Alicia Buffum
Columbia,SC
Summary
Senior Consultant professional with competency in developing project and implementation plans. Gifted with strong analytical and project management skills. Successful in meeting new challenges and finding effective strategic solutions.
Overview
26
26
years of professional experience
Work History
Senior CONSULTANT, CORPORATE STRATEGY & STRATEGIC SERVICES
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA
05.2022 - Current
- Identifies and researches all aspects of business solutions for the organization along with in-depth quantitative and qualitative analysis.
- Recommends strategic solutions to complex business issues and opportunities.
- Team lead for internal and external projects
- Organizational and business development, process improvement, strategic planning, and financial analysis.
MANAGER, PROVIDER QUALITY IMPROVEMENT
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA
01.2021 - 05.2022
- Responsible for Quality Navigator Program for the state of South Carolina
- Provider outreach and education to all providers within South Carolina
- Medical record review and retrieval for all quality related projects to includes HEDIS, Risk, and RADV.
ASSOCIATE DIRECTOR, DEPARTMENT OF SURGERY
PRISMA HEALTH MEDICAL GROUP
04.2016 - 01.2021
- Handled operations for 10+ surgical medical practices with the Department of Surgery with other 100 physicians, advanced practice providers, and staff
- Managed finances including budgets, P&L's, wRVU's, physician bonuses, and contract negotiations
- Responsible for physician recruitment and onboarding.
SENIOR PRACTICE ADMINISTRATOR, DEPARTMENT OF SURGERY
PALMETTO HEALTH
11.2015 - 04.2016
- Managed operations for 6 surgical practices under the Physician Practice Network of Palmetto Health.
PRACTICE MANAGER, WOMEN PHYSICIANS ASSOCIATES
PALMETTO HEALTH
05.2013 - 11.2015
- Practice Manager for 8 providers.
PRACTICE MANAGER
CAROLINA SHOULDER AND KNEE, PA
05.2011 - 05.2013
- Practice Manager for an orthopedic surgeon.
COLLECTIONS COORDINATOR, INTERNAL MEDICINE
COLUMBIA MEDICAL ASSOCIATES, PA
01.2007 - 01.2011
FIELD SERVICE SPECIALIST, MEDICAL SALES
CARDINAL HEALTH
10.2002 - 11.2003
- Territory of the Year in November 2003
- Repair and exchange of Laparoscopes, Cystoscopes, Ureteroscopes for V
- Mueller Instrument Sales Representative
- Increased repair and exchange sales by 20% in a 10-month period.
INSURANCE MANAGER, INTERNAL MEDICINE
COLUMBIA MEDICAL ASSOCIATES, PA
01.1999 - 01.2002
Education
B.A. English -
The University of South Carolina
Columbia, SC05.1997
Skills
- Public Speaking
- Exceptional Verbal & Written Communication
- Strong Interpersonal Skills
- Advanced Presentation Design and Delivery
- Strategic Thinking Skills
- Advanced Leadership Skills
- Contract Development Initiatives
- Business Development Initiatives
- Strategic Planning & Execution
- Cross-Functional Team Leadership
- Contract Negotiations
- Advanced Computer and Technical Knowledge
- 20 Years of Experience in the Healthcare Industry
- 10 Years of Experience in Management
- Operations Management
- Employee Engagement
Timeline
Senior CONSULTANT, CORPORATE STRATEGY & STRATEGIC SERVICES
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA
05.2022 - Current
MANAGER, PROVIDER QUALITY IMPROVEMENT
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA
01.2021 - 05.2022
ASSOCIATE DIRECTOR, DEPARTMENT OF SURGERY
PRISMA HEALTH MEDICAL GROUP
04.2016 - 01.2021
SENIOR PRACTICE ADMINISTRATOR, DEPARTMENT OF SURGERY
PALMETTO HEALTH
11.2015 - 04.2016
PRACTICE MANAGER, WOMEN PHYSICIANS ASSOCIATES
PALMETTO HEALTH
05.2013 - 11.2015
PRACTICE MANAGER
CAROLINA SHOULDER AND KNEE, PA
05.2011 - 05.2013
COLLECTIONS COORDINATOR, INTERNAL MEDICINE
COLUMBIA MEDICAL ASSOCIATES, PA
01.2007 - 01.2011
FIELD SERVICE SPECIALIST, MEDICAL SALES
CARDINAL HEALTH
10.2002 - 11.2003
INSURANCE MANAGER, INTERNAL MEDICINE
COLUMBIA MEDICAL ASSOCIATES, PA
01.1999 - 01.2002
B.A. English -
The University of South Carolina