Summary
Overview
Work History
Education
Skills
Accomplishments
RU Shrm
Timeline
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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

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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

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Charlotte JonesHealthcare Operations, Recruiting, Pharmacy Life Science, And Business Management