Open To Work
Christopher Kmetz
Saint Clair Shores,MI
Work Preference
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Process Excellence Manager
Midland Credit Management
Troy, MI
05.2025 - 06.2026
- Led process improvement projects, including mapping current state processes, mapping future state processes, and implementing process changes.
- Analyzed existing workflows to identify critical bottlenecks and deployed targeted strategies for quality enhancement, improving overall process reliability
- Monitored key performance indicators (KPIs) to evaluate efficacy of process changes and formulated data-driven proposals for ongoing enhancements
- Collaborated with internal departments to pinpoint areas for process improvement, fostering cross-functional alignment on best practices
Partner Account Manager
OneMagnify
Detroit, MI
02.2024 - 12.2024
- Maintained certification process for all partnerships including Salesforce, Adobe, DOMO, Snowflake and Data Bricks
- Utilized problem-solving skills to anticipate, identify, and address any challenges that arose during the partnership process
- Created reports summarizing progress with partners and identified areas of improvement
- Collaborated cross-functionally with internal teams such as marketing, IT, and finance to provide solutions and monitor projects
Lead Administrator
OneMagnify
01.2023 - 02.2024
- Assisted in troubleshooting Salesforce issues.
- Submitted and effectively managed multiple JIRA Projects.
- Managed lifecycle of all assigned programs.
- All Program Administrator II duties.
Program Administrator II
OneMagnify
03.2022 - 01.2023
- Assisted in the testing and integration of Salesforce platform.
- Audited duplicate data within the Salesforce platform.
- Managed multiple high-volume program inboxes.
- Created Salesforce Dashboards and Reports
- Trained incoming new staff on programs and Salesforce Service Cloud.
- All Program Administrator duties.
Program Administrator
OneMagnify
08.2021 - 03.2022
- Maintained service level agreements within multiple program queues.
- Provided excellent customer service.
- Guided callers through troubleshooting and navigating the program sites.
- De-escalated situations involving dissatisfied callers, offering patient assistance and support.
Case Analyst
The Robinson Group
Troy, MI
12.2020 - 04.2021
- Entered data with client-specific protocol while transferring, updating, maintaining, and retrieving information in different database systems.
- Communicated ongoing client requirements through operations and supported all aspects of a case.
- Oversaw all incoming company cases and assigned them to appropriate departments and teams.
- Maintained business relationships with current customers to generate new business for the company’s investigative service lines.
Claims Data Analyst
MeridianRx
Detroit, MI
01.2020 - 10.2020
- Monitored point of sale pharmacy claims
- Prepared weekly Client claim reports and claim analyses
- Created and modified inbound and outbound data feeds
- Triaged and investigated direct Client and Vendor file errors and Member accumulator issues
- Created new initiative and financial impact analysis
Supervisor of Operations
MeridianRx
Detroit, MI
04.2019 - 12.2019
- Operationalized and monitored all claim audits
- Mentored and coached claims analysts and perform administrative duties as applicable
- Ensure compliance with all company, state and federal rules and regulations
- Frequently communicate with internal Meridian Rx departments, Meridian and Account Management as it relates to external clients
- Assist with special projects related to department process improvements, fraud, waste and abuse identification or other issues
Quality Improvement Data Management Specialist
Meridian Health Plan
Detroit, MI
08.2017 - 04.2019
- Investigated the quality of care and quality of site grievances with the Medicaid and Medicare Grievance and Appeals team.
- Assisted leadership with coordinating site visits and weekly reporting to the Quality of Care Grievances.
- Coordinated Electronic Data Interchange audits with external clients, ensuring proper timeline and record retrieval.
- Worked with provider offices to gather medical records for the review of Healthcare Effectiveness Data and Information Set metrics.
- Created new process flows to more accurately track members submitting incomplete Health Risk Assessments.
- Created and maintained training materials as needed.
Member Benefit Coordinator
Meridian Health Plan
04.2016 - 08.2017
- Delivered exceptional customer service to members, providers, and internal departments, addressing inquiries and resolving issues
- Managed inbound and outbound calls across multiple lines of business, ensuring timely and accurate information delivery
- Provided outreach to members to follow up on grievances, appeals and state complaints
- Completed quality audits for staff verifying benefit coverage to ensure accuracy of information given to providers
- Collaborated with multiple production-based departments such as Claims and Utilization Management to ensure seamless Member experience
- Facilitated monthly meetings and daily huddles to share department updates and identify process improvements
Skills
- Salesforce administration
- Salesforce reporting
- Project management
- Problem solving
- Workflow management
- Computer proficiency
- Office Suite proficiency
- Critical thinking
- Attention to detail
- Organizational skills
- Multitasking
- Team collaboration
- Adaptability and flexibility
- Documentation skills
- Communication skills
Certifications And Awards
- Fellow, Academy for Healthcare Management, 03/01/19
- OneMagnify Bravo Zulu Award Winner, Awarded for going above and beyond job expectations
Timeline
Process Excellence Manager
Midland Credit Management
05.2025 - 06.2026
Partner Account Manager
OneMagnify
02.2024 - 12.2024
Lead Administrator
OneMagnify
01.2023 - 02.2024
Program Administrator II
OneMagnify
03.2022 - 01.2023
Program Administrator
OneMagnify
08.2021 - 03.2022
Case Analyst
The Robinson Group
12.2020 - 04.2021
Claims Data Analyst
MeridianRx
01.2020 - 10.2020
Supervisor of Operations
MeridianRx
04.2019 - 12.2019
Quality Improvement Data Management Specialist
Meridian Health Plan
08.2017 - 04.2019
Member Benefit Coordinator
Meridian Health Plan
04.2016 - 08.2017