Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Fabrienne Oglesby Gbodui

Duluth,GA

Summary

Systematic professional well-versed in software development and testing protocols. Helps teams produce high-quality work by completing thorough quality assurance evaluations. Strong communicator and multitasker with organized, detail-oriented approach. Proficient in complex software deployments. Knowledgeable in a variety of medical evaluation and treatment methods. Proficient in administrative management, and medical analysis.

Overview

22
22
years of professional experience

Work History

Quality Analyst Outreach Coordinator

Aetna/CVS Health
Atlanta, GA
03.2023 - Current
  • Developed benchmarks for measuring and monitoring strategic changes and organizational goals.
  • Prepared reports summarizing results of outreach activities for senior management review.
  • Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance.
  • Independently map out provider outreach work plan and execute deliverables.
  • Support complex provider partners with HEDIS gaps in care, data feed, and remote medical record collection discussions and education.
  • Provides support for HEDIS quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services.
  • Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.

English and Math Tutor

KAIZEN E'LITE LLC
Duluth, GA
04.2020 - Current
  • Assisted students in developing effective study strategies for English and Math courses.
  • Tutored students and delivered individualized lesson plans and study guides on subject matter Administered test, quizzes, and other assignments gauges students' learning and knowledge of course material.
  • Encouraged development of communication skills and higher critical thinking skills through writing assignments, classroom presentation experiential learning.
  • Facilitated group discussion on mathematical education and applied feedback to individualized lesson plans.
  • Built student self-confidence by working through stages of study concepts and using positive reinforcement techniques.

Senior Recruitment Coordinator

AMS/Delta Airlines, ACS,
Atlanta, GA
09.2021 - 04.2023
  • Support Delta Airline's Talent Acquisition Team with 90% of travel and 10% remote.
  • Facilitate with onboarding, scouting, interviewing, hiring, preparing offer letters, processing employee referrals, background checks and training new employees.
  • Document, support and update ATS to ensure data accuracy for reporting, audit, and compliance.
  • Aid with moving 100 candidates per event through the application, interviewing, and pre-employment processes.
  • Collaborate and provide support on management projects to improve the hiring and HR processes.
  • Collaborated with other departments within the organization on recruiting initiatives, such as diversity programs or employee referral bonuses.
  • Tracked recruiting expenses against budget allocations throughout the year.

Hedis Abstractor

Centene, Superior Health Services
Atlanta, GA
01.2021 - 05.2021
  • Created and maintained accurate records of departmental activities, including budgets, personnel documents and project timelines.
  • Gathered patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information, data mining, and uploaded to the online portal.
  • Reviewing and comparing data abstracted from medical records by the third-party vendors with the proper measure guidelines.
  • Researching any discrepancies found by reviewing medical records, claims data, showing trends, documenting any errors found, and any other relevant information.
  • Managed primary patient index by completing assigned portion of daily audit trail; communicate problems according to established procedures, continuity of work operations by documenting,irregularities, and continuing needs.

CARE ENGAGEMENT SPECIALIST

Centene, Superior Health Services
Atlanta, GA
09.2020 - 12.2020
  • Managed outbound and inbound calls for members, scheduled doctor appointments, and analyzed data for call report.
  • Aided members with Health Screenings to take advantage of additional benefits available by educating members on enhanced services that are available and recommending preferred providers.
  • Facilitated tasks necessary to promote member compliance such as verifying appointments, obtaining lab results and monitor inpatient census.
  • Trained new team members on best practices in engagement and communication strategies.

HEDIS ASTRACTOR

CENTENE, WELLCARE
Atlanta, GA
01.2020 - 05.2020
  • Created and maintained accurate records of departmental activities, including budgets, personnel documents and project timelines.
  • Applying structured auditing criteria to medical records to decide compliance standards.
  • Demonstrating ability in the requirements and parameters of mandated performance measures.
  • Maintaining productivity levels as decided by the Quality Improvement Department.
  • Accurately entering the results of chart audits into the database. Monitoring progress towards completion of the annual HEDIS chart abstraction.
  • Researched and prepared reports required by management or governmental agencies.
  • Recruited, interviewed and selected employees to fill vacant roles.

Subrogation Analyst

HMS
Atlanta
06.2019 - 12.2019
  • Provided guidance and support to other staff members about the process for submitting subrogation claims.
  • Managed all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries
  • Confirm and validate third party liability, probate, beneficiary asset research, and managed a variety of cases with current and accurate notes from creation to recovery
  • Interact professionally (i.e., on incoming and outgoing calls and correspondence) with attorneys, insurance adjusters, medical providers, court staff, recipients' family members and client
  • Negotiated settlement amounts per contract guidelines, liens, claims, conduct all case document review, and updates as needed to progress the case to recovery

ACCOUNT-RETAIL EXECUTIVE SUPERVISOR

NX Direct
Norcross, GA
07.2018 - 07.2019
  • Negotiated contracts with suppliers for better terms and discounts.
  • Organized training sessions for new employees on company policies and procedures.
  • Xfinity/Spectrum assisted with staff development by implementing effective, hands-on training programs for new employees, maximizing performance, recruiting, and engagement.
  • Assisted with HR, back-office responsibilities, regional national conferences, led workshops, morning meetings, drills, all ranging from sales fundamentals to personal finance and monitored multiple databases to keep track of all company inventory.
  • Sourced 20 new vendors and suppliers to boost product offerings and increase profit margins at each store location.

HEDIS Field Reviewer

Athem
Atlanta, GA
01.2019 - 05.2019
  • Participated in training sessions aimed at increasing understanding of HEDIS protocols.
  • Developed strategies for improving provider performance related to quality initiatives.
  • Collect 1500 medical records and reports from provider offices based on member-needed services reports, and load data into the software application Placed 100 telephone calls to provider offices; monitoring fax process request records; overseeing incoming, and outgoing fax documents.
  • Researched claim systems to locate where members received care, completed chart abstraction, book appointments, verify information, and communicate with provider offices.

Education

Bachelor of Science - Bachelor Of Applied Business

Argosy University
Chicago Heights, IL
05-2017

Associate of Arts - Associate of Science: Clinical Medical Assisting

National College of Business And Tech-Lexington
Lexington, KY
11-2006

Skills

  • Structured Query Language mastery
  • Six Sigma methodology
  • SQL understanding
  • Training material development
  • Project management expertise
  • Audit processes
  • Data Analysis
  • Quality Improvement
  • Applicant Tracking Systems
  • Analytical and Critical Thinking
  • Active Listening
  • Problem-Solving
  • Data Entry
  • Chart Abstracting
  • Online training experience
  • Training and Development
  • Medical billing and coding
  • Global recruitment
  • Recruitment strategies
  • Quality processes

Languages

English
Native language
Spanish
Upper Intermediate (B2)
B2
French
Upper Intermediate (B2)
B2
Arabic
Upper Intermediate (B2)
B2

Timeline

Quality Analyst Outreach Coordinator

Aetna/CVS Health
03.2023 - Current

Senior Recruitment Coordinator

AMS/Delta Airlines, ACS,
09.2021 - 04.2023

Hedis Abstractor

Centene, Superior Health Services
01.2021 - 05.2021

CARE ENGAGEMENT SPECIALIST

Centene, Superior Health Services
09.2020 - 12.2020

English and Math Tutor

KAIZEN E'LITE LLC
04.2020 - Current

HEDIS ASTRACTOR

CENTENE, WELLCARE
01.2020 - 05.2020

Subrogation Analyst

HMS
06.2019 - 12.2019

HEDIS Field Reviewer

Athem
01.2019 - 05.2019

ACCOUNT-RETAIL EXECUTIVE SUPERVISOR

NX Direct
07.2018 - 07.2019

Bachelor of Science - Bachelor Of Applied Business

Argosy University

Associate of Arts - Associate of Science: Clinical Medical Assisting

National College of Business And Tech-Lexington
Fabrienne Oglesby Gbodui