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
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
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
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