Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

JoWanna Jefferson

Indianapolis,IN

Summary

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


Timeline

Medical Management Specialist

Elevance Health
07.2018 - Current

Recruitment Specialist

Ascension Health
11.2016 - 01.2018

Student Support Coordinator

Education Management Corporation
03.2013 - 06.2016

New Accounts Representative

Indiana Members Credit Union
08.2006 - 03.2013

MBA - Healthcare Management

Indiana Wesleyan University

Bachelor of Arts - Communications

Indiana University
JoWanna Jefferson