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Kenny WagnerKW
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Kenny Wagner

@kennywagner

Healthcare analyst and case management professional improving clinical workflows and quality metrics with data-driven insight.

United States
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What I'm looking for

I’m looking for a healthcare analytics or operations role where I can use workflow analysis and EMR data to improve documentation accuracy, identify stakeholder needs, and strengthen cross-team collaboration while driving continuous quality improvement and lower delivery costs.

I’m a healthcare operations professional with 10+ years of experience across EMR-based care coordination, workflow analysis, and cross-functional stakeholder collaboration. I assess clinical and administrative workflows, spot process gaps, and translate business requirements into practical solutions.

In my current DSNP Case Management Analyst role, I use clinical documentation systems to build individualized care plans that capture member health goals and social determinants of health. I conduct health risk assessments and analyze data to close HEDIS care gaps, supporting quality metrics and STAR rating performance reporting.

I’ve consistently maintained 90%+ accuracy on chart/documentation audits while meeting productivity and quality-assurance targets. I also collaborate daily with interdisciplinary teams to troubleshoot member issues and optimize care workflows.

Previously, I led case management operations by directing a team of 10 case managers and improving service delivery through workflow design, training, and documentation standards. I also coordinated the end-to-end launch of a healthcare enrollment program, delivering training for partner agencies and streamlining process delivery with a focus on measurable client impact.

Experience

Work history, roles, and key accomplishments

Aetna, a CVS Health Company logoAC
Current

DSNP Case Management Analyst

Feb 2024 - Present (2 years 5 months)

●       Use clinical documentation systems to build individualized care plans, capturing member health goals, treatment needs, and social determinants of health — comparable to gathering business/technical requirements from end users.
●       Conduct health risk assessments and analyze data to close HEDIS care gaps, directly supporting quality metrics and STAR rating performance reporting.
●      

Aetna logoAE
Current

DSNP Case Management Analyst

Feb 2024 - Present (2 years 5 months)

Build individualized care plans using clinical documentation systems and capture member health goals, treatment needs, and social determinants of health. Conduct health risk assessments and analyze data to close HEDIS care gaps, while maintaining 90%+ chart/documentation audit accuracy and collaborating daily with interdisciplinary care teams.

AIDS Healthcare Foundation logoAF

Lead Case Manager

Dec 2016 - Sep 2023 (6 years 9 months)

●       Directed a team of 10 case managers supporting 900+ clients; designed workflows, training programs, and documentation standards, and provided ongoing performance coaching.
●       Assessed existing workflow processes across departments, identified gaps, and implemented process changes to improve service delivery and continuity of care.
●       Partnered with providers, clinic staff, and ph

Hope & Help logoHH

Affordable Care Act Program Coordinator

May 2014 - Dec 2016 (2 years 7 months)

●       Led the end-to-end development and launch of a first-of-its-kind healthcare enrollment program, from concept to implementation, resulting in unprecedented growth with enrollment of 200+ clients in the first year.
●       Established partnerships and outreach strategies that expanded program reach and secured additional agency funding.
●       Designed and delivered training presentations

Education

Degrees, certifications, and relevant coursework

WU

Western Governors University

Master of Business Administration - MBA

Western Governors University logoWU

Western Governors University

Master of Business Administration, Business Administration

Completed an MBA program at Western Governors University in December 2024.

UF

University of Central Florida

Bachelor of Science - BS, Public Administration

University of Central Florida logoUF

University of Central Florida

Bachelor of Science, Public Administration

Earned a Bachelor of Science in Public Administration from the University of Central Florida, completed May 2013.

VC

Valencia College

Associate of Arts - AA

Valencia College logoVC

Valencia College

Associate of Arts

Earned an Associate of Arts from Valencia College, completed May 2010.

Tech stack

Software and tools used professionally

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