LINDSAY UTLEY
Louisville,Kentucky
Summary
Dedicated professional with expertise in healthcare patient support, business ownership, and operations management. Skilled in navigating complex financial and healthcare challenges while fostering strong relationships with patients, families, and community partners. Proven ability to lead teams, communicate effectively, and manage competing priorities with professionalism and empathy.
Overview
19
19
years of professional experience
Work History
AkebiaCares Case Manager
PHARMACORD
05.2019 - 05.2020
- Managed an assigned caseload across multiple states, coordinating patients from onboarding through program completion.
- Coordinated prior authorizations, renewals, and appeals with healthcare providers and insurance companies to ensure timely access to treatments.
- Prepared clinical documentation and appeal letters to address insurance denials and support access to critical therapies.
- Conducted detailed medical and pharmacy benefit investigations to determine coverage and patient responsibility.
- Identified financial assistance opportunities, including manufacturer copay programs, foundation assistance, and patient assistance programs.
- Collaborated with specialty pharmacies, prescribers, insurers, and stakeholders to address barriers and enhance medication access for patients.
- Educated patients and caregivers regarding coverage, reimbursement timelines, program requirements, and next steps.
- Maintained accurate case documentation while adhering to HIPAA, PhRMA, and company compliance requirements.
- Investigated and resolved issues related to delayed shipments and coverage disruptions to maintain continuity of care for patients.
Territory Case Manager
RXCROSSROADS / CVS / McKESSON
12.2015 - 04.2019
- Liaised among patients, families, healthcare providers, pharmacies, and insurance companies to facilitate care coordination.
- Guided patients through insurance benefits, prior authorizations, appeals, and financial assistance programs.
- Verified benefits across Medicare, Medicaid, and commercial insurance plans.
- Prepared and submitted prior authorization documentation and clinical appeals.
- Conducted comprehensive assessments of patient needs, medical history, insurance coverage, and financial barriers.
- Monitored treatment progress and adherence, identifying barriers to therapy and implementing solutions to address them.
- Maintained comprehensive case documentation and tracking metrics in CRM and electronic health record systems to support effective case management.
- Protected confidential patient information while consistently adhering to HIPAA requirements.
Assistant Store Manager
NINE WEST
10.2014 - 06.2015
- Drove sales performance by tracking KPIs, engaging customers, recommending products, and coaching team members to enhance service quality.
- Monitored conversion rates, average unit retail, and units-per-transaction metrics to meet and exceed sales objectives.
- Monitored conversion, average unit retail, and units-per-transaction metrics to achieve sales objectives.
- Managed team operations by providing real-time leadership and coaching to maximize customer experience and sales.
- Assisted in recruiting, onboarding, training, scheduling, and developing team performance to build a capable workforce.
- Oversaw visual merchandising, inventory control, shipment processing, replenishment, and physical inventory.
- Managed opening and closing procedures, cash handling, bank deposits, loss prevention, and daily reporting.
- Assisted with recruiting, onboarding, training, scheduling, and performance development.
Owner
WILDCARD GYMNASTICS
12.2000 - 05.2014
- Directed day-to-day business operations, strategic planning, budgeting, forecasting, and growth initiatives.
- Managed payroll, accounts receivable, vendor relationships, contracts, and monthly profit-and-loss reporting.
- Developed marketing and community outreach initiatives that increased enrollment and fostered long-term customer relationships.
- Recruited, hired, trained, and scheduled competitive coaches, recreational instructors, and administrative staff, enhancing team capabilities.
- Developed recreational, preschool, and competitive gymnastics programs and curricula.
- Managed facility operations, including equipment procurement, maintenance, safety inspections, and risk management to ensure a safe environment.
- Established and maintained safety procedures, emergency action plans, liability waiver systems, and regulatory requirements.
- Served as the primary point of contact for parents and families, resolving billing concerns, addressing questions, and managing feedback.
- Maintained business licensing, liability insurance, and staff SafeSport certification.
Meet Director - Tumble in the Bluegrass
USA GYMNASTICS
- Directed the annual Tumble in the Bluegrass gymnastics competition involving approximately 400 gymnasts from across the Midwest.
- Oversaw event sanctioning, verified membership and eligibility, and ensured compliance with rules.
- Coordinated venue logistics and event operations, supervising on-site activities for three-day competition.
- Ensured compliance with USA Gymnastics requirements, completing post-event reporting accurately and timely.
Education
President's Club Cheerleading Scholarship -
University of Kentucky
Bachelor of Arts - Communications
University of Louisville
Skills
- Case Management
- Insurance & Benefits Navigation
- Financial Assistance Programs
- Patient Engagement
- Patient Education
- Compliance & Risk Management
- Operations Management
- Program Development
- Budget & P&L; Management
- Leadership & Team Development
- Staff Recruiting & Training
- Conflict Resolution
- Relationship Building
- Community Relations
- Strategic Problem Solving
- Strategic Problem Solving
Professional References
Available upon request.
Timeline
AkebiaCares Case Manager
PHARMACORD
05.2019 - 05.2020
Territory Case Manager
RXCROSSROADS / CVS / McKESSON
12.2015 - 04.2019
Assistant Store Manager
NINE WEST
10.2014 - 06.2015
Owner
WILDCARD GYMNASTICS
12.2000 - 05.2014
Meet Director - Tumble in the Bluegrass
USA GYMNASTICS
President's Club Cheerleading Scholarship -
University of Kentucky
Bachelor of Arts - Communications
University of Louisville