Focused Managing Director with over 10 years of success in designing customer-oriented programs and developing high performing service-oriented teams. Accomplished in working with organizational leaders to establish business goals and devise strategies driving revenue generation and business growth. Proven track record in creating scalable customer service operations infrastructures and leveraging social media to nurture relationships with customers.
Overview
14
14
years of professional experience
Work History
Director of Operations
City Prime Health
New York, NY
09.2019 - Current
Oversaw day-to-day production activities in accordance with business objectives.
Defined, implemented and revised operational policies and guidelines.
Analyzed technology, resource needs and market demand to plan and assess feasibility of company projects.
Assessed performance management structures and implemented enhancements to improve frameworks and strengthen results.
Ensured employees operated within all company policy and procedures in accordance with state and federal laws.
Supervised over 150 employees and trained staff across all 7 locations.
Utilization Manager
Anthem Blue Cross Blue Shield Atlanta
Atlanta, GA
01.2008 - 08.2019
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed prior authorization review of services requiring notification.
Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
Devise or identify solutions for irregular requests and issues.
Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
Reduced workflow inconsistencies by recruiting and hiring capable staff members.
Established performance goals for employees and provided feedback on methods for reaching those milestones.
Established team priorities maintained schedules and monitored performance.
Set aggressive targets for employees to drive company success and strengthen motivation.
Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
Supervise and manage over 35 employees.
Education
MBA -
Keller Graduate School of Management
Alpharetta, GA
12.2010
Bachelor of Science -
DeVry University
Alpharetta, GA
12.2008
Skills
Performance Monitoring and Evaluation
Financial Statement Review
Policy Development and Enforcement
Supplier Monitoring
Department Oversight
Management Training
Accomplishments
Supervised team of over 150 staff members.
Used Microsoft Excel to develop inventory tracking spreadsheets.
Affiliations
Project Management Institute
International Association of Administrative Professionals
American Society of Safety Professionals
International Society of Females Professionals ( Bristol Who’s )
Timeline
Director of Operations
City Prime Health
09.2019 - Current
Utilization Manager
Anthem Blue Cross Blue Shield Atlanta
01.2008 - 08.2019
MBA -
Keller Graduate School of Management
Bachelor of Science -
DeVry University
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