Nicole Banister
Nicole Banister
About
Detail
Vice President, Clinical Operations
Texas, United States
With 25 years in healthcare, I've driven value-based care innovation and led major transformative initiatives. I am known for my operating discipline that drives patient outcomes and team collaboration to achieve stretch goals. I am a forward-thinking and growth-minded healthcare leader with a background in consulting, finance, hospital/practice administration, change management and quality improvement.
I am interested in roles where I develop and deploy innovative approaches to care delivery, improve quality reporting, lead teams to hit KPIs and collaborate with internal and external stakeholders to solve tough problems.
Recent Accomplishments:
• Improved customer experience and response time during period of 3x growth.
• Designed orientation program and SOP library w 25+ resources using Scribe & Loom.
• Managed ongoing audit and QA process across five payer contracts and 50+ HEDIS metrics.
• Deployed EMR product enhancements for visit navigation, med reconciliation, follow up assessments.
• Developed an after-hours call model to manage 200,000+ clinical calls/year.
• Expanded behavioral health services to a geriatric population in 200+ senior living facilities.
• Led a customer-focused team with a Net Promoter Score of 54.
• Guided ACO programs, hitting quality benchmarks and generating $585M Medicare savings.
• Educated 9,000+ primary care providers on wellness and high-risk patient management.
• Achieved notable results in clinical programs, including:
- 80% of Chronic Obstructive Pulmonary Disease management participants use recommended medication protocols
- 75% of Hierarchical Condition Category (HCC) Coding program participants leverage care gap face sheets
- 100% of Post Acute Care participants identify a care navigator.
• Navigated two corporate acquisitions with 90% client and 88% staff retention and cultivated a culture of recognition and promotion within the team.
Outside work, I'm passionate about outdoor adventures, fighting food insecurity, and empowering girls.