Download PDF

Work History

10/2016Present

Provider Network Account Executive

AmeriHealth Caritas 

Functions as a liaison between Plan and providers by responding to their needs and inquiries, and educating providers and their office staff. Perform contracting activities with providers which includes the negotiation of rates for services following special pricing procedures. Addresses routine inquiries independently and not be dependent on being told to do so. Liaison for claims issues between provider and Plan Operations. Actively engages providers in Plan Initiatives and/or goals. Develops positive working relationships with applicable provider practice staff. Develops strategies to address issues and opportunities and engages poor performing practices in meaningful dialogue to change behaviors. Conduct in person and/or phone conferences/meetings with providers. Attend required training sessions on an annual basis. Supports the Quality Management Department with the credentialing and re-credentialing process, and the investigation of member complaints. Completes site visits when needed. Identifies and reports compliance issues in accordance with Plan policy and procedure. Works with all departments to develop and execute strategies for optimally managing medical costs. Performs other duties and projects as assigned.

10/201510/ 2016

Member & Provider Communication Analyst. ESR

DHS, Iowa Medicaid Enterprise ,Maximus 

Managed Care Implementation SME., Develop and implement effective communication solutions. Research, write, edit, and review content for printed and online material. Ensures all materials meet internal and external business and legal standards. Public speaking .RFI's . Manage member correspondences . Educate the public and internal staff members on policy updates. Assist in writing scripting for the call center, Report and handle HIPAA violations .  Schedule, plan, and advertise for public meetings and events. 

8/20134/2015

Account Coordinator

DHI (dice.com)

Provided support for a book of business worth $8 million, Created & presented custom activity reports , Troubleshooting, Upsell products, Provided feedback to increase ROI, Provided updates to the website and crm, Trained clients on how to use the website, ME on technology trends and talent, Reported website problems to development,  Built new contract opportunities and quotes using Salesforce.com, Held large and small group trainings via webinars on website utilization and market trends, set up and worked with third party ATS vendors.

Education

Aug 2010Jul 2013

Bachelors of Arts  Communication Studies

Iowa State university 

Skills

  • Communication, Conflict Resolution, Leadership
  • Time Management, Self-motivation, Adaptability
  • Salesforce , FACETS, Contract Manager, Adobe, Microsoft Office, EXP