Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Kelly Caraway

Kyle

Summary

Talented and driven professional with a history of delivering exceptional results. Strong background in healthcare, leadership and employee engagement, project implementation and monitoring, team training and mentorship, provider onboarding/enrollment and data setup, medical claims, accounts payable/receivable and payment processing, professional communications, provider grant implementation, data reporting and utilization, audit management, media and PR, retail sales and customer service.

Overview

14
14
years of professional experience

Work History

Supervisor Provider Relations

SUPERIOR HEALTHPLAN
Austin
01.2025 - 09.2025
  • Company Overview: Centene Corporation
  • Manager of Statewide and Centralized Deliverables PODS of provider account management; SW monitors and supports provider networks in multiple service-delivery areas and national contracts, while CDP has oversight of all provider outreach projects under the MCO umbrella.
  • Centene Corporation

Provider Account Manager II / Regional Team Lead

SUPERIOR HEALTHPLAN
Austin
01.2019 - 01.2025
  • Company Overview: Centene Corporation
  • Regional Lead/Trainer for Provider Account Management; department monitors and supports provider network (hospitals, physician offices, etc.) in a 41-county span in Central Texas, including Travis County.
  • Team Lead for Centralized Deliverables AM POD.
  • Responsible for provider grant implementation in Bexar, Travis/Central, and Dallas service delivery areas.
  • Centene Corporation

Provider Account Manager I

SUPERIOR HEALTHPLAN
Austin
01.2018 - 01.2019
  • Company Overview: Centene Corporation
  • Liaison between managed care organization and network of providers; responsible for maintaining network adequacy through beginning-to-end resolution of complex provider issues, including claims, contracting and onboarding, training, state-mandated New Provider Orientations, internal departmental collaboration, and executive level communication at the MCO, state and legislative level.
  • Centene Corporation

Provider Data Management Coordinator / Specialist

SUPERIOR HEALTHPLAN
Austin
01.2017 - 01.2018
  • Company Overview: Centene Corporation
  • Responsible for triage and assignment of all delegated provider loading inquiry, PACT reporting oversight and loading of providers into applicable systems with utmost quality within production-driven timelines.
  • Centene Corporation

Provider Relations / Provider Account Manager I

SUPERIOR HEALTHPLAN
Austin
01.2013 - 01.2017
  • Company Overview: Centene Corporation
  • Liaison between MCO and provider network, to maintain network adequacy through resolution of complex provider issues; responsible for provider training and state-mandated new provider orientations.
  • Centene Corporation

Payment Processor / Banker

THE SCOOTER STORE CORPORATE
New Braunfels
01.2012 - 01.2013
  • Responsible for daily accounts payable posting of all Medicare, Medicaid, Commercial and self-pay financial transactions for DME equipment; also responsible for daily reconciliation of all payments.

Education

Bachelor of Science - Communications

LAMAR UNIVERSITY
Beaumont
08-2023

Skills

  • Employee management and leadership
  • Provider auditing and data analysis
  • Project management
  • Executive communication skills
  • Senior research expertise
  • Public speaking and training

References

  • Linda 'Susie' Stephenson, Account Manager II - Superior Health Plan, (979) 255-8334
  • Rhonda Harris, Account Manager II - Superior HealthPlan, (512) 786-4200
  • Kakehai Gage, Director of Operations - Superior HealthPlan, (512) 317-9401

Timeline

Supervisor Provider Relations

SUPERIOR HEALTHPLAN
01.2025 - 09.2025

Provider Account Manager II / Regional Team Lead

SUPERIOR HEALTHPLAN
01.2019 - 01.2025

Provider Account Manager I

SUPERIOR HEALTHPLAN
01.2018 - 01.2019

Provider Data Management Coordinator / Specialist

SUPERIOR HEALTHPLAN
01.2017 - 01.2018

Provider Relations / Provider Account Manager I

SUPERIOR HEALTHPLAN
01.2013 - 01.2017

Payment Processor / Banker

THE SCOOTER STORE CORPORATE
01.2012 - 01.2013

Bachelor of Science - Communications

LAMAR UNIVERSITY

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