Summary
Overview
Work History
Education
Skills
Accomplishments
About Me
Timeline
Generic

Lauren Settles

Owensboro,KY

Summary

Goal-oriented with distinguished experience at Humana with proven leadership abilities. Expert in increasing productivity and customer satisfaction of providers in Western KY. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

12
12
years of professional experience

Work History

Provider Engagement Executive

Humana
09.2014 - Current
  • Built relationships with Primary Care Providers and the community to establish long-term business growth and improved KPIs.
  • Resolved problems with high-profile customers to maintain relationships and increase provider engagement.
  • Collaborated with upper management to implement continuous improvements and exceed team goals.
  • Managed accounts to retain existing relationships and grow share of business.
  • Achieved established KPI for company, market and individual performance through teamwork and focus on customers.
  • Communicated product quality and market comparisons by creating presentations and continuous collaboration calls.

Registered Nurse, Emergency Department

Owensboro Health Regional Hospital
06.2011 - 10.2016
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.

Education

Bachelor of Science - Nursing

Indiana Wesleyan University
Marion, IN
12.2017

Associate of Applied Science - Nursing

Owensboro Community And Technical College
Owensboro, KY
05.2011

Associate of Science - Humana Services

Owensboro Community And Technical College
Owensboro, KY
12.2006

High School Diploma -

Apollo High School
Owensboro, KY
05.2001

Skills

  • Risk Management
  • Quality Management
  • Financial and KPI Tracking
  • Business Development
  • Provider Negotiations & Relations
  • Change Implementation
  • Staff Training
  • Growth Planning
  • Workflow Planning
  • Team Player
  • Partnership Development
  • Presentation Performance

Accomplishments

  • Developed a rapport with primary care providers in the Western Ky area to help improve quality, issues, and patient experience.
  • Solved problems with groups related to coding, billing, incentives, etc.
  • Used Microsoft Excel to develop pivot tables and analysis for provider performance.
  • Used internal reporting capabilities to manipulate and develop actionable reports for providers.
  • Used Word, Powerpoint and Outlook to present and communicate with providers.

About Me

Highly experienced in HEDIS and patient safety, reviewing financials & KPI's, discussing coding and Medicare Risk Adjustment.

Timeline

Provider Engagement Executive

Humana
09.2014 - Current

Registered Nurse, Emergency Department

Owensboro Health Regional Hospital
06.2011 - 10.2016

Bachelor of Science - Nursing

Indiana Wesleyan University

Associate of Applied Science - Nursing

Owensboro Community And Technical College

Associate of Science - Humana Services

Owensboro Community And Technical College

High School Diploma -

Apollo High School
Lauren Settles