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Romona Durisseau

@romonadurisseau

I lead healthcare operations and Medicaid transformation projects that improve claims performance.

United States
Message

I've led operations at Physicians Care Center since 2012, directing revenue cycle management, payer relations, eClinicalWorks optimization, compliance, budgeting, staffing, and strategic planning for a multi-provider internal medicine practice. My Medicaid workflow improvements reduced claim rejections by 40%.

At Optum, I led Alaska Medicaid initiatives across business, operations, compliance, and technology teams, managing plans, budgets, risks, executive reporting, and stakeholder communications. I helped reduce claims turnaround time from 14 days to 9 days through process improvements and operational readiness work.

Earlier, I managed network operations and engineering projects for BellSouth/AT&T across Louisiana, coordinating teams, contractors, and vendors on infrastructure, voice, data, connectivity, and service implementations. I bring Lean Six Sigma Black Belt and Green Belt credentials to healthcare, telecommunications, and business transformation work.

Experience

Work history, roles, and key accomplishments

PC
Current

Chief Operating Officer & Project Manager

Physicians Care Center

Jan 2012 - Present (14 years 7 months)

Directs daily operations for a multi-provider internal medicine practice, leading strategic initiatives in revenue cycle management, payer relations, and operational efficiency. Manages eClinicalWorks optimization, reporting, workflow improvements, and compliance initiatives, reducing claim rejections by 40% through Medicaid workflow improvements.

Education

Degrees, certifications, and relevant coursework

University of Arizona logoUA

University of Arizona

Master of Business Administration, Business Administration

Pursued a Master of Business Administration (MBA) at the University of Arizona.

Tech stack

Software and tools used professionally

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