Aprile Ashby
Summary
Talented Senior Project Manager with excellent client oversight and issue resolution talents. Highly effective overseeing multiple tasks and employees at once. Dedicated to detail-oriented leadership and goal-oriented planning. Experienced when meeting tight deadlines, driving business opportunities and working well in team-based environments. Engaging and personable to manage key milestones and deliver exemplary customer service.
Overview
13
13
years of professional experience
Work History
SENIOR PROJECT MANAGER
Enclara Pharmacia
12.2022 - Current
- Manage the complete onboarding of new business including new clients, new branches, model conversions, infusion services, non-ADS in-patient units, and digital solutions
- Developed and led multi-disciplinary team to redefine problems and reach solutions based on different perspectives.
- Provided outstanding service to clients through effective communication and prompt issue resolution to facilitate future business opportunities.
- Coordinated cross-functional teams to determine timely delivery and compliance of project requirements.
- Monitored project progress, identified risks and implemented corrective measures to acquire success.
PROJECT MANAGER COORDINATOR
Humana
03.2022 - 12.2022
- Coordinated the schedule, budget, issues, and risks of the project
- Ensured the project management framework was well-organized and that it ran smoothly
- Communicated with various departments in the organization to make sure everyone is on the same page
- Monitoring project progress and creating project status reports for project managers and stakeholders
- Assisting with resource scheduling so that team members have the resources they need to complete their tasks
- Scheduling stakeholder meetings and facilitating communication between the project manager and stakeholders throughout the project life cycle
- Managing project management documents such as the project plan, budget, schedule, or scope statement, as directed by the project manager
- Executing a variety of project management administrative tasks such as billing and bookkeeping
- Support team members when implementing risk management strategies.
- Provided detailed technical and operational direction in project challenges, consistently meeting deliverables according to deadlines.
SENIOR ENTERPRISE TRANSFORMATION
Humana
05.2021 - 03.2022
- Analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process insights and improvements
- Generates and acts on enterprise outer loop insights, which apply across multifunctional areas of the business
- Test's hypotheses and uses data to drive decisions, understands statistics and can accurately and effectively analyze data
- Performs root cause analysis and defines actions to be taken from insights, also determining ownership and accountability next steps for insights
- Empowers the appropriate business partners to engage and develop the plan to monitor results
- While ensuring the business teams prioritize changes based on the expected customer and business impacts Track's stakeholders' feedback and operational impact of changes to evaluate effectiveness of changes with business teams and perform continuous improvement
- Develops and builds relationships with key business stakeholders, leveraging team data tools and technology
- Works with business partners to understand key business challenges and conceptualize and develop an analytics solution framework, while becoming a trusted business partner and advisor
- Maintained routine communication with clients to assess overall satisfaction, resolve complaints, and promote new offerings.
PROBLEM, INCIDENT & EVENT MANAGEMENT ENGINEER
PROBLEM, Humana
11.2015 - 01.2020
- Leader of daily incident management meeting team for release and turn committee items
- Oversaw change management efforts to support implementation of critical initiatives driving technology, process and culture changes.
- Designed processes and systems supporting business needs before, during and after transitions.
- Perform testing and release management efforts using Agile Methodology
- Identified root cause of escalated systems issues and ensured clinical programs were functioning at key levels by collaborating with IT
- Reduced response times and increased specialist and end-user knowledge by serving as the SME in medical and health administration research
- Minimized load errors 83% and made the process more efficient by supporting all Clinical Guidance
- Exchange (CGX) users across Humana and its partners
- Increased accuracy of development programs by serving as a conduit between business and Information
- Technology (IT) teams
- Identified and implemented process and system changes within CGX and its usage
- Improved end-user and new hire system knowledge by working as Systems Operations User Liaison (SOUL) for the Northern and Southern Medicare Divisions
- Ensured incidents were identified and ready for each release, leading the Prioritization process which consisted of managing multiple incidents and documenting in various areas.
PROCESS IMPLEMENTATION CONSULTANT
Humana
05.2015 - 11.2015
- Identified highly impacted operational areas for transition from ICD-9 to ICD-10
- Coordinated end-to-end test execution between 70 providers and 20+ business and IT areas for processing and handling of high-risk ICD-10 codes
- Tested over 150 business scenarios, warranting a successful implementation of ICD-10 codes
- Achieved compliance by establishing claims results with Actuarial team and determining approaches to handle time sensitive claim submissions and inquiries
- Investigated industry trends and spoke to senior leadership about results and any recommendations
- Determined root cause of project defects and managed through to resolution, establishing communication channels between IT team and external departments.
- Communicated effectively with third-party personnel involved in implementation efforts, coordinating activities to maximize progress.
OPERATIONS ANALYST
Humana
05.2013 - 05.2015
- Streamlined testing workflow and established needed processes
- Fostered teamwork, generated clinical events, and streamlined work processes by collaborating with subject experts to help design and create database resources for department
- Created queries, improved the efficiency of existing reports, and opened channels of communication for department transparency and the sharing of information
- Simplified daily processes of team members, reducing the audit leader checklist from 45 steps to 14
- Received Humana Star Award for quick learning and implementation of processes.
- Created custom reports and visualizations to support decision-making processes.
- Assessed operational performance to identify areas for improvement.
CLINICAL INTAKE SPECIALIST
Humana
03.2011 - 05.2013
- Collected and provided accurate clinical information while delivering perfect service
- Worked collaboratively, improving the new hire training process and training new associates
- Processed / managed authorizations via phone / queues in CCA / CGX, ensuring compliance
- Demonstrated leadership as subject matter expert
- Trusted to work key projects for management
- Collaborated with the finance department regarding personnel and efficient.
- Assisted in coordination of admissions process with patients.
Education
Master's Degree - Business Administration
Sullivan University
Louisville, KY12.2014
Bachelor's Degree - Business Administration
Sullivan University
Louisville, KY03.2010
Associate of Science - Business Administration And Management
National College of Business And Technology
Louisville, KY05.2007
Skills
- Attention to Detail Team Leadership Project Management
- Accountability Collaborative Structured
- Problem Solver Coordinated
- Best Practices and Methodologies
- Project Management Body of Knowledge (PMBOK)
- Microsoft Office Suite SalesForce Azure/TFS
- CGX (&) CA Service Desk CAS/MTV IDEA Tool
- Squids Power BI (&) Miro
- Project Plan Development
- Status Meetings
- Cross-Functional Communication
- Project Goals and Milestones
Timeline
SENIOR PROJECT MANAGER
Enclara Pharmacia
12.2022 - Current
PROJECT MANAGER COORDINATOR
Humana
03.2022 - 12.2022
SENIOR ENTERPRISE TRANSFORMATION
Humana
05.2021 - 03.2022
PROBLEM, INCIDENT & EVENT MANAGEMENT ENGINEER
PROBLEM, Humana
11.2015 - 01.2020
PROCESS IMPLEMENTATION CONSULTANT
Humana
05.2015 - 11.2015
OPERATIONS ANALYST
Humana
05.2013 - 05.2015
CLINICAL INTAKE SPECIALIST
Humana
03.2011 - 05.2013
Master's Degree - Business Administration
Sullivan University
Bachelor's Degree - Business Administration
Sullivan University
Associate of Science - Business Administration And Management
National College of Business And Technology
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