Ashley Redd
Melissa,TX
Summary
Operations supervisor at Aetna with expertise in process improvement and performance management. Proven ability to implement Lean practices and enhance service quality while consistently meeting budget goals. Strong skills in conflict resolution and team development, driving efficiency and accountability across departments.
Overview
14
14
years of professional experience
Work History
Supervisor of Operations
Aetna, a CVS Health
11.2022 - Current
- Outlined performance metrics for staff, establishing a framework that promoted accountability and ongoing enhancement.
- Served as the primary point of contact for regulatory bodies, ensuring compliance with all applicable industry rules and regulations governing claims handling processes.
- Led process improvement initiatives that resulted in streamlined workflows and increased overall efficiency within the organization.
- Streamlined operational processes with the integration of innovative technologies, reducing overall costs.
- Achieved departmental budget goals consistently by implementing cost-effective strategies while maintaining a high level of service quality standards throughout the organization.
Prior Authorization Specialist
CVS Health
09.2021 - 11.2022
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Project Management Analyst
AMITA Health
12.2020 - 06.2021
- Developed comprehensive project documentation to ensure clear understanding of scope, objectives, and deliverables among all stakeholders.
- Improved project efficiency by streamlining processes and implementing best practices in project management.
- Enhanced team productivity with regular progress reviews and efficient communication strategies.
- Spearheaded process improvements resulting in increased efficiency across multiple departments involved in the project lifecycle.
Human Resources Coordinator
High Tech Medical Park
07.2019 - 10.2020
- Managed full-cycle onboarding for radiologic technologists, sonographers, and administrative staff, ensuring compliance with healthcare credentialing and licensure requirements.
- Coordinated employee training programs on HIPAA, OSHA, and radiation safety, maintaining up-to-date records for regulatory audits.
- Designed a comprehensive employee feedback system using Glint, capturing actionable insights that raised the employee engagement score by 2.1 points on a 10-point scale
- Handled employee relations matters with professionalism and discretion, escalating concerns to HR leadership when needed.
Project Manager( IC)
William B Evans, MD
07.2016 - 12.2019
- Coordinated implementation of new electronic medical records (EMR) system, ensuring seamless transition and minimal disruption to patient care.
- Managed scheduling and rollout of office-wide training for staff on updated health compliance procedures.
- Oversaw day-to-day operations of special projects, including flu shot clinics, telehealth services setup, and patient satisfaction initiatives.
- Collaborated with physicians, nurses, and administrative staff to streamline workflows, improving appointment efficiency by 20%.
- Tracked progress of office renovation projects and coordinated with vendors to ensure timely delivery and installation of medical equipment.
- Identified bottlenecks in patient intake process and introduced solutions that reduced wait times and improved patient flow.
- Created and maintained detailed project documentation, timelines, and status reports for leadership review.
Business Analyst
Zmedi Group
06.2014 - 07.2016
- Analyzed and presented data from over 500 patient records monthly to inform decision-making processes.
- Implemented new patient flow procedures that increased appointment efficiency by 20%.
- Resolved 95% of patient and staff technical issues within 24 hours, enhancing overall satisfaction.
- Compiled and assessed quarterly reports on industry trends affecting over 2000 patient visits, guiding practice improvements.
- Conducted patient surveys that identified and addressed key concerns, improving patient satisfaction scores by 15%
Lead Certified Medical Assistant
Shyamal Bose
11.2011 - 02.2014
- Increased patient safety with strict adherence to infection control protocols and proper sterilization techniques.
- Consistently met compliance requirements through diligent documentation of all relevant information related to patients'' conditions or treatment plans.
- Participated actively in staff meetings or trainings aimed at improving personal skills development or addressing departmental goalsobjectives.
- Supported physicians in delivering quality care through attentive preparation, assistance during examinations, and prompt follow-up on test results.
Education
MBA - Human Resources Management
Strayer University
09-2023
Bachelor of Science - Health Science
Purdue University
West Lafayette, IN05-2020
Skills
- Leadership
- Team development
- Conflict resolution
- Lean Six Sigma methodologies
- Change management
- Lean practices implementation
- Decision-making
- Root Cause Analysis
- Critical Thinking
- GAAP Accounting Principles
- Agile
- KPI Tracking
- Cultural Awareness
- Kanban
- RACI
- Emotional Intelligence
- Performance management
- Cross-functional collaboration
- Interpersonal communication
- Project planning
- Project scheduling
- Scope management
Timeline
Supervisor of Operations
Aetna, a CVS Health
11.2022 - Current
Prior Authorization Specialist
CVS Health
09.2021 - 11.2022
Project Management Analyst
AMITA Health
12.2020 - 06.2021
Human Resources Coordinator
High Tech Medical Park
07.2019 - 10.2020
Project Manager( IC)
William B Evans, MD
07.2016 - 12.2019
Business Analyst
Zmedi Group
06.2014 - 07.2016
Lead Certified Medical Assistant
Shyamal Bose
11.2011 - 02.2014
MBA - Human Resources Management
Strayer University
Bachelor of Science - Health Science
Purdue University
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