Summary
Overview
Work History
Education
Skills
Timeline
Generic
Megan Andre

Megan Andre

Cincinnati,OH

Summary

Experienced professional with a strong background in customer service and management roles, spanning over 8 years of working with the public and over 3 years in various leadership positions. Valuable expertise gained through 5 years in the health and wellness industry. Motivated by goals and driven to succeed, possesses exceptional communication skills to effectively engage with individuals from diverse backgrounds.

Overview

17
17
years of professional experience

Work History

Implementation Manager, Payor Contracting & Analytics

Kroger Health
08.2023 - Current

Program Oversight

  • Oversee Kroger’s prescription benefit program, Kroger Health Savings Club (KHSC), including marketing, account management, and contributing to strategy and program development.
  • Implement and manage Discount Card programs, ensuring seamless pharmacy system integration and effective communication with divisions and stores.
  • Maintain ownership of the internal price check tool for Discount Cards.

Performance Management & Reporting

  • Manage KHSC and Discount Card program performance, including operations, execution, and detailed reporting.
  • Establish performance benchmarks, monitor progress toward goals, and assess program compliance and profitability.

Cross-Functional Collaboration

  • Draft and tailor communications for the legal department, ensuring clarity and compliance.
  • Collaborate with Kroger divisions and internal departments to drive successful execution of KHSC and Discount Card initiatives.
  • Manage and nurture vendor relationships to ensure consistent collaboration and alignment with business objectives.

Strategic Program Administrator, Payor Contracting & Analytics

Kroger Health
05.2022 - 08.2023
  • Process Improvement: Implemented new processes to enhance the efficiency and effectiveness of the Contracting & Analytics team
  • Specialist Responsibilities: Maintained duties from the Third-Party Specialist role, including Account Management and Credentialing for Pharmacy Benefit Managers
  • Salesforce Administration:
  • Led the implementation and adoption of Salesforce across multiple Kroger Health business lines
  • Collaborated with IT consultants to manage Statements of Work (SOWs), adhere to Sprint timelines, and ensure seamless tool integration
  • Streamlined the creation of Accounts, Contracts, and Opportunities record types for various business lines
  • Developed executive dashboards and reporting tools to track Opportunities
  • Mastered Salesforce backend operations, including data loads, and optimized initial data setup for Accounts, Contracts, and Opportunities
  • Established a support process within Salesforce to keep associates informed and involved in enhancement requests and issue resolution
  • Keep associates informed and involved in enhancement requests and issue resolution

Third-Party Specialist/Administrative Support

Kroger Health
09.2018 - 05.2022
  • PBM & Pharmacy Coordination: Acted as the primary liaison between PBMs, the Contracting & Analytics team, and Kroger stores, ensuring proper pharmacy contracting and resolving member grievances, billing issues, and store maintenance needs
  • Third-Party Payor Management: Addressed contracting rejections, billing rejections, and licensing issues by collaborating with third-party payors and maintaining detailed contract records
  • Credentialing Oversight: Managed active facility and Pharmacist-in-Charge (PIC) lists using NCPDP; prepared and submitted documentation such as licensure, DEA, Medicaid/Medicare IDs, W9s, and MOIs to payors
  • Cross-Department Collaboration: Worked closely with licensing and contract management teams to ensure timely delivery of documents and assisted with contractual language in attestations
  • B2B Contracting: Negotiated and executed contracts for The Little Clinic’s in-clinic and offsite wellness services with external businesses
  • Applied expertise in clinic wellness services and insurance partnerships, leveraging strong organization and communication skills

Receptionist/Administrative Assistant

Kroger Personal Finance (KPF)
05.2018 - 09.2018
  • Welcome guests and manage incoming phone calls in a professional and courteous manner for the department
  • Distribute mail and overnight packages for the floor
  • Manage all reservations, facilities, and equipment for the KPF and H&W conference center; suggest process improvement related to scheduling, and ensure equipment is in working order
  • Serve as liaison on matters with the building management team, current building maintenance, and office services
  • Manage payment, logging, and tracking of invoices for support teams and building services
  • Provide support to KPF departments, including APT requests, scheduling and catering, setting up for meetings, ordering kitchen/office supplies, and maintaining waiting room monitor
  • Provide backup to the executive assistant and department secretaries with calendar management, meeting set up, and travel for department heads and leadership team

Bookkeeper

Chef’s Choice Catering (Kroger)
05.2017 - 05.2018
  • Record day-to-day accounts receivable invoicing in a formulated “Sales & Cash” Microsoft Excel document; keep record of deposits, final payments, and balances due
  • Use the program “Caterease” to keep track of invoicing for upcoming and past events
  • Process payroll via Kronos and SPOT Payroll (contract payroll) weekly
  • Process gratuity for event workers for Kronos and SPOT payroll associates, making sure to evenly spread out payment for each associate using a basic math formula
  • Oversee the payment process of DSD’s and PO’s (accounts payable), making sure they are sent to the financial department within Kroger to be paid in a timely manner
  • Pay out Commissions once a period, paying attention to detail when it comes to how much commission each venue/service gets
  • Basic HR duties; answering all associate questions as it pertains to HR questions, such as benefits and the Kroger handbook

Associate Relations Manager

Kroger
08.2016 - 05.2017
  • Perform staffing duties, including recruiting, performing initial interview, utilize written job descriptions, hiring, pre-employment drug screens, criminal background checks, and conducting new hire orientation
  • Oversee accurate completion of all new hire paperwork and forwarding it to the HRSSC in a timely manner
  • Maintain personnel and medical files
  • Set up and maintain associate vacation calendar
  • Oversee all department hiring needs, hiring based on mandated labor hours
  • Process payroll for all hourly associates on a weekly basis
  • Assist associates with questions as it pertains to their hours, pay, or schedules
  • Have knowledge of the handbook and associate benefits, both union and non-union

Assistant Customer Service Manager/Bookkeeper

Kroger
05.2015 - 08.2016
  • Provide training and peer coaching for all cashiers and courtesy clerks to follow best practices
  • Plays an important role in resolving customer concerns in a professional and timely manner
  • Trained to spot potential cases of scams/fraud when assisting customers with Money Orders, Western Union, bill payments, and store returns/exchanges
  • Responsible for scheduling of front end staff, staying aware of allotted hours given per store and department
  • Delegates work and supervises staff on the front end
  • Experienced in “Lean Accounting”, the procedure Kroger bookkeepers use to complete the daily balance

Office Clerk/Cashier/Courtesy Clerk

Kroger
06.2008 - 05.2015
  • Started as a Courtesy Clerk
  • In2010, promoted to Cashier
  • In2011, promoted to Office Clerk

Education

Social and Criminal Justice

University of Arizona Global Campus
01.2022

High School Diploma - undefined

Middletown High School
01.2010

Skills

  • Cross-Functional Collaboration
  • Data Analysis and Reporting (Performance Metrics, Benchmarking)
  • Salesforce Administration (Implementation, Data Loads, Dashboards, Reporting)
  • Highly organized with a proven ability to manage multiple tasks efficiently

Timeline

Implementation Manager, Payor Contracting & Analytics

Kroger Health
08.2023 - Current

Strategic Program Administrator, Payor Contracting & Analytics

Kroger Health
05.2022 - 08.2023

Third-Party Specialist/Administrative Support

Kroger Health
09.2018 - 05.2022

Receptionist/Administrative Assistant

Kroger Personal Finance (KPF)
05.2018 - 09.2018

Bookkeeper

Chef’s Choice Catering (Kroger)
05.2017 - 05.2018

Associate Relations Manager

Kroger
08.2016 - 05.2017

Assistant Customer Service Manager/Bookkeeper

Kroger
05.2015 - 08.2016

Office Clerk/Cashier/Courtesy Clerk

Kroger
06.2008 - 05.2015

High School Diploma - undefined

Middletown High School

Social and Criminal Justice

University of Arizona Global Campus
Megan Andre