Anne "Nikki" Wilson
St. Charles
Summary
Seasoned business collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.
Overview
12
12
years of professional experience
Work History
Business Analyst III
Oklahoma Complete Health
10.2022 - Current
- Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
- Performed gap analysis between existing systems or processes and desired state, identifying areas for improvement or enhancement.
- Improved business processes by analyzing current practices and recommending optimization strategies.
- Streamlined project management with effective communication and collaboration across cross-functional teams.
- Provided technical support for troubleshooting analytics and reporting issues.
Quality Improvement Specialist
Dell Children's Health Plan
07.2022 - 10.2022
- Developed and executed validation protocols for new processes, ensuring compliance with industry regulations and customer requirements.
- Collaborated with cross-functional teams to identify opportunities for continuous improvement, streamlining processes across departments.
- Coordinated with suppliers on resolution of non-conformances through effective root cause analysis and corrective action planning, enhancing supplier relationships and performance levels.
- Analyzed data from various sources to identify trends and patterns related to product defects, enabling targeted improvements in manufacturing processes.
Contract Negotiator
Centene Corporation
08.2017 - 06.2022
- Quality Management / Performance Improvement responsibilities: Gathers data from Enterprise Data Warehouse (EDW) utilizing MicroStrategy and Excel
- Liaised with different departments to coordinate information and data gathering for contract development.
- Collects data from various sources including clinical and credentialing databases, as well as state and national databases to assure that we have providers of all specialties in all counties to meet NCQA and regulatory compliance
- Maintains quality dashboards based on performance metrics, including generating files and creating reports to discuss with leadership
- Manage special projects including Pay for Performance for multiple health plans by developing a relationship with providers and initiating collaborative meetings to discuss how Centene can assist Providers to meeting Pay for Performance objectives
- Facilitate departmental meetings to disseminate information to the team to discuss ideas on how to expand our network, understand the barriers, and develop action plans.
- Built strong relationships with external partners, fostering trust and openness in communication throughout negotiations.
Human Resources
Centene Corporation
09.2012 - 08.2017
- Audited and maintained over 20,000 Performance and Goal Reviews company wide
- Serve as departmental resource for reporting, content materials, quality assurance and customer support
- Audited and maintained all performance and goal reviews for all Centene and its subsidiaries
- Create, design and develop eLearning courses and assist in the design, development, testing, implementation, and support of LMS.
Education
Master of Business Administration -
Lindenwood University - School of Business
06.2011
BA English -
Lindenwood University - School of Education
06.2006
Skills
Data Analysis
Workflow Analysis
Business process improvement
User Acceptance Testing
Gap analysis
Business Planning
CRM Systems
Negotiation
Operations Analysis
Timeline
Business Analyst III
Oklahoma Complete Health
10.2022 - Current
Quality Improvement Specialist
Dell Children's Health Plan
07.2022 - 10.2022
Contract Negotiator
Centene Corporation
08.2017 - 06.2022
Human Resources
Centene Corporation
09.2012 - 08.2017
Master of Business Administration -
Lindenwood University - School of Business
BA English -
Lindenwood University - School of Education
Similar Profiles
Anne "Nikki" WilsonAnne "Nikki" Wilson
Business Analyst III at Centene - Oklahoma Complete HealthBusiness Analyst III at Centene - Oklahoma Complete Health
Gabriel WeathersGabriel Weathers
Project Manager at Complete Concrete of Oklahoma Commercial DivisionProject Manager at Complete Concrete of Oklahoma Commercial Division
Usman KhanUsman Khan
Inpatient Nephrology Attending at St Anthony hospital SSM Health Oklahoma city and SSM health ShawneeInpatient Nephrology Attending at St Anthony hospital SSM Health Oklahoma city and SSM health Shawnee