Cari Bowe
Chippewa Falls,WI
Summary
Energetic and positive attitude leading people and projects in a cross functional matrixed organization. Driven to enhance the customer experience, both internal & external through strategic initiatives and process improvements. Focused on delivering solutions that foster engagement, efficiency, and satisfaction across the organization.
Strategic leader with a passion for remediation and process optimization. Skilled at identifying gaps, evaluating risks, thinking beyond how it is always done, and implementing effective remediation strategies. Adept at driving improvements that align with organizational goals and ensure compliance.
Overview
23
23
years of professional experience
Work History
Senior Project Manager II
UnitedHealthcare
05.2013 - Current
- Promoted to Senior level II taking on more complex projects.
- Tracking of project scope, requirements, objectives, tasks, and risks.
- Lead state regulation projects to ensure established process that aligns with requirements set by state.
- Lead & facilitate projects with internal and external customers across departments (i.e. product, sales, network, regulatory, claims, specialty, pharmacy, actuary).
- POC for escalated issues to help identify gaps in processes, risk impact, and identify owners to assist towards resolution.
Exchange Account Manager
UnitedHealthcare
05.2013 - 02.2016
- Help drive on boarding activities for state-based exchanges.
- Attend individual state & CMS calls.
- Create & deliver status report on state exchange implementation work.
- Collaborative working partnership with external business partners and internal teams.
Claim Business Process Qlty Consultant & Analyst
UnitedHealthcare
09.2007 - 04.2013
- Managed auditors that performed claim payment accuracy to support platform migration for Medicaid business.
- Performed claim payment analysis of Medicaid claims to identify defect trends for manual or automated process improvements.
- Audited & reviewed grievance responses for processing accuracy.
Medicaid Claims Supervisor
Americhoice
04.2004 - 09.2007
- Create team connections & help team align to personal and business goals.
- Supervised teams ranging from 10-30 staff.
- Lead meetings & huddles.
- Mentor & collaborate with supervisors.
Claims Specialist SME
Americhoice
06.2001 - 03.2004
- Review aged inventory over 20 days for barriers.
- Assist with clinical appeals & audit high dollar payments.
- SOX & Encounter reporting.
- Team Lead, train & mentor team members.
Education
Bachelor of Arts - Psychology, Personal Health & Growth Management
University of Wisconsin – Eau Claire
12.1997
Emerging Leadership Program -
UnitedHealthcare
01.2018
Six Sigma Green Belt Training -
UnitedHealthcare
01.2007
Skills
- Strong collaborative relationship building skills
- Passionate about root cause analysis & remediation
- Solid written & verbal communicator
- Significant experience leading in matrixed organization
- Effective decision-making skills
- Growth mindset to move from status quo thinking & practices
- Leverage resources gained through relationships & prior knowledge
Hobbies and Interests
- McKinley Charter School Governance Board VP
- Sleep in Heavenly Peace Delivery Lead
- Avid biker rider
- Walking the dogs
- Outdoor activities
Timeline
Senior Project Manager II
UnitedHealthcare
05.2013 - Current
Exchange Account Manager
UnitedHealthcare
05.2013 - 02.2016
Claim Business Process Qlty Consultant & Analyst
UnitedHealthcare
09.2007 - 04.2013
Medicaid Claims Supervisor
Americhoice
04.2004 - 09.2007
Claims Specialist SME
Americhoice
06.2001 - 03.2004
Emerging Leadership Program -
UnitedHealthcare
Bachelor of Arts - Psychology, Personal Health & Growth Management
University of Wisconsin – Eau Claire
Six Sigma Green Belt Training -
UnitedHealthcare
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