LaDonna Gibbs

Credentialing/Pharmacy Operation Manager

Cigna

Saint Louis, MO

01.2020 - 08.2024

Coached, mentored and trained team members in order to improve their job performance.
Responded to inquiries from external agencies regarding provider credentials information.
Performed periodic audits of existing provider files for accuracy and completeness.
Participated in meetings concerning regulatory changes impacting the organization's credentialing program.
Reviewed provider applications to ensure accuracy of data and compliance with regulations.
Resolved discrepancies between application data and primary source documentation.
Identified areas for improvement within the organization's current credentialing system.
Monitored expiration dates of licenses, certifications, and other relevant documents.
Assisted with the development and implementation of policies related to provider credentialing.
Conducted primary source verification on all credentials prior to granting privileges.
Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
Interviewed prospective employees and provided input to HR on hiring decisions.
Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
Delegated work to staff, setting priorities and goals.
Recruited and trained new employees to meet job requirements.
Assigned work and monitored performance of project personnel.
Reviewed completed work to verify consistency, quality, and conformance.
Planned and led team meetings to review business results and communicate new and ongoing priorities.
Maintained the credentialing database, ensuring timely updates and accurate records.
Mediated conflicts between employees and facilitated effective resolutions to disputes.
Resolved customer inquiries and complaints requiring management-level escalation.
Collaborated with departments to obtain necessary documents for credentialing process.
Coordinated with managers in multiple departments to ensure smooth onboarding of providers.