Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joanne Roy

Port Charlotte,FL

Summary

Dedicated Care Management professional and Subject Matter Expert with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best meet identified goals.

Overview

22
22
years of professional experience

Work History

Senior Care Manager /MHK Subject Matter Expert

Point 32 Health
Watertown, MA
07.2016 - 01.2022
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines .
  • Provided support and mentoring to care management and MHK SMEs to increase knowledge, efficiency and satisfaction in their roles.
  • Supported the QHP Massachusetts Care Management MHK implementation in the role of the Test Lead.

Care Management Float /Special Projects

Tufts Health Plan
Watertown, MA
05.2008 - 07.2016

Provided care management support to Tufts Health Plan members engaged in a Program when their case manager was not available. The goal was to ensure a seamless experience.

Completed all tasks assigned for a Special Project efficiently and on time.

Care Management Team Leader

Tufts Health Plan
Watertown, MA
06.1999 - 01.2008
  • Hired exceptional candidates and led staff to maximize productivity .
  • Communicated with internal and external customers positively with particular attention to problem resolution.
  • Supported regulatory compliance by overseeing audits and mentoring staff to promote and verify adherence.
  • Supported staff through education and new opportunities to grow professionally.

Education

Diploma - Nursing

Massachusetts General School of Nursing
Boston, MA
06.1976

Skills

  • Attention to Detail
  • Organization and Time Management
  • Teamwork and Collaboration
  • Leadership
  • MHK Software Proficiency

Timeline

Senior Care Manager /MHK Subject Matter Expert

Point 32 Health
07.2016 - 01.2022

Care Management Float /Special Projects

Tufts Health Plan
05.2008 - 07.2016

Care Management Team Leader

Tufts Health Plan
06.1999 - 01.2008

Diploma - Nursing

Massachusetts General School of Nursing
Joanne Roy