Managed Care Implementation SME. Current on CMS and state Medicaid policies and procedures, Technical and writing support. 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. Assist with Identifying improvements and areas of improvement for more efficient communication. Internal and external communications.Member and provider Outreach.Present at community and annual meetings,Liaison for members and provider escalated issues. SME for transition to Managed Care. Quality Assurance . Complete 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 . Edit member and provider handbooks. Schedule, plan, and advertise for public meetings and events.
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,SME 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. Boolean search expert.work closely with C-level management internally and externally, Create personalized reports to showcase ROI. Met monthly sales and renewal quotas. SME expert on social recruiting and how to build personal and company brand.
2006 - Women's Basketball , 2007 - Women's Volleyball