Julia Carroll
Carlisle ,PA
Summary
Collaborative and encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance in dynamic fast paced setting.
Overview
13
13
years of professional experience
Work History
Health Systems Manager
Humana Military
Carlisle PA
11.2017 - Current
- Responsibility for financial performance including network management, access to care standards, provider relations/management, referrals, enrollment, claim and beneficiary education over multiple Prime Service Areas and Non-Prime Service Areas.
- Leader for COMM100 Project in market area. Increased provider usage by 400%. Met contractual requirement at 100% since start of project.
- Collaborate with other leaders to strategize and create new processes to increase workflow and better outcomes/actions.
- Part of multiple committees to develop and implement new policies and procedures to increase efficiency and productivity while keeping goal of T-5 at forefront.
- Supervision of four associates aligning with market centric approach. Mentored junior team members in advanced technical skills and provided guidance on professional development opportunities.
- Assist and train providers to use provider portal and understand TRICARE policy and processes. Documented increase of provider self-service increasing efficiency and decreasing workload.
TRICARE Market Direct
Health Net Federal Services
Carlisle PA
04.2011 - 11.2017
- Successful manager with three Military Treatment Facilities (MTF) managing staff of seven in multi-state market.
- Motivated and led staff, even at distant locations, to successful TRICARE program compliance measures as demonstrated by MTF Commander's survey with consistent highest ratings of completely satisfied.
- Used health care informatics to provide government customer with usable data analysis and reporting relative health care trends, management interface services, financial impact and cost analysis.
- Identified network provider adequacy issues, access to care and provider management over Prime or Transitional Prime Service resulting in improved relationships and coordination of care, education of staff maximizing opportunities.
- Leveraged data analytics tools to identify trends and opportunities within market, contributing to success of new enrollment site for over 3000 beneficiaries.
Education
Master of Science - Health Administration
University of Management And Technology
Arlington, VA01.2014
Bachelor of Science - Business Administration
Saint Thomas Aquinas College
Sparkill, NY04.2005
Skills
- Team Leadership
- Complex Problem-Solving
- Strategic Planning
- Operations Management
- Cross-Functional Teamwork
- Team Development
- Customer Relationship Management
Timeline
Health Systems Manager
Humana Military
11.2017 - Current
TRICARE Market Direct
Health Net Federal Services
04.2011 - 11.2017
Master of Science - Health Administration
University of Management And Technology
Bachelor of Science - Business Administration
Saint Thomas Aquinas College