Hi, I’m
Ashley Redd
Melissa,TX
There’s no shortage of remarkable ideas, what’s missing is the will to execute them.
Seth Godin
Summary
Forward-thinking with comprehensive experience implementing new processes and managing and planning innovations. Bringing outstanding problem-solving and abilities paired with in-depth knowledge of policies and procedures, and finding solutions to complex problems. Communicative and reliable professional polished in developing scopes and objectives and maintaining comprehensive project documentation.
Overview
13
years of professional experience
1
Language
Work History
Aetna, a CVS HealthTampa, FL
Medical Claims Supervisor
11.2022 - Current
Job overview
- Implemented new standard work strategies to ensure consistency within the department.
- Reviewed administrative guidelines whenever questions arose during processing of claims.
- Developed and implemented operational plans and procedures to enable successful team operations.
- Recommended and communicated goals to help team excel against targets.
- Oversaw onboarding processes for new team members, delivering training on claims handling.
- Mentored and developed team members to succeed and advance within department and company.
CVS/caremarkSan Antonio, TX
Medicare Part D Rep II
09.2021 - 11.2022
Job overview
- Responded to member questions regarding plan benefits and provisions.
- Maintained positive working relationship with fellow staff and management.
- Verified insurance benefits to refill medications by examining formularies and calling insurance companies for exceptions.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
AMITA HealthChicago, IL
Human Resources Administrator
12.2019 - 10.2021
Job overview
- Made salary compensation recommendations based upon in-depth research on current job trends.
- Worked closely with recruiting personnel to put together appropriate compensation packages for employees.
- Developed and maintained company-wide job description records and library.
- Conducted employee relations investigations into safety complaints, allegations of harassment and civil rights issues.
- Performed payroll functions including calculating hours worked and overtime pay rates.
- Conducted new employee orientation to introduce employees to policies, culture and objectives.
William B Evans, MDMatteson, IL
HR Generalist
07.2016 - 12.2019
Job overview
- Responded to inquiries from employees regarding benefits packages.
- Investigated complaints of discrimination or harassment within the workplace.
- Assessed training needs based on performance evaluations or feedback from managers.
- Compiled reports related to hiring, termination, promotions, absences, turnover rates.
- Provided guidance to managers on employee relations issues.
- Maintained accurate records of personnel data in the HRIS system.
- Monitored company compliance with labor regulations at all levels.
Rita Saldanha MDHazel Crest, IL
Business Analyst
11.2013 - 01.2015
Job overview
- Surfaced insights and findings to support business and technical decisions.
- Developed innovative, fact-based and achievable strategies and operating models based on evaluations.
- Delivered timely support by tracking issues and communicating resolutions to end users.
- Gathered and organized data to analyze current industry trends.
- Identified needs of customers promptly and efficiently.
Shyamal Bose MDCrete, IL
Project Manager
01.2012 - 10.2013
Job overview
- Conducted regular status meetings with internal teams and external partners to track progress against established milestones.
- Analyzed data from various sources such as surveys, interviews, focus groups. to inform decision-making related to projects.
- Presented findings from data analysis in a clear, concise manner that was easily understood by stakeholders at all levels of the organization.
- Negotiated contracts with vendors and suppliers based on company objectives and budget constraints.
- Participated in cross-functional teams responsible for developing innovative solutions for complex problems.
Shyamal Bose, MDCrete, IL
Lead Medical Assistant
01.2011 - 02.2012
Job overview
- Managed front office operations, including scheduling patient appointments and managing patient records.
- Supervised and trained medical staff on proper procedures for patient intake, examinations and treatments.
- Performed administrative duties such as filing, billing and coding of insurance claims.
- Ensured that all medical supplies were adequately stocked in the examination rooms.
- Reviewed patients' medical histories prior to their visits to ensure accuracy of information provided by the physician.
Education
Strayer UniversityWashington, DC
MBA from Human Resources Management
11.2023
Purdue UniversityWest Lafayette, IN
Bachelor of Science from Health Science
05.2020
Skills
- Lean Six Sigma
- Critical Thinking
- Cost-Benefit Analysis
- Conflict Resolution
- GAAP Accounting Principles
- Financial Management
- Relationship Building
- KPI Tracking
- Strategic Planning
- Verbal and Written Communication
- Leadership
- Capital Budgeting
- Cultural Awareness
- Negotiation
- Root Cause Analysis
- Project Lifecycle
- Feasibility Analysis
- Adaptability
- Emotional Intellgience
- Active Listening
- Problem Solving
- Decision Making
- Problem Resolution
- Time Management
- Collaboration
- Complex Problem Solving
Accomplishments
- Supervised team of 32 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Process Improvement - Achieved revenue objective by implementing cost-cutting measures.
Availability
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Work-life balanceCompany CultureCareer advancementHealthcare benefitsPersonal development programsWork from home optionFlexible work hoursTimeline
Medical Claims Supervisor
Aetna, a CVS Health
11.2022 - Current
Medicare Part D Rep II
CVS/caremark
09.2021 - 11.2022
Human Resources Administrator
AMITA Health
12.2019 - 10.2021
HR Generalist
William B Evans, MD
07.2016 - 12.2019
Business Analyst
Rita Saldanha MD
11.2013 - 01.2015
Project Manager
Shyamal Bose MD
01.2012 - 10.2013
Lead Medical Assistant
Shyamal Bose, MD
01.2011 - 02.2012
Strayer University
MBA from Human Resources Management
Purdue University
Bachelor of Science from Health Science