Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Timeline
Generic

James McDuffie

Hemingway,SC

Summary

Proactive and meticulous attitude toward business success, with 17+ years of experience in the Medicaid healthcare industry. Collaborative and innovative leader skills, with experience in team management. Proficient in using independent decision-making skills and sound judgment to positively impact company success and enhance the organizational brand. Capable of working under pressure and adapting to new situations and challenges to best meet departmental as well as corporate goals.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Community Outreach Educator

Select Health Of South Carolina
01.2011 - Current
  • Educate new members on plan benefits and assist with the selection of primary care physicians. Follow-up to Member Services for members with concerns.
  • Support member retention through member engagement at sites/events as well as various outreach call initiatives, including inter-departmental support for PCS and redetermination calls.
  • Assist AE in site development, including establishing and maintaining professional relationships with site administration and staff.
  • Work with various community agencies to allow the company to establish a relationship within assigned service areas.
  • Keep abreast of current market changes and competitor activities, and inform management of activities that may affect member enrollment.

Community Education Supervisor

Select Health Of South Carolina
01.2009 - 01.2011
  • Responsible for the day-to-day management and supervision of Community Outreach staff.
  • Assisted in ongoing field training for all staff. Handled staff performance issues and completed annual performance reviews.
  • Assisted Community Education Director in the implementation of strategic marketing initiatives to achieve individual and regional membership goals.
  • Responsible for submission of scheduled sites/events to the state in compliance with state regulation.

Community Education Team Lead

Select Health Of South Carolina
01.2008 - 01.2009
  • Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
  • Created and managed weekly schedules for Community Educators at sites and events.
  • Coached team members on techniques necessary to complete job tasks. Trained new team members on company procedures and safety requirements.

Health Benefits Educator

Community, Select Health Of South Carolina
02.2006 - 01.2008
    • Educate First Choice Members on the plan and benefits, and assist potential members on the Medicaid enrollment process.
    • Work with various community agencies, with thin assigned service areas.
    • Establish and maintain professional relationships at scheduled sites/community events.

Education

Mullins High School
Mullins, SC
06.1976

Computer Programming, Specific Applications -

Horry-Georgetown Technical College
Conway, SC
06.1976

Skills

  • Strong leadership skills with the ability to effectively manage a field and office-based staff
  • Ability to work cross-functionally, problem-solve, and navigate efficiently through bureaucracy
  • Excellent verbal and written communication capabilities
  • Working knowledge of HEDIS performance measures
  • Broad knowledge about regional communities, specific health issues health and social service systems
  • Working knowledge and proficiency with Microsoft Office products and assorted software apps
  • Ability to manipulate spreadsheets and data in Microsoft Excel
  • Ability to interface effectively with a diverse population

Accomplishments

  • Appointed an Ambassador with Select Health AELW Work Group.
  • Initiated Social Zoom during COVID crisis through the AELW Work Group.
  • Chosen as MC for Select Health of SC (SELHP) All-Associates Town Hall Meeting

Additional Information

Other information provided upon request

Timeline

Community Outreach Educator

Select Health Of South Carolina
01.2011 - Current

Community Education Supervisor

Select Health Of South Carolina
01.2009 - 01.2011

Community Education Team Lead

Select Health Of South Carolina
01.2008 - 01.2009

Health Benefits Educator

Community, Select Health Of South Carolina
02.2006 - 01.2008

Mullins High School

Computer Programming, Specific Applications -

Horry-Georgetown Technical College

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James McDuffie