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Work History

10/2017Present

Provider Network Account Executive

AmeriHealth Caritas 

Account management for the LTSS , Behavioral Health and HCBS providers. Negotiate rates and create contracts for providers, Account leader for assigned territory, Handle escalations, Claim and contract research, Support QM with credentialing and re-credentialing providers, liaison between Plan and the participating providers by responding to their needs and inquiries, and educating providers and their office staff.

10/201510/ 2016

Member & Provider Communication Analyst. ESR

DHS, Iowa Medicaid Enterprise ,Maximus 

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. 

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,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. 

Education

Aug 2010Jul 2013

BA in Communication Studies

Iowa State university 
Aug 2006Jun 2010

AA in Liberal Arts

Marshalltown Community College

2006 - Women's Basketball , 2007 - Women's Volleyball

Skills

Adaptable & Organized
  • Ability to obtain and process Information
  • Ability to plan, organize and prioritize work
  • Multitasking
  • Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects.
Technical

  • Salesforce.com
  • Microsoft Office, Excel, PowerPoint,Word
  • Google docs
  • Access
  • MACES, Streamline
  • FACETS
  • Contract Manager
  • webx, clearslide, Global Meet
  • Sharepoint