Summary
Overview
Work History
Accomplishments
Leadership Experience
Timeline
Generic

Jeanie Elliott

Spokane,WA

Summary

Over 26 years of health and dental insurance 13 years successful leadership 11 years direct provider and customer service 11 years providing successful training/education 9 years Process Improvement (Lean) experience: Certified Lean Leader at Premera Blue Cross 09/25/17 9 years project management support and implementation 4 years of successful provider negotiation and relationship building

Overview

28
28
years of professional experience

Work History

Account Coordinator

Premera Blue Cross
09.2024 - Current

Membership & Billing Team Lead

Premera Blue Cross
06.2023 - 09.2024

Provider Relations Manager

Delta Dental of Washington
02.2020 - 10.2022

Clinical Review Operations Manager

Premera Blue Cross
04.2019 - 02.2020

Team Lead Clinical Review Representatives

Premera Blue Cross
10.2014 - 04.2019

Membership & Billing Team Lead

Premera Blue Cross
01.2013 - 10.2014

Provider Network Associate II

Premera Blue Cross
01.2011 - 01.2013

Business Process Analyst

Group Health Cooperative
05.2004 - 12.2010

Customer Service Representative/Lead

Premera Blue Cross
10.1998 - 05.2004

Accomplishments

  • Supported the implementation of Medicare Supplement Spousal Discount, Rx Carveout, and vendor offshore support using Accenture
  • Supported the implementation of a New Reimbursement Model, PreViser including the Health through Oral Wellness product and Claims Recoupment
  • DeltaCare product enhancement implementation throughout cross functional departments within the organization
  • Established a new reporting structure that streamlined logistical operations and resulted in an increase in production
  • Facilitated the implementation of High Value Specialty Care plans and authorization requirements within Clinical Review
  • Facilitated and/or participated in 10 Rapid Process Improvement Workshops (RPIW)
  • Facilitated 3 Value Stream Mapping Sessions
  • Created and implemented the Clinical Review LeanKit Staffing board and Quality Trending Board
  • Supported, trained, and mentored the Clinical Review team working through Kaizen Summary Sheets (KSS) creating efficiencies.

Leadership Experience

Leadership Spokane Alumni, 2019

Timeline

Account Coordinator

Premera Blue Cross
09.2024 - Current

Membership & Billing Team Lead

Premera Blue Cross
06.2023 - 09.2024

Provider Relations Manager

Delta Dental of Washington
02.2020 - 10.2022

Clinical Review Operations Manager

Premera Blue Cross
04.2019 - 02.2020

Team Lead Clinical Review Representatives

Premera Blue Cross
10.2014 - 04.2019

Membership & Billing Team Lead

Premera Blue Cross
01.2013 - 10.2014

Provider Network Associate II

Premera Blue Cross
01.2011 - 01.2013

Business Process Analyst

Group Health Cooperative
05.2004 - 12.2010

Customer Service Representative/Lead

Premera Blue Cross
10.1998 - 05.2004

Jeanie Elliott