Tyisha Bell

Facilitate the Delegation Vendor Oversight Committee meetings, preparing, disseminating and monitoring the meeting materials and related information; review and monitor vendor oversight tracking tools to assess performance. Interact with and instruct the stakeholder team; provide guidance and solutions based on policies, procedures and practices

•
Collaboratively plan, and subsequently implement, approved strategies that direct and monitor the third-party oversight functions including assessment of potential new delegates and vendors and ongoing performance and value assessment of current delegates and vendors

•
Prepare and disseminate materials for oversight committee meetings (Delegate and Vendor Oversight Committee and Quality Committees and internal third-party oversight stakeholder meetings).Disseminate the agenda to meeting participants and is responsible to create the material meeting packages; maintain action item grid; disseminate to stakeholders for resolution of follow-up items

•
Facilitate the monitoring and maintaining oversight processes, policies and procedures that provide the basis for the oversight of performance and compliance by certain contracted third parties

•
Compliance includes any regulatory requirements, accreditation standards and plan standards, perform other tasks as directed or required

•
Work cross-functionally with Subject Matter Experts and Relationship Managers to ensure that all the oversight and monitoring of third parties is in place and occurring. Review vendor performance tracking tools and assesses performance and compliance for lower risk vendors.

• Actively works with vendors to ensure safe and quality service for participants in accordance with CMS regulations. Ensures vendors meet all CMS and contractual requirements.
• Assists in monitoring vendors via regular monitoring activities and via Corrective Action Plans, as needed.
• Performs audits related to Delegated Vendor Oversight activities, including desk audits and in-person audits as directed.
• Participates in developing, completing, and reporting results for internal and external audits as requested
• Contributes to the design and implementation of the Delegated Vendor Oversight program.
• Performs other Delegated Vendor Oversight activities as requested.

• Learned internal systems and related service role duties to provide skilled team backup in handling member demands.
• Helped large volume of customers every day with positive attitude and focus on member satisfaction.
• Trained and directed new employees in call script use, conflict resolution and data entry practices to boost member satisfaction ratings.
• Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse member questions.
• Responded proactively and positively to rapid change.
• Effectively communicated with members and other healthcare professionals about account changes, services and organizational changes.

• Generated specific candidate pool for career opportunities through strategic placement of advertisements, evaluation of applicant credentials, and conducting initial interviews and pre-screening assessments.
• Followed up with notable applicants sourced via industry-specific pipelines, events and job fairs.
• Leveraged social media platforms and online job boards to advertise open positions and engage with potential candidates.
• Maintained filing system of current, prospective and future positions.
• Compiled and produced qualified candidates' information for hiring manager review and liaised between parties to coordinate formal, management interviews.

• Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
• Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget.
• Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings.
• Minimized on-site cash with frequent deposits and high accuracy in predicting operations.
• Coached sales associates on product knowledge by using wide variety of training tools.
• Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
• Developed new store location from ground up by hiring and training efficient team.
• Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
• Managed inventory control, cash control and store opening and closing procedures.
• Protected store from loss or theft by setting and enforcing clear security policies.