Summary
Overview
Work History
Education
Skills
Timeline
Generic

Marisha Jones

Charlotte,NC

Summary

An exceptional leader with over ten years of experience applying outstanding planning and problem-solving abilities toward enhancing day-to-day activities. Recognized as a self-directed collaborator, high performer, and mentor with purpose and resilience in developing teams while increasing productivity. Bringing a solid understanding of industry trends and a talent for spotting areas for improvement and implementing changes with a strategic approach. Organized, detail-oriented, and dependable candidate successful at managing multiple projects. Applies a sincere client-focused approach that generates trust and allegiance. Efficient in delivering effective verbal and written communication to all levels of staff when providing analysis, reporting, and general service.

Overview

11
11
years of professional experience

Work History

Quality Analyst

AmerisourceBergen
07.2016 - Current
  • Provides regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Develop training materials, SOPs, and work instructions to supplement new team member onboarding.
  • Lead client calibration sessions.
  • Creative Lead for Mentorship Program supporting growth for 97 team members and leaders.
  • Develop and implement credentialing programs for onboarding team members.
  • Provide quarterly newsletter to provide quality insights, highlight employees, share successes, and drive improvement.
  • Administer 10% internal quality audits and assess results to inform corrective action measures.
  • Use Calabrio and Microsoft Power BI to create presentations, flowcharts and graphs detailing data analysis results.

AR Interim Quality Manager

AmerisourceBergen
10.2021 - 03.2023
  • Applied coaching techniques and tools to support Interim Quality Analyst in improving performance.
  • Scheduled and chaired quality review meetings to review effectiveness of performance.
  • Established productive environment to introduce demanding work to associates.
  • Produced reports regarding productivity, root cause analyses, and quality trends.
  • Mentored and encouraged employees to strive for excellence while fostering professional growth.

Patient Access Consultant

AmerisourceBergen
08.2015 - 07.2016
  • Collaborated directly with patients, providers, pharmacies, and sales representatives to ensure patients receive available options regarding financial assistance and drug coverage.
  • Verified transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate.
  • Applied medical and pharmacy insurance expertise and exemplary customer service skills to help patients access life-saving therapies.
  • Conducted fax reviews, sit-ins, and mentored new associates.
  • Answered constant flow of customer calls with minimal wait times.

Benefits Verification Specialist

AmerisourceBergen
08.2012 - 08.2015
  • Verified insurance benefits for commercial, Medicare, and Medicaid Payers Phone Assisted in both day-to-day and special projects and performs other duties as assigned.
  • Submitted for prior authorizations based on insurance plan specifications in timely manner.
  • Facilitated peer-to-peer conversations to support open communication among mentees.
  • Contributed to company's success by exceeding performance objectives.
  • Ranked #4 out of 50 representatives in productivity and quality service.
  • Explained benefits to plan participants in easy-to-understand terms to educate each on available options.

Education

Associate of Applied Science - Medical

Southwestern College
Cincinnati, OH
06.2010

Skills

  • Trends Analysis
  • Process Improvement Strategies
  • Team Leadership
  • Quality Assurance
  • Formal and Informal Feedback Discussions
  • Customer Care & Service
  • Interpersonal Communication
  • Analytical & Critical Thinking
  • Training & Development
  • CoverMyMeds
  • MS Office

Timeline

AR Interim Quality Manager

AmerisourceBergen
10.2021 - 03.2023

Quality Analyst

AmerisourceBergen
07.2016 - Current

Patient Access Consultant

AmerisourceBergen
08.2015 - 07.2016

Benefits Verification Specialist

AmerisourceBergen
08.2012 - 08.2015

Associate of Applied Science - Medical

Southwestern College
Marisha Jones