Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Certification
Affiliations
Timeline
Generic

Ebonie Priestley

Stafford

Summary

Dynamic and results-driven Project Manager with over 6 years of experience in project and program management within the healthcare industry. Demonstrated expertise in leading complex projects, driving quality initiatives, and enhancing member engagement. Proven ability to manage multifaceted projects, collaborate with cross-functional teams, and deliver strategic solutions that improve operational efficiency and member satisfaction. Recognized for exceptional leadership, strategic planning, and communication skills, with a strong commitment to continuous improvement and professional growth.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Project Manager, IFP Quality

Aetna, CVS
03.2023 - Current
  • Led and enhanced the IFP Quality Member Engagement program, with the execution of member initiatives for 19 Qualified Health Plans and over 1.7 million members, achieving a 38% gap closure rate. Initiatives include: member emails, CVS HealthTags, IVR, educational mailers, SNS messaging, and Member Outreach calls.
  • Managed content creation and internal approval process for IFP Quality member facing materials.
  • Vendor management for new and existing vendors including vetting vendors, SOW creation, procurement process, and budget.
  • Oversaw and managed the IFP HEDIS Hybrid project which involved developing strategic project plans, collaborating with other lines of business and team, daily stand-up meetings, monitoring progress, providing status updates, and documenting lessons learned, resulting in 3 STARs for 7 QHPs.
  • Hired, trained, and managed 17 contract staff to assist with Member Outreach calls for education on HEDIS measure gaps and to survey Covered CA members on Social Needs Screenings.

Mgr, Healthcare Quality Project Management

Aetna, CVS
09.2019 - 03.2023
  • Successfully project managed Temp Onboarding and Tech Training for 2019 Hybrid to 2020 MRR season.
  • Project managed HEDIS measure workgroups to identify areas of opportunity to increase rates and managed action plans.
  • Created, implemented, and led of the Local Market Strategy, initiatives, and rate trend reviews.
  • Created, implemented, and lead the HQMI Performance Management program for HEDIS Regional Teams and provider engagement.
  • Managing Market Communications site and updates to providers and network teams.
  • Project managing the Comprehensive Provider Roster initiative and collaborating with ARNA vendor for print services.
  • Provide status updates and report outs regarding project milestones, deliverable, risks, communicating across leadership.

Pharmacy Liaison

BIOCURE, LLC
08.2015 - 02.2017
  • Served as a liaison between sales representatives, inside operations and healthcare providers to provide reimbursement and subject matter expertise on products and services.
  • Identified process issues and provided options to improve productivity, quality and customer service.
  • Educated sales team, healthcare providers, and patients on billing and coding policies.
  • Assisted operations with prior authorizations, denials and appeals.
  • Proactively communicated reimbursement payer criteria, terms and practices using ethical and customer-oriented reimbursement tactics.
  • Developed new opportunities by researching prospective providers and delivering presentations.
  • Designed business plans to meet and exceed monthly quotas and generate revenue.
  • Trained and mentored staff on relationship development with healthcare providers and patients.

Supervisor, Pharmacy Technicians

ACARIA HEALTH
12.2013 - 08.2015
  • Assumed a newly defined position – created framework for responsibilities and goals.
  • Hired, mentored, supervised and evaluated pharmacy technicians.
  • Increased efficiency of the Intake Department by effectively prioritizing tasks and organizing workflow.
  • Developed matrix and analysis resulting in overall operational process improvements.
  • Collected procedural quantitative pharmacy and medication data assisting operations management in strategic planning and the development and implementation of programs.

Education

MBA -

University of Phoenix
Houston, TX
01.2013

BBA - Marketing

University of Houston, Downtown
Houston, TX
01.2009

Skills

  • Project Management
  • Quality Improvement
  • Vendor Management
  • Program Development
  • Trend & Data Analysis
  • Strategic Planning
  • Risk Management
  • Member Engagement
  • Process Improvement
  • Budget Planning
  • Performance Metrics & Reporting
  • Change Management
  • Marketing
  • Content Creation
  • Stakeholder Management
  • Collaboration
  • Training & Education
  • Medicare
  • Exchange Plans
  • HEDIS

Accomplishments

  • Created various QuickBase tools to track and manage IFP Quality campaigns, initiatives, and projects.
  • Received 8 HeartAtWork recognitions, including 2 Excellence Awards for 2024.
  • Nominated to participate in CVS' Let's Get Moving Championship pre-show game (townhall) for 2024.
  • Co-led marketing and communication for Houston Chapter BCRG, completing 18 hours or volunteering.
  • Obtained PMP Certification and completed various training programs.

Certification

  • PMP - Project Management Professional

Affiliations

  • BCRG, Central Region (Marketing and Comms Lead)

Timeline

Project Manager, IFP Quality

Aetna, CVS
03.2023 - Current

Mgr, Healthcare Quality Project Management

Aetna, CVS
09.2019 - 03.2023

Pharmacy Liaison

BIOCURE, LLC
08.2015 - 02.2017

Supervisor, Pharmacy Technicians

ACARIA HEALTH
12.2013 - 08.2015

MBA -

University of Phoenix

BBA - Marketing

University of Houston, Downtown

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