Gladys L. Crawford
Rotterdam,NY
Summary
Dedicated and results-driven healthcare and client relations professional with over a decade of experience in Medicaid, Medicare, and managed care programs. Proven track record in project management, client engagement, and cross-functional collaboration. Seeking to leverage my expertise in account management, compliance, and team leadership to drive organizational success, foster strong client relationships, and contribute to innovative solutions that improve operational efficiency and client satisfaction.
Overview
13
13
years of professional experience
Work History
Account Manager
Public Partnerships, LLC (PPL)
12.2024 - Current
- Cultivate and maintain relationships with local districts and state partners to support collaboration and program success
- Participate in key stakeholder meetings and act as a subject matter expert on PPL's products
- Coordinate project requirements and client expectations among internal teams and external clients
- Develop and manage internal project work plans to ensure timely deliverables
- Present written and verbal status reports to clients, providing insights and updates on project progress
- Identify and mitigate risks by developing strategic solutions
- Oversee contracted training programs and facilitate internal training sessions
- Record business development activities and contribute as an internal consultant on various projects
- Support the implementation of a large-scale project for a population of 300K, ensuring seamless onboarding of MCO contractors, data setup, and claims submission
- Manage escalations and resolve issues to maintain project timelines and stakeholder satisfaction
- Oversee vendor contracting processes, ensuring compliance and operational efficiency
Medicaid Program Advisor
SSO, embedded within NYS Department of Health
04.2024 - 12.2024
- Led the Statewide Health Information Network for New York compliance process, ensuring 100% adherence to state health regulations
- Documented compliance activities, maintaining accurate records that streamlined reporting processes
- Developed and implemented comprehensive compliance assessment frameworks to ensure adherence to regulatory standards and improve operational efficiency
- Managed the submission of contract deliverables
- Performed various projects and tasks needed to support organizational goals and ensure operational efficiency
Lead, Community Health Advocate
Landmark Health
08.2019 - 04.2024
- Led a team of community health advocates, increasing patient engagement through strategic coaching
- Conducted quality assurance audits, improving call handling accuracy
- Performed data analysis to identify trends and inform strategic decision-making
- Developed and implemented departmental policies, streamlining workflows
- Presented program offerings to community partners, fostering opportunities for collaborative care
- Executed outreach initiatives to expand community engagement
- Trained and mentored new hires
Licensed Agent, Medicare Products Advisor
MVP Health Care
08.2016 - 08.2019
- Achieved top sales performance, consistently exceeding monthly metrics
- Built strong relationships with community organizations through targeted sales presentations
- Executed outreach initiatives to increase lead generation and enrollment
Advisor, Individual Products
MVP Health Care
05.2015 - 08.2016
- Conducted individual and group field outreach activities
- Generated leads and referral sales and facilitated enrollment
Medicaid Representative
United Health Care
06.2014 - 05.2015
- Successfully increased Medicaid enrollments through strategic outreach initiatives
- Built partnerships with community organizations, resulting in an increase in referral rates
IPA Navigator
Nathan Littauer Hospital
09.2013 - 06.2014
- Assisted families with healthcare enrollment through the New York State of Health Marketplace
- Conducted effective community marketing campaigns, increasing program enrollment
Facilitated Enroller/Program Analyst
Saratoga Hospital
03.2012 - 09.2013
- Analyzed and processed Medicaid/ CHIP applications
- Provided constructive feedback and guidance to employees to enhance performance
- Improved community outreach strategies, resulting in an increase in program participation
Education
Bachelor's Degree - Business Administration
The Sage Colleges
Albany, NY06.2016
Skills
- Fluent in Spanish
- Microsoft Office Suite
- Salesforce
- Power BI
- Public Health Insurance Expertise
- Project Management
- Data Analysis
- Team Collaboration
- Leadership
Timeline
Account Manager
Public Partnerships, LLC (PPL)
12.2024 - Current
Medicaid Program Advisor
SSO, embedded within NYS Department of Health
04.2024 - 12.2024
Lead, Community Health Advocate
Landmark Health
08.2019 - 04.2024
Licensed Agent, Medicare Products Advisor
MVP Health Care
08.2016 - 08.2019
Advisor, Individual Products
MVP Health Care
05.2015 - 08.2016
Medicaid Representative
United Health Care
06.2014 - 05.2015
IPA Navigator
Nathan Littauer Hospital
09.2013 - 06.2014
Facilitated Enroller/Program Analyst
Saratoga Hospital
03.2012 - 09.2013
Bachelor's Degree - Business Administration
The Sage Colleges
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