Charlotte Jones
Healthcare Operations, Recruiting, Pharmacy Life Science, And Business Management
Virginia Beach,VA
Summary
11 plus successful years in Healthcare Operations, Pharmacy PBM Operations, and Recruiting. Proficient in best practices, leadership strategies and employee motivation to boost productivity and job performance. Well-coordinated in conflict resolution, investigating root causes and implementing successful resolutions. Versatile Operations Analyst with advanced knowledge of financial, business development, talent acquisition, ATS, and operational metrics. Motivated to learn, grow and excel within an organization.
Overview
6
6
years of post-secondary education
11
11
years of professional experience
Work History
Delivery Management Analyst
Conduent
Chesapeake, VA
11.2019 - Current
- Conducted oversight of Pharmacy Reimbursement Program for a pharmacy manufacturer
- Coordinated Process Improvement
- Conducted Coaching and QA Analysis
- Administered Payroll approval and time adjustments
- Conducted recruiting, I-9 verification and ATS ICIMS review
- Created ad-hoc reports for daily, weekly and monthly reporting.
- Handled day-to-day running of pharmacy operations ensuring high levels of productivity and progression.
- Evaluated diverse organizational systems to identify workflow, communication and resource utilization issues.
Finance Recovery Analyst
Anthem
Virginia Beach, VA
10.2017 - 08.2018
- Administered medical claims overpayment adjustments for Provider Medicare/Medicaid claims
- Organized detailed payment return reports
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
Supervisor
Anthem PBM Pharmacy Dept. And Behavioral Health Utilization PA Department
Norfolk, VA
06.2004 - 06.2013
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.
- Evaluated employee performance monthly and coached/trained accordingly, increasing quality of work and employee retention.
- Organized Recruiting Career Fairs for BH UM PA
- Managed Reporting Metrics
- Preformed Provider Claims Resolution
- Supported WFM Scheduling and Forecasting
- Conducted QA Monitoring, and Coaching
- Set overall vision and provided team leadership.
- Introduced team contests and goals to enhance productivity and improve employee morale.
- Worked with management team to implement proper division of responsibilities.
- Interviewed, hired and trained new employees for Pharmacy Rep and BH UM Rep positions
- Delegated tasks to others on grooming team.
- Positioned as primary liaison to streamline operations of multiple lines of business within organization.
- Maintained compliance with company policies, objectives and communication goals.
Education
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M.A - Law
Regent University
08.2019 - 12.2021
B.S - Business Management
Regent University
08.2015 - 05.2019
Skills
Data management
Customer Service
Teamwork
Leadership
Conflict resolution
Verbal and written communication
Reading comprehension
Supervision
Relationship-Building
Detail-oriented
Recruitment strategies
Employment law knowledge
Applicant Tracking Systems
Assessments and qualifications
Excel spreadsheets
Accomplishments
- Supervised team of 23 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of 2 in the development of Ad Hoc Metric Reports, created and implementation.
RU Shrm
Regent University Human Resources Co-Op
Timeline
Delivery Management Analyst
Conduent
11.2019 - Current
M.A - Law
Regent University
08.2019 - 12.2021
Finance Recovery Analyst
Anthem
10.2017 - 08.2018
B.S - Business Management
Regent University
08.2015 - 05.2019
Supervisor
Anthem PBM Pharmacy Dept. And Behavioral Health Utilization PA Department
06.2004 - 06.2013