Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
Generic
Alyssa Martin

Alyssa Martin

Duluth

Summary

Strategy leader with extensive experience in managing large-scale initiatives that enhance member outcomes through effective integration of payor, market, and provider strategies. Proven management professional with strong communication, organizational, and analytical skills. Develops innovative solutions to address complex business and technology challenges. Committed to advancing organizational goals through strategic team leadership.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Director of Project Management

Optum Strategic Initiatives
01.2022 - Current
  • Facilitated national support for Optum concerning Care Delivery Organizations through diverse acquisition levels to achieve defined deliverables within Cardiology, Hematology-Oncology, Orthopedic Surgery, Ob-Gyn, Hospitalists, and Pediatrics.
  • Directed management of Business Analysts, Communication Specialists, and Project Managers for specialized initiatives.
  • Led development of specialty scorecards to support Value Based Care payment methodologies.
  • Implemented technology enhancements utilizing AI to improve operational efficiency.
  • Evaluated market performance to develop targeted process improvement strategies.
  • Established departmental standards for tools, templates, tracking, and workforce management.
  • Created leadership updates to monitor progress on key deliverables.
  • Acted as SME for dashboard creation to enhance market performance tracking and risk-based contracting.
  • Facilitated communication between regional markets and national teams for escalations and support.
  • Acted as cultural ambassador to promote professional and personal development among staff.
  • Achieved 100% Manager Effectiveness Index for 2023, reflecting strong leadership capabilities.
  • Led cross-functional teams to execute strategic project initiatives.
  • Developed patient and provider-facing content focused on specific disease states and evidence-based recommendations.

Associate Director Home Health Strategy

Humana Home Solutions
01.2020 - 01.2022
  • Advanced Value Based Strategy for Medicare recipients through acquisition of Centerwell and Onehome healthcare.
  • Developed and presented communications for C Suite and external investor conferences to highlight key contributions.
  • Led management and coordination of nine Project Management associates to establish Value Based Care model in various markets.
  • Collaborated with C Suite to enhance network optimization for home health, durable medical equipment, and infusion pharmacy providers.
  • Streamlined clinical criteria for home health episodes, including wound protocols and UTI prevention
  • Established protocols to enhance screening for social determinants of health.
  • Operationalized seven durable medical equipment and infusion pharmacy locations.
  • Established utilization management protocols for home health, durable medical equipment, and infusion services.
  • Developed monthly reports on revenue, episodes, and quality across all service lines.
  • Developed network adequacy and specialized services reports to inform leadership decision-making.
  • Evaluated impact based on clinical innovation strategies (wound care software, call center operations, UTI interventions) as measured by Total Cost of Care.

Sr Project Manager I

UnitedHealthcare/Optum
01.2016 - 01.2020
  • Directed critical clinical savings initiatives and improved provider NPS, enhancing overall efficiency.
  • Supported cost containment efforts in NICU and genomics, driving strategic success.
  • Created and managed cost strategies within United Clinical Services, achieving $32M annual savings.
  • Deployed key projects refining prior authorization, securing $4M annual savings.
  • Implemented technology enhancements to minimize provider abrasion across health systems.
  • Graduated from 2020 Emerging Leadership Program, demonstrating professional growth.

Business Process PMO Manager

UnitedHealthcare
01.2015 - 01.2016
  • Provided leadership oversight for PMO during Affordable Care Act (ACA) launch.
  • Managed project managers, business analysts, and support staff on ACA initiatives.
  • Established departmental standards, including tools, templates, and reporting functionalities.
  • Established comprehensive workflow for technology eligibility and billing systems.
  • Oversaw large-scale issue remediation, including identification, impact assessment, and monitoring.
  • Created communications team focused on producing patient and media resources.

Learning Architect Project Manager

UnitedHealthcare
01.2011 - 01.2015
  • Facilitated project management and instructional design for large-scale learning initiatives encompassing workflow, documentation, design, delivery, and evaluation utilizing ADDIE model.
  • Received a 2014 service hero nomination for development of Affordable Care Act (ACA) initial training development and deployment.
  • Developed and supported career pathways program for facilitators in instructional design essentials.
  • Created standardized workflow for assigning instructional design tasks to over 200 employees based on expertise and demand.
  • Analyzed business needs to define training modalities and durations, including instructor-led, web-based, and hybrid formats.

Facilitator

UnitedHealthcare
01.2008 - 01.2011
  • Conducted training sessions for diverse teams on health insurance processes.
  • Coordinated interdepartmental communication to enhance service delivery.
  • Trained on platforms including PRIME, UNET, Diamond, COSMOS, and Employer E Services.
  • Achieved 2009 Shape Award for exemplary classroom outcomes based on surveys and performance metrics.

Customer Care Professional

UnitedHealthcare
01.2006 - 01.2008
  • Assisted customers with inquiries and resolved issues effectively.
  • Provided support in navigating healthcare plans and services.
  • Provided product and service information to customers.

Education

Master of Business Administration - Organization Development

The College of St Scholastica
Duluth
01.2022

Bachelor of Arts - Communications

University of Wisconsin Superior
Superior, WI
01.2014

Associate of Arts - Communications

Lake Superior Community College
Duluth, MN
01.2005

Skills

  • Project management
  • Strategic planning
  • Team leadership
  • Cross-functional collaboration
  • Change management
  • Training development
  • Process improvement
  • Business strategy
  • Innovation fostering
  • Cost savings
  • Performance monitoring

Certification

Project Management Professional (PMP) 01/01/2018
PMI ID 2113091
Recertification due 12/31/26

Affiliations

Young Professional Board Member- Special Olympics of Minnesota (2018-2020)

Timeline

Director of Project Management

Optum Strategic Initiatives
01.2022 - Current

Associate Director Home Health Strategy

Humana Home Solutions
01.2020 - 01.2022

Sr Project Manager I

UnitedHealthcare/Optum
01.2016 - 01.2020

Business Process PMO Manager

UnitedHealthcare
01.2015 - 01.2016

Learning Architect Project Manager

UnitedHealthcare
01.2011 - 01.2015

Facilitator

UnitedHealthcare
01.2008 - 01.2011

Customer Care Professional

UnitedHealthcare
01.2006 - 01.2008

Master of Business Administration - Organization Development

The College of St Scholastica

Bachelor of Arts - Communications

University of Wisconsin Superior

Associate of Arts - Communications

Lake Superior Community College
Alyssa Martin