Ashley Damaj

Experience

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  Novata Behavioral Health (CARES)

  Jul 2009 - Feb 2013

  Therapist

  • Training and Evaluation: Conducted parent training and evaluated parent goals pursuant to the behavior plan. Trained new staff.• Consultant and Collaborator: Participated in clinical, School Board, and IEP meetings for each client.• Data Collection and Analysis: Responsible for compiling, tracking and analyzing data on behaviors and trials.• Behavioral Observation and Assessment: Assisted with FBAs, Functional analysis, recording, and data collection.Behavior Interventionist - July 2009-August 2010 Show less

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  Beacon Autistic Spectrum Independence Center, B.A.S.I.C

  Nov 2011 - May 2015

  Chief Administrative Officer

  Community and political leader on Autism and related disorders, agency practices, and health insurance benefits. Lead 30-person team in transitioning from manual processing to online scheduling and billing, and use of accounting reconciliation software. Streamlined operational process and lead recoupment of 100k denied and rejected claims first year. Achieved in-network status with multiple health insurance companies, realizing 22% client increase. Negotiated with California’s Healthcare and Human Services to develop staffing and agency aspects of Autism benefit under Medicaid. Developed language to SB 946 which was voted into law.• Performed SWOT analysis, developed RASCI, KPIs, SLAs and used them to modify agency staffing, practices, and operations. Provided instructional leadership to all department directors and managers on moving forward with business plan.• Conversion to online operations with reportable and customized application which provided visibility into financial and staffing metrics to improve decision making. Improved bottom line with recoupment of denied/rejected claims and replaced three FTEs with more efficient business model leveraging PTEs. Show less

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  Molina Healthcare

  Jun 2015 - Mar 2016

  Manager of Operations, Care Management (Corporate)

  Lead Care Management software optimization alongside cross-functional team for 12 state plans based upon audits, reports, scores, and business needs. Generated and implemented corporate level recommendations to increase quality and compliance measures leading to 7% increase in HEDIS and Stars.• Identified and drove automation opportunities within Care Management software which reduced licensed staff touch by 5 minutes per case saving on average $350 per staff per day. • Evaluated audits and reporting from Care Management software. Modified code to reference correct fields and data points for formulas and reporting. Increased HEDIS and Star measures and overall compliance by 7%. • Assisted in building Supervisor Dashboard report. Enabled users in 12 state plans to have visibility into staff performance. Plans identified and tracked compliance to workforce models on a reduced budget. Show less

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  UnitedHealth Group

  Apr 2016 - Mar 2020

  Lead international enterprise procurement process and management for robotic licenses for both UnitedHealthcare and Optum subsidiaries. Provide centralized governance for automation deployments and interconnected support structure with cross functional teams for OptumRx’s $70B annual business with goal of achieving 15% savings by 2021.• Develop and manage end-to-end process for bulk robotics licenses for the enterprise. Achieved 40% savings on license procurement through bulk purchase strategy which realizes ongoing multi-million dollar run rate savings.• Developed operational strategy for international procurement of robot licenses through collaboration with compliance, tax, legal, and local (Phillippines, Ireland, India, and Brazil) departments. Achieved centralized governance and oversight.• Own automation deployment for OptumRx’s $70B annual business. Lead automation operational support which generates cost savings, and improve accuracy and efficiencies. • Nominated as Automation Challenge idea innovator (100 ideas out of 3,000 submissions chosen to move forward). Project focus leverages Graph Databases and Artificial Intelligence with EHR to provide insights to end users. • Nominated for several leadership roles: One of the 5 out of 800 chosen as team leader for as vital signs efforts. United Health Group Cultural Ambassador. Show less Led various product development work streams in market analysis and best practices to build a BPass multi-tenant modular MMIS from the ground up. Innovative product generated first-year multi-state bid wins (WY, MT, SC) and disrupted MMIS industry. • Analyzed and prioritized business requirements and developed best practices for utilization management, health management and member management aspects of the product. Drove functional areas to completion with Agile Method on time and on budget with three direct reports.• Identified gaps with existing Utilization Management system and lead the charge on vetting, selecting, and building new Utilization Management product (Salesforce). Led to 15% increase in compliance with state bids that were eventually realized.• Nominated for several leadership roles: Team culture mentor and lead, Cross-functional team presenter on motivational and team building topics. United Health Group Cultural Ambassador. Show less

  • Automation Deployment Director

    Oct 2018 - Mar 2020

  • Principal Program Manager

    Apr 2016 - Oct 2018
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  Mothership Wellness, Inc.

  Sept 2019 - now

  Founder