Customer-focused, visionary-thinking professional with experience in cultivating relationships, growing business relations and prioritize solutions based on client demand.
Overview
18
18
years of professional experience
Work History
Medical Management Specialist
Elevance Health
07.2018 - Current
Demonstrate agility, accountability and integrity by driving effective communication with departmental leads within markets
Reviews clinical information received regarding case and determines appropriate area to assign case (utilization management, case management, or Medical Director Review)
Support health care management clinical strategic approach and actively participate in development of clinical strategic initiatives
Maintains medical records confidentiality at all times through proper's of computer passwords, maintenance of secured files, adherence to HIPPA policies
Actively participate in ongoing education and initiatives that facilitate member engagement and improve member outcome
Monitor claims trend data to appropriately monitor and manage over and underutilization to improve member outcomes
Acts as a liaison to facilitate meetings between Medical Directors and other internal and external leadership departments to support ease of administration of medical benefits and issues.
Utilizes Facets, Macess, AUMI, ACMP and MS Office systems for accuracy, completeness and security for medical records and health information
Recruitment Specialist
Ascension Health
11.2016 - 01.2018
Enhanced candidate pool by proactively sourcing qualified applicants through various channels, such as social media, job boards, and networking events.
Build effective outreach strategies and develop recruiting pipelines that foster positive relationships with clients and employers
Facilitate, lead and manage interview process in matrixed environment among candidates and hiring managers including preparing candidates for interviews with stakeholders
Streamlined recruitment processes by implementing effective applicant tracking systems and organizational tools for increased efficiency.
Utilize proprietary software for establishing candidate searches, executing mobile and email campaigning to talent communities
Identified difficulties with searches and research solutions by collaborating with recruitment leadership team
Ability to support multiple client accounts at one time
Promptly corresponded with all applicants and coordinated and conducted interviews
Student Support Coordinator
Education Management Corporation
03.2013 - 06.2016
Troubleshooting employees & common organizational problems and conflicts; effective conflict resolution skill during minor and escalated issues producing results that benefit both student and educational institution
Facilitated inquiries to achieve prompt contact and performance activity weekly goals; utilize approved recruitment policies/formats; make prompt and effective contact with inquiries and redirect unqualified candidates based on incompatible career goals
Developed new process for student daily activities which resulted in marked performance improvements
Obtained documents, clearances, and approvals from Campus President and department leaders
Trained 50-75 staff members in how to support students in transition
Consulted with prospective students for application and enrollment
Counseled students and families regarding mental health and rehabilitation issues
Demonstrated leadership ability with students
Taught students how to apply for resources to obtain their High School Diploma or GED if one was not completed
New Accounts Representative
Indiana Members Credit Union
08.2006 - 03.2013
Utilizing Encore cash system to provide a variety of service functions and the best customer service possible to members of the credit union
Determined and sold new and additional products and services to existing customers
Executed and demonstrated knowledge of banking and regulatory procedures
Handling and maintaining cash statements and transactions
Implemented and executed marketing strategies which resulted in 35% growth of member base
Analyze financial data and records
Handle members problems and complaints in a professional manner
Knowledge of banking theories and procedures
Gathered data and build financial models around key metrics
Practiced discretion of member sensitive information
Education
MBA - Healthcare Management
Indiana Wesleyan University
Indianapolis, Indiana
Bachelor of Arts - Communications
Indiana University
Indianapolis, Indiana
Skills
Analytical Skills
Relationship Management
Solving complex problems
Business Acumen
Project Management
Entrepreneurial Spirit and Drive
Affiliations
Elevance Health Open Enrollment Ambassador
Elevance Health Wisconsin Ambassador
Alpha Kappa Alpha Sorority, Incorporated
Emerging Pearls Foundation
Works to improve and sustain the quality of life in Central Indiana through
the financial support of initiatives regarding education, family advocacy, social justice health and wellness and economic stability.
Leaders of Tomorrow, Mentor
Mentor high school students in a systematic way to build the competencies necessary for success through local chapter programming, the national conference, the Leaders of Tomorrow National Business Case Competition, and the National Leadership