments
Led initiatives to adjust Medicare Nursing Labor Code rates, increasing from $78,624 to $101,088. Conducted a global study on the Finia Automated Fill and Finish System, demonstrating annual savings of nearly $4 million.
Project Lead for Clinic Onboarding, implementing a new EHR system with 90% staff training completion across 60 clinics. Liaised between field sales and development teams to enhance EHR functionalities.
Enterprise Account Manager
nVoq Incorporated
Jan 2018 - Jan 2021 (3 years)
Managed client relationships and tailored SaaS solutions for post-acute care, home healthcare, and hospice professionals. Achieved a 15% revenue increase in six months and maintained a 95% client satisfaction rate.
Reimbursement Account Manager
BioScripts
Jan 2017 - Jan 2018 (1 year)
Reduced denial claims rates by 35% through team training and process optimization. Managed over 200 accounts, documenting patient financial responsibilities and securing treatment authorization.
Increased patient retention by 15% annually through robust account management and logistics coordination. Created educational materials with nurse case managers and designed emergency patient project plans.
Accounts Receivable Supervisor
Rx Health Pharmacy
Jan 2009 - Jan 2013 (4 years)
Managed a team overseeing claims for over 150 nursing facilities and 275+ individual accounts. Reduced claim denials by cross-training pharmacy technicians on complex billing processes.
Education
Degrees, certifications, and relevant coursework
Metropolitan State University of Denver
Master of Health Administration, Health Administration
Pursuing a Master of Health Administration degree.
Southern Connecticut State University
Bachelor of Business Administration, Management and Marketing
Earned a Bachelor of Business Administration with a focus on Management and Marketing.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Social media
Job categories
Skills
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