1. ELLEN M. WELLS
1602 Eastbridge Court well3809@twc.com H: 502-326-9558
Louisville, KY 40223 linkedin.com/in/ellenmwells M: 502-715-2346
SUMMARY
Senior health care leader holding a BSN degree in Nursing and Masters’ Degrees in both Business Administration
and Education. Experience in CNO / COO / CEO roles, managing all aspects of group medical practice leadership
and revenue cycle management. Expertise in Managed Care provider negotiations, provider recruitment, network
development, and business development. Skilled in growing organizations through planning, development, and
implementation of strategic business and marketing plans. Implemented several IT conversions with minimal impact
on the revenue cycle. Consistently achieved revenue growth via leadership in Organizational Development,
Marketing and Sales Development, and Human Resources. Specialties include:
• Ambulatory Care practices, from solo practice to multi-specialty group medical and Academic practices,
including Human Resource management and P&L and Budget responsibility, quality improvement for
Patient Centered Care, Research and Endowment oversight, physician recruitment and retention.
• Home Health, Senior Care, Hospice, and Acute Care with protocol driven care to maximize outcomes.
• Clinical leadership development and implementation with Organizational Development / Education.
• Managed Care provider integration and utilization review and medical and Disease management.
• Branding and Marketing in physician / hospital partnerships.
• Medicare and Medicaid care coordination for quality outcomes.
• Milliman and InterQual Guidelines.
• Liaison for external Accreditation organizations.
PROFESSIONAL EXPERIENCE
KINDRED HEALTH HOSPITAL, Louisville, KY 2016
Director Quality & Risk Management
Serve as point of contact / leader of survey process / Quality and Strategic Quality Plan and ensure that all
dashboards are completed and presented to appropriate committees and Board of Governors.
CAREWISE HEALTH, INC., Louisville, KY 2010-2012
Health and wellness / precertification, medical management.
Director Clinical Operations, Kentucky Medicaid
Provided leadership development for the management team, which allowed them to increase productivity to meet
or exceed client expectations for utilization medical management review. Provided inspiration and mentoring for 14
direct reports, including 10 manager level staff members.
2. • Developed the Waiver unit, which had a two year history of being out of compliance, into a group that
consistently achieved performance goals.
• Achieved 90% cross training among the clinical administration support unit, with 30% cross training among
the clinical nurse units.
• Oversight for Precertification and Utilization Review for Acute Hospital, Physician, Radiology and
Diagnostic services, Long Term Care, Field Review for Long Term Care Facilities, Psychiatry, Home
Health, Hospice and Durable Medical Equipment.
UNIVERSITY OF LOUISVILLE, DEPARTMENT OF OBSTETRICS / GYNECOLOGY, Louisville, KY 2003-2010
Academia Medical Group Practice.
Executive Director
Administer and direct all aspects of the organization's strategic planning / finance, new business development,
physician recruitment, customer satisfaction, marketing, clinical and operational initiatives including accounts
receivables and payables.
• Using the continuous education concept had 10 employees achieve their Management Certificate from the
Delphi program.
• Human Resource Management – 120 employees and 25 physicians, recruitment and retention.
• Developed a complete Marketing campaign, including Mission and Vision Statements / Values, and created
a Central Billing Office which served 7 different medical school departments.
• Liaison with state regulators, auditors, and external vendors.
ELLEN M. WELLS Page 2
MOUNTAIN HEALTH CARE, Asheville, NC 1995-2003
PPO / Utilization Management / Disease Management and Medical Practice Consulting Services.
Chief Executive Officer
Developed a Preferred Provider organization with 62,000 members which evolved to include a Medical
Management unit that offered utilization review / Disease management and clinical pathways for a 20,000 of the
members. Achieved URAC and maintained URAC accreditation. Expanded to include a Management Services
consulting services (MSO) for medical practices to purchase.
• Successfully completed a marketing campaign that set Mountain Health Care apart from the competition to
achieve the Asheville Chamber of Commerce Highest Growth Award for 5 consecutive years.
• Developed an Employee Assistance Program (EAP) for self-insured employer groups.
EDUCATION
Master’s Business Administration, Ashland University, Ashland, OH
Master’s in Education, University of Louisville, Louisville, KY
BSN, Marshall University, Huntington, WV
Six Sigma Lean Management White Belt Certificate , ISSSC, Cincinnati, OH
3. Six Sigma Lean Management Black Belt Candidate, Breakthrough Performance Group, Cincinnati, OH
15-30 Hours Continuing Education Annually