Promoting engagement in a value-based, revenue generating, and hospital avoidance program
Telephonic engagement or working through the community, including physicians’ offices, hospitals, sub-acute locations, long-term care, and other community partners
While using critical thinking skills to develop outreach strategies including, coordinating meetings and presentations to increase engagement
Collaborate daily with interdisciplinary team including, Medical Directors, physicians, Registered Nurses, Nurse Practitioners, Behavioral Health, Social Workers, and Dietitians
Strategic-thinking, high metric driven role, utilizing reporting, multi-EMR;s, with initiating accounts, medical account management, relationship management, and provider logistic in-person schedule planning
Learning in a fast paced environment while training in small to large groups.
Inside Engagement Professional 1, Small Business
Humana
04.2021 - 05.2023
Contributes to business strategy and ensures enrollment success
Identifying member and Agent education opportunities to drive maximum utilization of available resources and encouraging a self-help approach
Understands own work area professional concepts/standards, regulations, strategies, and operating standards
Makes decisions regarding own work approach/priorities and follows directions within a white space
Exceeded Small Business Engagement Goals for 2022 and 2023
Subject Matter Expert for BI Tool/Qlik Sense Enterprise; created tabs for department and Leadership
Pro-growth-focused culture
Provide data analysis & reports for: Wellness Engagement Incentive, Member Engagement, Activity, Wellness Data Management Tool, Employer Portal, and Go365 Summary
Conduct virtual meetings for up to 100+ members; coordinate wellness events such as biometric screenings, challenges, and educational seminars to increase wellness engagement, recruitment and retention of business operations
Participated in the creation of and communicated the Sponsor National Step Challenge to our Brokers and Groups
Presented Virtual Webinars for Go365, Go365 Live, and Champ Camp
Facilitated WELCOA seminar, “The Seven Bench Marks”, to Inside Engagement team.
Go365 Inbound Calls Representative 2
Humana
03.2018 - 04.2021
Received inbound calls and directly responded to questions, handled issues, and provided guidance to internal and external customers
Educated customers and received documents; resolved inquiries on a one-call resolution, while building lasting relationships
Acted as Escalation Specialist and handled high-touch, urgent calls
Inbound member calls for Medicare, Medicaid, and Commercial
Met or exceeded Call Quality: 2021 goal 95%; actual 95.5%
Voice of the Customer/ECHO: 2021 goal 68.8%; actual 77.8%
Coordinated Impact Planning Team initiatives in 2018-2020
Participated on Advocacy Team for Rethink Routine projects; created and facilitated Humana Go365 presentations for the enterprise, including nurses
Medicaid Go365 start-up project/testing for inbound calls line
Mattersight start-up project/testing: goal 54%; actual 57.3%
Maintained brand and continued maintenance throughout the store within deadlines
Created stock processes Monitored sales patterns and trends to increase financial growth
Developed and trained members with product knowledge and product management
Created culture and release parties for new product line to create financial growth
Developed a company-wide change to the Brand for Loss Prevention concerns
Managed day-to-day schedules, goal setting, project management, deadlines, and department cross-training.
Sr. Assistant Manager
Charlotte Russe
06.2007 - 01.2017
Assisted in store openings, with teams, or created a team and developed a plan for opening
Operated with a team to create store visuals for key stakeholders to analyze and make finalized plans for floor standards and guidelines; created folding standards for company floor sets
Worked in Top 10 stores of the company
Traveled to stores to perform and complete inventories
Recognized by management for leadership style; led under-performing locations to hire and align stores back to company standards after changes in management
Communicated best practices to save payroll and money implemented company-wide
Conducted budget forecasting; processed shipments; maintained a visual brand and educated product knowledge; managed & coordinated projects.
Education
WELCOA Faculty Status -
Medical Assistant Certificate -
Lakeshore Technical College
01.1997
Skills
Customer Relationship Manager
Problem Solving
Business Development
Account and Program Onboarding
Project/Team Management
Product Development
Medical Account Management
Growth/Business strategies
Analytic driven changes
Workflow Processes
Budget analysis and Forecasting
Leadership & Development
CRM
MTV
GOSP
BomGuard
Mentor
Multi-Device Platforms
HADS
Web Emulation
ARC/Sales Force
Soar
BI Tool
Fuse
E-Billing
Engagement Source
Microsoft Word
Excel
PowerPoint
Bamboo
Genesys
Ubiquity(EMR)
Zoom
Microsoft Teams
Volunteer Experience
Ambassador for CNRG Care Givers Network Resource Group and member
Member of the Women’s Network Resource Group
Multi-Culture Mentor Program - promotes diversity & inclusion
Webster Elementary, Aldo Elementary, and East High School