Janice Young-Astwood
Wake Forest,NC
Summary
Accomplished professional with expertise in planning, executing, and overseeing complex operational initiatives. Innate ability to direct and lead team of direct reports to deliver high-quality healthcare services in alignment with industry standards and HIPAA regulations. Talent for implementing effective compliance program for organizations, including promoting culture of compliance, understanding of new/existing compliance issues, and analyzing related policies/procedures. Adept at collaborating strategically with business and clinical leaders to support improvement in affordability, total medical cost savings, and medical cost trend reduction. Skilled in managing flow of information and facilitating seamless functioning of healthcare operations by coordinating with health plan management. Proactive Leader with strong background in financial analysis, budgeting and forecasting. Develops and implements financial plans and delivers strategic financial advice. Results-driven Healthcare Manager experienced in financial statement review, auditing and reporting. Well-versed in producing reports, evaluating department operations and handling month- and year-end closings. Meticulous, conscientious and methodical in approach.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Insurance Manager
Duke University
07.2020 - 09.2022
- Researched and interpreted insurance regulations to address multifaceted insurance-related challenges
- Guided team members in resolving issues and complaints using in-depth insurance knowledge
- Delivered informative presentations to multidisciplinary groups to educate on policy modifications
- Managed departmental budget and financial portfolio by utilizing strong fiscal management skills
- Oversaw comprehensive administration of student health and dental insurance plans for student body exceeding 8K individuals, encompassing proficient management of enrollment and waiver procedures
- Improved customer satisfaction by providing excellent services.
- Developed and implemented successful sales strategies for increased revenue and market share in insurance sector.
- Improved client satisfaction by streamlining insurance claim processes and enhancing communication channels.
- Increased customer retention rates through proactive policy reviews and personalized coverage recommendations
- Evaluated risk profiles for clients, ensuring appropriate levels of coverage while minimizing potential losses organizational losses
- Maintained strong relationships with key industry partners, leading to valuable networking opportunities and advantageous collaborations
- Conducted regular performance evaluations for staff members, offering constructive feedback and identifying areas for professional development opportunities
- Monitored industry trends, adjusting pricing models accordingly to maintain competitiveness within market landscape
- Facilitated clear communication between clients, underwriters, adjusters, legal counsel, and other relevant parties during complex resolution processes
- Spearheaded projects aimed at improving operational efficiency across various functional areas within the organization
- Oversaw day-to-day operations of insurance department, making strategic decisions regarding staffing levels, resource allocation, budgeting, and growth opportunities
- Ensured compliance with all regulatory requirements by staying up-to-date on changes in legislation affecting the insurance industry
- Managed diverse portfolio of client accounts, ensuring timely renewals and providing expert advice on coverage options
Group Insurance Manager
Davita Kidney Care
01.2006 - 01.2020
- Conducted insightful trend analysis and delivered reports to senior leadership on key growth and retention metrics
- Contributed to overall financial efficiency by implementing effective cost-containment measures
- Provided leadership, comprehensive training, and educational guidance to interdisciplinary teams
- Oversaw payroll approval, while guaranteeing accurate and timely compensation distribution
- Hired, onboarded, and trained new teammates to increase productivity and efficiency
- Led and supervised multi-state team of insurance counselors for seamless achievement of objectives
- Enhanced overall financial performance by collaborating with cross-functional teams on profit and loss management
- Monitored competitor growth trajectories and analyzed market trends to inform strategic decisions
- Conducted meticulous audits to ensure regulatory compliance and drive continuous improvement
- Received awards for demonstrated excellence in integrity, service, and team contributions.
Education
Master of Science - Health Policy & Law
University of California & UC Law
San Francisco, CA06.2019
Bachelor of Arts - Sociology
Central Connecticut State University
New Britain06.2003
Skills
- Project & Program Management
- Healthcare Operations Management
- Performance/Process Improvement
- Team Building & Leadership
- Budgeting & Forecasting
- Financial Planning & Analysis
- Customer Service & Satisfaction
- Compliance Management
- Quality Assurance
- Data Analysis & Administration
- Microsoft Office Suite (Word, Excel, PowerPoint)
- Technical Knowledge: LMS, EHRs (EPIC, Oracle)
- Risk Analysis/Industry Trends
Accomplishments
Achievement awards: Integrity, team, service excellence.
Currently authoring healthcare advocacy book.
externship experience
Externship, Connecticut Valley Hospital (CVH), Coordinate with department heads to delve into operational processes. Analyze organization's operational procedural manual. Provide feedback on enhancements to daily and monthly publications. Participate in committee meetings on retention, professional development, and education/training.
Internship, Investigator at New Britain Public Defender's Office
career experience
- Intellectual Property Paralegal, Cantor Colburn, LLP
- Account Manager, Cigna Corp.
- Claims Manager, The Travelers
- Court Monitor/Social Worker
- Accounts Receivable Director, Keiler & Co.
Certification
Life insurance producer license
Paralegal certificate
Languages
Spanish
Limited Working
Timeline
Insurance Manager
Duke University
07.2020 - 09.2022
Group Insurance Manager
Davita Kidney Care
01.2006 - 01.2020
Master of Science - Health Policy & Law
University of California & UC Law
Bachelor of Arts - Sociology
Central Connecticut State University