Improving integrated medical management with use of Six Sigma Model
HARRISBURG, Pa., Jan. 24 /PRNewswire/ -- The Keystone Peer Review Organization, Inc. (KePRO), a rapidly growing national, total population medical management firm, recently appointed Sharon McCudden to the position of Director of Business Process Improvement and Compliance. Reporting to Joseph A. Dougher, Chief Executive Officer, Ms. McCudden will build and implement a successful adoption plan to expand the use of Six Sigma in collaboration with all organizations across the enterprise.
KePRO and its subsidiary, HealthQuest, have been providing integrated medical management solutions to public and commercial clients since 1985, delivering excellent customer service and substantial return on investment. As the company continues to expand, Dougher emphasizes that "KePRO has long been known for our high level of service commitment, providing efficient, cost- effective solutions. Sharon will extend her project management and Six Sigma expertise throughout the KePRO family of companies to eliminate process barriers, make us even more competitive, and increase customer satisfaction through improved service delivery."
Adopting the Six Sigma (DMAI2C) Model Process Improvement, Ms. McCudden will spearhead integrated medical management by building and deploying state of the art systems to improve effectiveness and efficiency internally and externally. Her mission is to leverage automation and integrate all components of medical management through quality initiatives.
Ms. McCudden is up to the challenge, possessing strong leadership abilities and having program, project, and process management acumen, as well as proven business development, procurement, and information technology expertise. "I have always possessed an unwavering commitment to quality and customer satisfaction," said McCudden. "KePRO has that same passion. This is a tremendous opportunity for us to marry our collaborative management style and commitment to excellence and best practices with Six Sigma to leverage integrated medical management process improvement. KePRO's clients will gain from more efficient and insightful processes and reports, as well as enhanced return on investment."
Specifically, Ms. McCudden will provide leadership to help shape and set direction to implement and deploy process improvement and compliance. She will identify needs or gaps, recommend plans to close gaps, and ensure successful execution of program changes across the enterprise in order to leverage integrated medical management in process improvement. Ms. McCudden will also work with business development and operations staff to prepare for future growth opportunities.
She is an accomplished leader, with over 30 years of program management and strategic business development experience in the healthcare, financial, telecommunications, and pharmaceutical industries. Ms. McCudden joined KePRO from Horizon BlueCross/Blue Shield of New Jersey, where she was the senior manager - integrated medical management and strategic planning. She procured, contracted, developed, and implemented two Enterprise systems, and met ROI objectives through disciplined metrics. Her management acumen resulted in a decrease in cost per transaction for authorization and case management.
Ms. McCudden earned her B.A. in Psychology from Monmouth University in New Jersey; she received a B.S. in Pre-Med from Georgia Tech University. She was awarded a MIT Certificate for Unix Developing Tools and an Operational Excellence Award.
She earned numerous certifications from Villanova University, including Six Sigma Green Belt; Advances Masters in Strategic Planning, Procurement, and Project Management; IS Team Development and Effectiveness; and Six Sigma Lean Belt. She is currently working on her Six Sigma Black Belt. Ms. McCudden is also a member of the Project Management Organization, and an ASC member.
HealthQuest, a KePRO company, provides medical management services to the commercial market for every stage of life and every healthcare event. Customers include third party administrators, insurance companies, and self- insured groups. HealthQuest's continuum of agile, affordable high-quality integrated health management programs, products, and services advance the efficiency and quality of healthcare through better management of chronic health conditions, minimized acute-care episodes, more efficient cost management, streamlined workflow, and optimized use of resources. For additional information, visit http://www.healthquestservices.com.
KePRO is a nationally recognized provider of medical management solutions covering more than four million lives in the United States in both the public and private sectors. KePRO's unique focus on quality ensures that these individuals receive appropriate, quality healthcare, while controlling the escalating administrative costs of those services. KePRO and its family of companies offer utilization, case, and disease management solutions throughout the nation. Headquartered in Harrisburg, Pennsylvania, KePRO also has offices in Tampa, Florida; Louisville, Kentucky; Hunt Valley, Maryland; Cleveland, Ohio; Richmond, Virginia; and a new office in Nashville, Tennessee. KePRO is URAC health utilization management and case management accredited and ISO 9001:2000 certified. For more information about KePRO, visit http://www.kepro.org.
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