Anaaja Hall
Houston,Texas
Summary
Talented Manager with expert team leadership, planning and organizational skills built during successful career. experience directing and improving operations through effective employee motivational strategies and strong policy enforcement, Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
5
5
years of professional experience
1
1
Certification
Work History
C&S Medicaid Customer Navigator
UNITED HEALTHCARE
09.2022 - Current
- Conduct telephonic outreach for health assessments, focusing on social determinants that impact Medicaid members' well-being.
- Establish and nurture customer relationships, ensuring prompt resolution of concerns to maintain satisfaction.
- Manage challenging customer interactions with tact and professionalism, achieving first-call resolution targets.
- Address and reconcile verbal and written claims and authorization appeals from providers, and effectively handle formal member grievances.
- Consistently meets metrics, both quality & performance
Team Lead/Escalations
DIRECTV CALL CENTER
05.2021 - 09.2022
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Managed and motivated employees to be productive and engaged in work.
- Proven experience working independently and problem solving with minimal guidance, but also knows when to escalate issues when needed
- Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
- Planned, designed, and scheduled phases for large projects.
Team Lead Shift Manger and Pharmacy Technician
CVS PHARMACY
02.2020 - 03.2021
- Trained new team members by relaying information on company procedures and safety requirements.
- Program for COVID-19 traveling to clinics, nursing homes and universities to help people get registered and tested for Covid-19.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
Care Giver Assistant
UTHEALTH CHILD CARE DEVELOPMENT CENTER
10.2019 - 04.2020
- Assisting lead teachers with children 6 weeks-6 years of age.
- Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
- Greeted guests in with friendliness and professionalism.
- Helping with learning and cognitive behaviors
- Assisting with personal care such as restroom breaks, changing diapers, naptime, feeding and playtime
Education
Doctorate - Public Health
Capella University
Masters - Public Health
Lamar University
12.2023
Bachelor of Science - Health Studies
Texas Southern University
05.2021
Skills
- Advanced skills in clinical documentation
- Advance Communication Skills
- Advance Customer Service Skills
- Medicaid & Medicare knowledge and experience
- Both Inbound & Outbound Experience
- Research
- Pharmacy Tech
- Confidentiality and HIPAA
- Workflow Optimization
- Proficient with MS Office Suite (PowerPoint, Word, Excel, Outlook,)
- Care management
- Team Leadership
- Time Management
- Project planning and development
Certification
Medicaid and Retirement (M&R) Certification 1&3, 03/26, 03/27
Organizations
- Sigma Gamma Rho Sorority Incorporated: Houston, Texas, US
- The Public Health Club
- Sisters of Public Health: Houston Texas
- Texas Southern University Campus Pals Mentorship: Houston, Texas, US
- National Society of Leadership and Success: Houston, Texas, US (Vice President & Membership outreach)
Projects
Social Determinants of Health Redesign Videos
Training
Supervisor Training
Timeline
C&S Medicaid Customer Navigator
UNITED HEALTHCARE
09.2022 - Current
Team Lead/Escalations
DIRECTV CALL CENTER
05.2021 - 09.2022
Team Lead Shift Manger and Pharmacy Technician
CVS PHARMACY
02.2020 - 03.2021
Care Giver Assistant
UTHEALTH CHILD CARE DEVELOPMENT CENTER
10.2019 - 04.2020
Doctorate - Public Health
Capella University
Masters - Public Health
Lamar University
Bachelor of Science - Health Studies
Texas Southern University