Lynn Tillmon
Charlotte,NC
Summary
Results-driven professional skilled in complex problem-solving and relationship building. Successfully managed statewide provider engagements while fostering cross-functional teamwork to achieve strategic initiatives and operational excellence.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Manager, Provider Experience
Carolina Complete Health Network
03.2026 - Current
- Medicare and specialty manager for Federally Qualified Health Centers, Rural Health Centers, and Personal Care Service and Home Health providers subject to electronic visit verification.
- Triage call center management. Ensured daily operations of team and managed 2 supervisors.
- Point of contact and liaison for Clinically Integrated Network (CIN) and Accountable Care Organization (ACO) partners.
- Analyzed team performance metrics to identify areas for improvement and training needs.
- Coordinated with cross-functional teams to support project execution and mitigate risks.
Manager, Provider Engagement
Centene, WellCare of North Carolina
07.2023 - 03.2026
- Coached, trained, and led a statewide team of specialty account managers and administrative support specialists.
- Identify areas for operational and procedural improvements within the department.
- Implement data-driven process enhancements to streamline workflows, reduce costs, and enhance provider satisfaction.
- Resolve escalated provider complaints to alleviate abrasion.
- Manage statewide relationships and accounts with all county health departments, federally qualified healthcare centers, home health, hospice, long term care facilities, and personal care services.
- Analyze operational data and key performance indicators (KPIs) to monitor performance, identify trends, and create reports for senior leadership to inform decision-making.
Interim Director, Provider Relations
Centene, WellCare of North Carolina
02.2023 - 07.2023
- Oversaw daily operations of the department of 30 staff members, along side COO, efficient functioning of all processes, projects, and provider relations functions.
- Restructured department SharePoint, created tools, trainings,and action plans to improve employee and customer satisfaction,.
- Led resolution of high-level abrasions and presented to C-suite weekly.
- Developed and implemented strategic initiatives that align with organizational goals to improve service efficiency, profitability, and quality.
- Ensured cost-effective operations while maintaining high levels of service quality.
- Set department-wide goals, oversaw long-term strategic planning, and managed cross-functional projects to ensure continuity of leadership and department success during transitions.
Supervisor, Provider Relations
Centene, WellCare of North Carolina
06.2022 - 07.2023
- Established a team of administrative coordinators and created role and job functions to shift the administrative burden from the field team and managers.
- Resolved escalated provider complaints to alleviate abrasion.
- Analyzed operational data and key performance indicators (KPIs) to monitor performance, identify trends, and create reports for senior leadership to inform decision-making.
- Won the local Valued in Action Award (2022), selected by executive leadership.
Provider Relations Specialist
Centene, WellCare of North Carolina
08.2021 - 06.2022
- Managed LTSS provider network for western half of NOrth Carolina.
- Ensured compliance, operational efficiency, and high provider satisfaction; represented organization at statewide events.
- Led provider education and engagement initiatives; supported process improvement and issue resolution across cross-functional teams.
Provider Relations Representative
Centene, Absolute Total Care
02.2019 - 08.2021
- Owned high-priority escalations; documented State reported issues, subsequent actions, and outcomes to maintain audit-ready records and improve customer satisfaction.
- Oversaw skilled nursing claims and provider complaints, ESRD, and backed up field rep.
- Served as SME and trainer for plan systems and procedures; improved first-contact resolution.
Workforce Analyst II
Centene, Absolute Total Care
10.2016 - 02.2019
- Analyzed workforce data to identify trends and optimize staffing levels.
- Developed and maintained reporting dashboards for operational efficiency assessments.
- Collaborated with cross-functional teams to implement process improvements in workforce management.
- Led initiatives to enhance employee engagement through data-driven insights and recommendations.
- Mentored junior analysts on best practices for data analysis and reporting methodologies.
Quality Specialist
Centene, Absolute Total Care
04.2014 - 10.2016
- Conducted quality audits to ensure compliance with regulatory standards and internal policies.
- Developed and implemented process improvements to enhance operational efficiency and accuracy.
- Collaborated with cross-functional teams to identify quality issues and recommend corrective actions.
- Trained staff on quality assurance protocols and best practices, fostering a culture of continuous improvement.
Education
Bachelor of Science - Healthcare Management
DeVry University
02-2024
Skills
- Staff training and development
- Complex Problem-solving
- Team leadership
- Strong written and verbal communication skills
- Ai experience
- Relationship building
- Operations management
- Cross-functional teamwork
Accomplishments
Value Added Benefit Overhaul- starting in 2023 took a leading collaborative role in reorganizing doula value added benefit to make the process more efficient, and complaint for birth doulas and member, as well as, to increase ROI from community investments.
Affiliations
Junior League of Charlotte 2025-2026 Provisional Training Coordinator
Certification
- PHIAS Designation (Professional Health Insurance Advanced Studies) 2022
- Certified Life Coach since 2019
Timeline
Manager, Provider Experience
Carolina Complete Health Network
03.2026 - Current
Manager, Provider Engagement
Centene, WellCare of North Carolina
07.2023 - 03.2026
Interim Director, Provider Relations
Centene, WellCare of North Carolina
02.2023 - 07.2023
Supervisor, Provider Relations
Centene, WellCare of North Carolina
06.2022 - 07.2023
Provider Relations Specialist
Centene, WellCare of North Carolina
08.2021 - 06.2022
Provider Relations Representative
Centene, Absolute Total Care
02.2019 - 08.2021
Workforce Analyst II
Centene, Absolute Total Care
10.2016 - 02.2019
Quality Specialist
Centene, Absolute Total Care
04.2014 - 10.2016
Bachelor of Science - Healthcare Management
DeVry University