Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Carrie V. Steptoe

Glenn Heights,TX

Summary

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Subject Matter Expert in healthcare network and digital tools. Eager to contribute to team success and further develop professional skills. Equipped with strong problem-solving abilities. Brings positive attitude and commitment to continuous learning and growth.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Interoperability Solutions Manager

United Healthcare
01.2022 - Current
  • Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers
  • Direct strategies for provider network development and management
  • Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs
  • Help implement methods that identifies gaps in care, that assist improving STARS/HEDIS scores
  • Share best practice recommendations and collaborate with internal program team to share opportunities to drive performance improvement
  • Identifies and remediates operational short-falls and researching and remediating claims
  • Coach providers (physician, hospital, ancillary, etc.), and practice managers on how to implement and adapt lower cost strategies for United Healthcare members including appropriate use of network, adoption of Point of Care Assist enablement technology, and overall education
  • Present to and foster relationships with external C-Suite and senior level decision makers
  • Facilitate calls and on-site/virtual meetings for assigned book of business consisting of medical practices/health systems
  • Presents practice data and information at external meetings to ensure tools maximized value and collaborate efforts are completed
  • Provide day-to-day management of engagement activities, including project management, reporting, and problem resolution with defined service partners and other activities to assist in the facilitation of a successful relationship with assigned providers/book of business/manages pipeline of over 200 physicians

Senior Provider Data Analyst-West Region

United Healthcare
01.2018 - 01.2022
  • Responsible for various activities related to the provider network database which include database maintenance, reporting and extracting large amounts of data for various reports
  • Initiating database improvement
  • Audit provider demo/contractual loadings in UHC platforms
  • Develops/maintains standards for database integrity and quality assurance
  • Manages communication processes with other departments regarding database improvements
  • Maintains current provider data to ensure the quality of the network
  • Provide input/suggestions into database or system design based on process, information, or regulation changes, or client requirements
  • Format data for loading into respective system (i.e., through automated load)
  • Pull and organize data correctly to answer specific business questions
  • Research multiple databases to pull in the correct or needed information
  • Participate in applicable projects related to entry, and/or support of provider data, work E2E projects to ensure provider data is loaded correctly in Nice platform
  • Experience in building fee schedules in MSPS site
  • SME for AEP sales cases, duties include extensive research and verifying provider data information to ensure provider data displays correctly in databases

Provider Data Analyst

United Healthcare
01.2016 - 01.2018
  • Develop and maintain standards for database integrity and quality assurance, coordinate corrective activities to clean database and retain users, and manage communication processes with other departments regarding database improvements
  • Research and analyzes pended claims to find resolutions to complex issues regarding provider demographics/contracts
  • Worked with large data sets and making data-driven analytical decisions
  • Other responsibilities include conducting maintaining current provider data to ensure the quality of the network
  • Conducts research on issues surrounding the accurate and timely loading of contractual and demographic data

Education

Master of Science - Management (concentration in Project Management)

Strayer University
Dallas, TX
06.2017

Bachelor of Arts Degree - Sociology

University of North Texas
Denton, TX
05.2009

Skills

  • Subject Matter Expert in VIM cloud base/Athenahealth digital tools
  • SME for AEP
  • SME for NDB
  • Teamwork and Collaboration
  • Training/ support of new team members
  • Analytical Thinking
  • Provider contract/reimbursement methodologies
  • Contract execution/term process
  • Provider data management
  • Training of adoption of interoperability tools
  • Client Relationship Management/ Customer Service
  • Decision-making skills
  • Microsoft Office Proficient
  • Coachable
  • Salesforce
  • Provider services/network management
  • Problem-solving skills
  • Project Management
  • Self-Motivated Professional/ Self-starter
  • Experience in presenting to small and large groups
  • Expertise in presenting to C-Suits/ Senior levels
  • Performance and Process Improvement
  • Detailed oriented
  • Interpersonal, Written and Verbal Communicator
  • Adaptable

Certification

Digital First Certified

Timeline

Interoperability Solutions Manager

United Healthcare
01.2022 - Current

Senior Provider Data Analyst-West Region

United Healthcare
01.2018 - 01.2022

Provider Data Analyst

United Healthcare
01.2016 - 01.2018

Bachelor of Arts Degree - Sociology

University of North Texas

Master of Science - Management (concentration in Project Management)

Strayer University

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Carrie V. Steptoe