Charlanda D. Rushton
Summary
Detail-oriented administrative and operations professional with over 15 years of experience providing office support, data entry, records management, reporting, and customer service in highly regulated healthcare and government program environments. Proven ability to manage documentation, maintain accurate records, support departmental projects, and coordinate with cross-functional teams to ensure compliance and operational efficiency. Skilled in report preparation, database management, and resolving complex inquiries while maintaining high standards of accuracy and organization in fast-paced office settings.
Overview
19
19
years of professional experience
Work History
Outreach Analyst II
Elevance Health
Nashville, TN
03.2020 - Current
- Provide administrative and operational support by collaborating with Provider Network Managers and Support Coordinators to ensure effective communication and service coordination.
- Maintain accurate documentation, case records, and program updates while monitoring moderately complex member cases to ensure compliance with treatment plans and contractual requirements.
- Perform data entry and maintain internal databases tracking case activity, program participation, and operational metrics.
- Create and maintain dashboards and reports used to monitor key performance indicators and identify operational trends.
- Compile reports and documentation to support compliance monitoring, leadership updates, and departmental decision-making.
- Identify barriers to plan compliance and assist in implementing solutions and process improvements.
- Build and maintain professional relationships with contracted agencies and external partners.
- Assist with onboarding and mentoring new associates while providing guidance on documentation and reporting procedures.
LTSS Analyst II, CHOICES HCBS
Blue Cross Blue Shield of Tennessee
05.2015 - 05.2018
- Serve as a primary point of contact for providers via phone, email, and direct communication to resolve operational and service-related inquiries.
- Perform data entry and maintain provider records within internal systems to ensure accurate tracking and reporting.
- Maintain electronic files and documentation while ensuring compliance with data security and records management policies.
- Assist with departmental reporting, monitoring, and data analysis to identify trends and support operational improvements.
- Collaborate with care coordinators and internal teams to ensure accurate service documentation and timely issue resolution.
- Support departmental projects by gathering information, preparing documentation, and assisting leadership with administrative tasks.
- Ensure compliance with government regulations, program guidelines, and contractual obligations.
Follow-Up & Intake Analyst
Xerox Corporation
08.2010 - 05.2014
- Performed high-volume data entry and detailed file review for Medicaid recipient applications.
- Maintained and updated eligibility files and program records in accordance with state regulations and records retention policies.
- Prepared and distributed correspondence to applicants regarding eligibility status and program updates.
- Responded to telephone inquiries and provided administrative support regarding available services and application processes.
- Reviewed more than 100 case files daily while ensuring documentation accuracy and compliance with state guidelines.
- Supported departmental initiatives including training new staff and assisting with policy and procedural updates.
Provider Analyst II
Blue Cross Blue Shield of Louisiana
09.2007 - 01.2010
- Researched and resolved provider inquiries across multiple internal systems while documenting findings within case records.
- Processed claims adjustments, refunds, and payment documentation ensuring accurate recordkeeping.
- Maintained organized electronic records to support operational efficiency and regulatory compliance.
- Responded to requests and completed assignments in accordance with service level agreements and departmental procedures.
Education
Bachelor of Arts - Business Management
Southeastern Louisiana University
Skills
- Administrative Support
- Data Entry & Documentation
- Records Management & File Maintenance
- Report Preparation & Data Monitoring
- Office Operations & Process Coordination
- Compliance & Regulatory Documentation
- Customer & Provider Communication
- Dashboard & Database Management
- Process Improvement
- Time Management & Organization
- Confidential Information Handling
- Microsoft office
- Verbal and written communication
Timeline
Outreach Analyst II
Elevance Health
03.2020 - Current
LTSS Analyst II, CHOICES HCBS
Blue Cross Blue Shield of Tennessee
05.2015 - 05.2018
Follow-Up & Intake Analyst
Xerox Corporation
08.2010 - 05.2014
Provider Analyst II
Blue Cross Blue Shield of Louisiana
09.2007 - 01.2010
Bachelor of Arts - Business Management
Southeastern Louisiana University