Amanda Sepulveda
Boston
Summary
Strategy-driven healthcare leader with 10+ years of progressive experience across academic medical centers, Medicaid ACO programs, behavioral health, and community-based care delivery. Proven record of leading complex, multidisciplinary teams; scaling and sunsetting large Medicaid programs; strengthening compliance and quality performance; and partnering with executive leadership to drive operational excellence. Known for translating strategy into execution, leveraging data to improve outcomes, and advancing health equity across vulnerable populations.
Overview
12
12
years of professional experience
Work History
Associate Director, Boston Allied Partners (BAP) - LTSS Community Partner Program
Boston Medical Center
Boston, MA, USA
05.2024 - Current
- Provide senior-level strategic, operational, and clinical leadership for a Medicaid LTSS Community Partner program serving complex populations.
- Ensure compliance with MassHealth contracts, ACO performance standards, and quality benchmarks through rigorous monitoring and reporting.
- Lead and develop multidisciplinary teams (managers, nurses, care managers), overseeing hiring, onboarding, performance management, and workforce planning.
- Drive infrastructure development, continuous quality improvement initiatives, and cross-sector collaboration with ACOs, MCOs, community-based organizations, and state agencies.
- Utilize dashboards, claims data, and performance analytics to identify gaps in care coordination, optimize workflows, and ensure program sustainability.
Senior Manager, Dual Leadership Role - BH CP & Boston Allied Partners (BAP)
Boston Medical Center
Boston, MA, USA
01.2024 - 09.2025
- Held concurrent senior leadership accountability across two Medicaid Community Partner programs during organizational transition.
- Ensured continuity of operations, quality performance, staff leadership, and partner relationships across BH CP and BAP.
- Played a key role in transition planning, aligning quality, compliance, and care coordination standards across programs.
- Supported operational scale-up of BAP while maintaining full oversight of BH CP outcomes and deliverables.
Senior Manager Behavioral Health Community Partners Program (BH CP)
Boston Medical Center
Boston, MA, USA
04.2023 - 09.2025
- Led a Medicaid ACO-aligned Behavioral Health Community Partner program through its full operational lifecycle and planned sunset, overseeing program design, operations, analytics, and clinical integration.
- Held full accountability for care team hiring, supervision, productivity, and performance management across multidisciplinary behavioral health staff.
- Partnered with Population Health, Complex Care Management, IT, Clinical and Financial Analytics, and ACO site leadership to optimize program outcomes and compliance.
- Directed program performance measurement, reporting, and improvement initiatives aligned with contract, quality, and engagement requirements.
- Provided senior leadership through program transition planning and wind-down activities following BH CP sunset (9/30/25).
Senior Manager
Boston Medical Center
Boston, MA, USA
03.2022 - 04.2023
- Govern nine Community Engagement Facilitators (CEFs). Craft training programs for CEFs. Coordinate with directors, managers, administrative, finance, research, and communications departments to orchestrate necessary tasks.
- Liaise with Informatics, the Community Engagement Core, the Care Continuum Core, and numerous trainers. Oversee and assist CEFs in crafting protocol execution plans.
- Organize staff meetings while adhering to documentation protocols. Contribute as point of contact for CEFs and other teams while managing assessments and feedback.
- Cooperate with study and community partners to promote community engagement.
- Spearheaded 'The Communities that Heal' intervention, a data-driven roadmap to lower overdose deaths across 16 Massachusetts communities in four states by developing customized programs and campaigns.
- Assisted CEFs in building systems to track, meet, and exceed target goals.
Senior Project Manager (Operations & Strategy)
Massachusetts Behavioral Health Partnership (Beacon Health Options | Anthem)
Boston, MA, USA
12.2019 - 03.2022
- Led strategic and operational initiatives across Medicaid, Medicare, and commercial behavioral health programs in the Northeast region.
- Supported senior leadership in improving clinical efficiency, productivity, and quality performance.
- Directed program management and evaluation of quality and performance measures.
- Analyzed population health, utilization, and patient safety trends to mitigate risk and improve outcomes.
- Led enterprise-wide credentialing transformation, transitioning from manual processes to a digital platform.
- Partnered with end users to design reporting solutions aligned with operational and clinical needs.
Project Manager (Operations)
Massachusetts Behavioral Health Partnership (Beacon Health Options | Anthem)
Boston, MA, USA
01.2018 - 12.2019
- Managed regulatory-driven initiatives and enterprise projects requiring sustainability and intervention planning.
- Led ACO integration efforts and enterprise-wide access redesign, including consolidation to a single patient access line.
- Organized and managed annual behavioral health integration forums focused on access, equity, and patient experience.
- Delivered consistent reporting and executive updates on project milestones and risks.
Office Manager | Executive Assistant to Sr. Director of Innovation and VP of Strategy
Boston Children's Hospital
02.2016 - 01.2018
- Supported executive leadership in innovation, digital health, and strategic initiatives.
- Managed telepsychiatry initiatives addressing opioid use disorder and access to care.
- Led administrative operations, workforce coordination, and cross-departmental project support.
- Designed and deployed hospital-wide telehealth training for clinicians and administrative staff.
- Recognized through nomination to the Conexion Mentoring Program for leadership excellence.
Practice Manager
Ophthalmic Consultants of Boston
Boston, MA, USA
04.2015 - 02.2016
- Oversaw day-to-day clinical and administrative operations, staffing coverage, and patient flow.
- Led operational transition to EPIC and implemented front-desk workflow improvements.
- Supported financial operations, scheduling, and high-volume patient communications.
Clinic Manager
Ophthalmic Consultants of Boston
Boston, MA, USA
08.2014 - 04.2015
- Managed clinic operations, budgets, billing processes, and insurance workflows.
- Supervised and trained front-desk staff; conducted performance evaluations.
- Ensured timely reimbursement, compliance, and patient service excellence.
Education
Master of Science Equivalent - PhD coursework
Simmons College
Boston, MABachelor of Science - Health Sciences
Simmons College
Boston, MASkills
- Healthcare Operations Leadership
- Contract Management & Regulatory Compliance (Medicaid / MassHealth)
- KPI Development, Monitoring & Performance Governance
- Executive Reporting & Data-Driven Decision Making
- Behavioral Health & Population Health Operations
- Medicaid ACO & Community Partner Programs
- Program Lifecycle Management (Scale, Sustain, Sunset)
- Quality Improvement & Corrective Action Planning
- Data Analytics, Dashboards & Utilization Analysis
- Workforce Strategy, Hiring & Performance Management
- Cross-Functional & Cross-Sector Leadership
- Strategic Planning & Operational Execution
- Risk Management & Audit Readiness
- Clinical–Operational Integration
- Health Equity & Community-Based Care Delivery
Languages
Spanish
Professional Working
Timeline
Associate Director, Boston Allied Partners (BAP) - LTSS Community Partner Program
Boston Medical Center
05.2024 - Current
Senior Manager, Dual Leadership Role - BH CP & Boston Allied Partners (BAP)
Boston Medical Center
01.2024 - 09.2025
Senior Manager Behavioral Health Community Partners Program (BH CP)
Boston Medical Center
04.2023 - 09.2025
Senior Manager
Boston Medical Center
03.2022 - 04.2023
Senior Project Manager (Operations & Strategy)
Massachusetts Behavioral Health Partnership (Beacon Health Options | Anthem)
12.2019 - 03.2022
Project Manager (Operations)
Massachusetts Behavioral Health Partnership (Beacon Health Options | Anthem)
01.2018 - 12.2019
Office Manager | Executive Assistant to Sr. Director of Innovation and VP of Strategy
Boston Children's Hospital
02.2016 - 01.2018
Practice Manager
Ophthalmic Consultants of Boston
04.2015 - 02.2016
Clinic Manager
Ophthalmic Consultants of Boston
08.2014 - 04.2015
Bachelor of Science - Health Sciences
Simmons College
Master of Science Equivalent - PhD coursework
Simmons College
Qualifications Summary
- Lead hospital and community-based healthcare operations, including data analytics, budget oversight, program roadmapping, policy implementation, and staff management.
- Drive operational and clinical performance improvement across healthcare and behavioral health programs, with deep expertise in community outreach, substance use disorder, and opioid use disorder initiatives informed by qualitative and quantitative data.
- Direct change management initiatives encompassing care model design, platform consolidation, workflow optimization, and health equity advancement.
- Apply research, analytics, and performance monitoring to strengthen care delivery, quality outcomes, and compliance with regulatory and contract requirements.
- Partner closely with senior leadership and C-suite executives to align operational strategy with patient needs, organizational priorities, and system-wide goals.
Personal Information
Title: Healthcare Director