Michelle Irwin

Experience

• 

  Northwest Airlines

  Sept 2005 - Oct 2006

  Ticket Agent
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  Century Insurance Group

  Oct 2006 - May 2009

  Underwriting Assistant
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  NetJets

  May 2009 - Oct 2009

  Crew Support
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  Nationwide Children's Hospital

  Oct 2009 - Oct 2016

  RN

  •Provided exemplary direct patient care across a diverse spectrum of healthcare settings, including: • Outpatient Surgery Center • Neonatal Intensive Care Unit (NICU) • Cardiothoracic Intensive Care Unit (CTICU) • Pediatric Intensive Care Unit (PICU) on an as-needed basis• Consistently upheld the highest standards of care and professionalism, ensuring optimal patient outcomes and satisfaction in each specialized unit.

• 

  Quantum Health

  Oct 2016 - Sept 2017

  Clinical Supervisor

  • Guided clinical initiatives for a vast portfolio of over 50,000 member lives, delivering exceptional care management, utilization management, and pre-certification services with a focus on personalized excellence.• Distinguished as the primary clinical authority for pharmacy benefit implementations, collaborating closely with esteemed pharmacy colleagues. Leveraged expertise and strategic insights to orchestrate seamless transitions and optimize pharmacy benefits, significantly enhancing the overall healthcare experience for members. Show less

• 

  Aetna, a CVS Health Company

  Sept 2017 - Oct 2020

  • Directed a high-performing team of clinicians and support personnel, orchestrating direct care management and coordination services for a vast network of over 1 million covered lives within the prestigious Aetna One Advocate (A1A) program. Spearheaded the development and enforcement of stringent clinical standards, guaranteeing unparalleled quality of care and services for every member interaction.• Championed the expansion and refinement of A1A's population health program, pioneering innovative preventive and proactive interventions aligned with HEDIS measures and targeted gaps in care. Collaborated closely with Aetna's Data Science team to architect robust reporting mechanisms and conduct comprehensive studies, meticulously measuring outcomes ROI and illuminating the profound impact on customer medical trends.• Served as the chief ambassador for the clinical team, commanding pivotal engagements with both internal and external stakeholders. Regularly showcased A1A's clinical prowess, performance standards, and remarkable results in esteemed forums such as executive site visits, customer forums, and town halls.• Exercised astute leadership in overseeing the day-to-day operations of a formidable team exceeding 100 members, demonstrating unparalleled prowess in budgetary management, personnel oversight, risk mitigation, and resource allocation. Displayed remarkable agility and resilience by seamlessly transitioning the team to remote functionality amidst the unprecedented challenges posed by the COVID-19 pandemic, ensuring uninterrupted delivery of exceptional service. Show less

  • Manager, Clinical Health Services, Health Outcomes

    Jan 2019 - Oct 2020

  • Clinical Supervisor

    Sept 2017 - Jan 2019
• 

  League

  Oct 2020 - now

  Lead Director- Health Solutions, User Engagement, Content Operations

  • Pioneers and executes a robust digital health content strategy for over 2 million members spanning diverse sectors including payors, providers, and pharmacies on League's groundbreaking platform, catalyzing transformative engagement and empowerment.• Champions and directs cross-functional teams in editorial, clinical, marketing, strategy, operations, and certification, resulting in the creation of 350 dynamic content pieces spanning text, audio, and video formats. Achieving a remarkable milestone, our efforts lead to universal adoption by all clients, driving tangible success in driving and meeting HEDIS and STAR measures.• Collaborates directly with global clients to architect and implement patient engagement strategies that tangibly enhance value, drive measurable outcomes, and promote equity across diverse healthcare landscapes. • Achieved rigorous NCQA certification standards and embraced industry-leading measures with widespread adoption, setting a gold standard for excellence.• Lead and steer a dynamic team in shaping cutting-edge health content and engagement strategies during client implementations, collaborating closely with key stakeholders including product, design, engineering, and customer success teams, driving unparalleled success and innovation. Show less