Hi, I’m
Angel Eggerson
Director, Operations
Omaha,NE
Summary
Self-directed and resourceful leader with 15 years of experience successfully organizing, managing and delivering cross-functional projects. Influences and guides at executive-level while structuring and executing complex analyses to support strategy in fast-paced and evolving environment. Excellent influencer and relationship builder with growth mindset and strong communications skills to summarize and present various topics effectively to a wide audience.
Overview
15
years of professional experience
Work History
Apex Health Inc./Memorial Hermann Health
Director
02.2019 - Current
Job overview
- Engages executive leadership and moderates executive level steering committee meetings
- Briefs executive leadership on enterprise-wide initiatives/projects while providing guidance across all levels of organization concerning these initiatives
- Vendor Management and Project Management Office, Drafts RFPs and leads RFP processes for all third party organizations and functions
- Leads and manages all contractual discussions with third party organizations including amendments, contract negotiations and contract terminations
- Leads operational meetings related to key business initiatives with senior and executive leadership
- Leads cross-functional group of company managers to develop training and communication across enterprise, reducing work in silos
- Significantly reduces high costs from premium vendors through negotiations
- Leads cross-functional team to identify reporting deficiencies causing overpayments and underpayments to vendors
- Creates and implements processes to validate vendor invoices and challenge erroneous charges
- Identified hundreds of thousands in cost savings and reduction
- Developed analytic dashboard to monitor and track vendor performance
- Developed processes to provide greater oversight for vendors by using contractual performance guarantees and analytics
- Builds and maintains productive relationships with internal business owners and vendor counterparts
- Leads team of six (6) consisting of vendor managers, implementation managers and project managers.
Wellcare Health PlansOmaha, NE
Provider Operations Manager
09.2016 - 02.2019
Job overview
- Led cross-functional teams to audit, identify and resolve data integrity issues
- Market Operations - cultivated and maintained working relationships with large provider groups/accounts
- Responsible for large, key provider accounts related to reimbursements and delivery of key services to providers
- Proactively analyzed claims data and worked with internal stakeholders to prevent further disruption/challenges in provider reimbursement
- Led provider data team to reduce provider load time by 80% and improve accuracy in providing loads by 40%
- Led team to be second across enterprise in provider load volume
- Oversaw provider data team spotlighted in president's quarterly review (Q3 2018) for its outstanding work and improvement over past year
- Received executive award for outstanding leadership for being in top 10% of best leaders across enterprise (nationwide) according to annual employee survey results.
Midlands Choice, Inc
Credentialing Specialist, Level III, Credentialing Specialist
09.2007 - 09.2016
Job overview
- Only CPCS (Certified Provider, Advised and collaborated with leadership on improvement projects to be in line with accreditation standards
- Provided real-time training and guidance to new staff
- Presented providers with actionable items to Credentialing board on monthly basis
- Collaborated with data integrity team to ensure accuracy of provider data for large provider groups
- Became subject matter expert in provider credentialing.
Education
University of Nebraska At Omaha, Omaha, NE
Bachelor's Degree from Communications
05.2016
Skills
- People Management
- Project Development and Management
- Organizational Development
- Issue Resolution
- Verbal and Written Communication
- Contract and Vendor Management
- Hiring and Retention
- Strategic Planning
- Team-building
- Planning and Coordination
- Analytical and Critical Thinking
- Teamwork and Collaboration
Accomplishments
2018, Outstanding Leadership Award , Wellcare Health Plans, Top 10% of leaders across the enterprise based on Employee Engagement Survey
Timeline
Director
Apex Health Inc./Memorial Hermann Health
02.2019 - Current
Provider Operations Manager
Wellcare Health Plans
09.2016 - 02.2019
Credentialing Specialist, Level III, Credentialing Specialist
Midlands Choice, Inc
09.2007 - 09.2016
University of Nebraska At Omaha
Bachelor's Degree from Communications
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