Amber Roenworm
Antelope
Summary
Dynamic enrollment supervisor with extensive experience at TriWest Healthcare Alliance, excelling in data analysis and process improvement. Proven track record in leading teams to optimize performance and enhance compliance with TRICARE standards. Adept at training and developing staff, driving operational efficiency, and resolving complex issues to support organizational goals.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Supervisor, Enrollment
TriWest Healthcare Alliance
10.2024 - Current
- Lead and manage the Enrollment Production team, ensuring timely completion of projects while monitoring data and performance metrics to optimize business processes and workflow efficiency.
- Oversee the development, implementation, and refinement of process improvements, utilizing data analysis to identify system discrepancies and propose data-driven solutions.
- Collaborate cross-functionally to prioritize and organize business requirements, ensuring all reporting needs are met in alignment with TriWest and government healthcare standards.
- Utilize Workforce Management tools to allocate resources effectively, adjusting for workload fluctuations, and ensuring that staff assignments support business goals and deadlines.
- Develop and maintain comprehensive reporting on enrollment performance, providing regular updates and analysis to leadership to inform decision-making.
- Serve as a Subject Matter Expert (SME) on TRICARE Enrollment processes, offering guidance to staff and leadership on complex issues and ensuring adherence to established protocols.
- Conduct data analysis and facilitate monthly and weekly performance reviews, identifying areas for process improvement and resolving escalated issues to ensure smooth operations.
- Provide coaching and mentoring to team members, ensuring continuous development, skill-building, and compliance with enrollment best practices.
- Ensure the team maintains high quality standards for enrollment transactions, auditing processes to uphold compliance with contractual timelines and regulatory requirements.
- Participate in the creation and update of detailed business process documentation, including Desk Level Procedures (DLP) and training materials, aligned with TriWest’s operational guidelines and TRICARE policies.
- Drive business process improvements by leveraging data analysis, technology, and collaboration with internal and external stakeholders to support TriWest's mission and goals.
- Engage in specialized training and educational sessions on TRICARE and TriWest Enrollment processes, ensuring the team stays up to date with the latest industry standards and regulatory changes.
Enrollment Rep Lead / Senior Enrollment Representative
Health Net Federal Services, LLC (HNFS)
11.2014 - 10.2024
- Tested updates to Automated Letter Generation System (ADGS), enhancing overall functionality.
- Led Enrollment Representatives team, ensuring accurate and timely TRICARE enrollment processing.
- Developed training materials and coached staff on system updates and process modifications.
- Monitored daily workflows, assigning tasks to achieve performance targets efficiently.
- Collaborated with TRICARE Liaisons and Beneficiary Educators to promptly resolve access-to-care issues.
- Managed document uploads and processing within Document Management System (DMS).
- Provided backup support for analysts, ensuring timely completion of daily reporting.
- Maintained up-to-date knowledge of policies and procedures to ensure compliance with TRICARE guidelines.
Enrollment Representative II / I
Health Net Federal Services, LLC (HNFS)
06.2006 - 11.2014
- Processed TRICARE enrollments, change requests, and system updates in a timely manner.
- Communicated with beneficiaries via phone, email, and mail to resolve enrollment-related issues.
- Collaborated with various departments to ensure proper processing and timely resolution of problems.
- Maintained up-to-date knowledge of policies and procedures to ensure compliance with TRICARE guidelines.
Education
AAS - Business Administration
MTI College
Sacramento, CASacramento, CA
Skills
- Data analysis and reporting
- Process documentation and improvement
- Project management and team leadership
- Training and development
- Problem solving and communication
- Technical proficiency in Microsoft Office Suite
- TRICARE enrollment systems and DEERS/DOES
- Document management systems
- Performance monitoring
Greatest Accomplishment
Acknowledged in the Contractor Performance Assessment Reporting System (CPARS) at the request of Joint Base Lewis-McChord (JBLM) for my role in saving a life through quick action and intervention.
Certification
A Position of Trust was granted by DoD Central Adjudication Facility
Timeline
Supervisor, Enrollment
TriWest Healthcare Alliance
10.2024 - Current
Enrollment Rep Lead / Senior Enrollment Representative
Health Net Federal Services, LLC (HNFS)
11.2014 - 10.2024
Enrollment Representative II / I
Health Net Federal Services, LLC (HNFS)
06.2006 - 11.2014
AAS - Business Administration
MTI College