Megan Williams
Kansas City,KS
Summary
Configuration Analyst with extensive experience in overseeing IT configurations and optimizing systems. Demonstrated expertise in managing configuration management databases (CMDB) and utilizing advanced configuration tools. Proven ability to enhance operational efficiency through process improvements and successful project leadership. Recognized for strong problem-solving skills that drive streamlined workflows.
Overview
13
13
years of professional experience
Work History
Configuration Analyst
UHG
04.2023 - Current
- Build and implement benefit plan adjudication rules.
- Integrate new clients and products.
- Develop and implement claim platforms.
- Align operational needs with technology requirements.
- Develop best practices for configuring benefit plans.
- Analyze claims data to evaluate billing patterns.
- Partner with claim processors to identify and resolve issues.
- Establish consistency and standardization.
Dedicated Client Service Manager
UHG
04.2022 - 04.2023
- Executed assigned account management as per the agreed strategy.
- Ensured accessibility of latest benefit design information to Customer Service and Pharmacy Technicians.
- Managed client plan modifications, ensured proper authorization, and confirmed accuracy.
- Strengthen client relationships through steady communication.
- Maintain oversight of open client inquiries, supplying ongoing feedback to leadership on status and opportunities.
- Contributed to the development of educational content for team members.
- Ensure timely responses to client inquiries, adhering to the service level agreement.
- Fostered strategic partnerships through active participation in client-sponsored events.
Lead Senior Clinical Administrator Coordinator
UHG
08.2016 - 04.2022
- Function as a subject matter expert for other team members.
- Manage the intake of members, or the admission/discharge information, post-notification.
- Orchestrated management of service requests through interaction with healthcare providers.
- Coordinate prior authorizations, ensuring comprehensive intake, notification, and census management.
- Processed queries efficiently for member and provider satisfaction.
- Led workshops for onboarding new employees.
Branch Manager
Provider Plus
02.2015 - 05.2016
- Delivered measurable outcomes by fostering an environment focused on performance excellence.
- Cultivated professional relationships through participation in community activities.
- Executed regular external sales engagements to enhance client relationships.
- Fulfill additional obligations designated by management.
- Created a high-performing team by recruiting, hiring, training, supervising, and developing branch staff.
- Developed leadership initiatives to drive sustained success in sales and service operations.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Coordinated preparation of external audit materials and external financial reporting.
Office Manager
XMED Oxygen and Medicare
01.2012 - 12.2014
- Managed nine employees and the storefront, met with the COO and other departments for problem-solving, handling customer issues, inventory control, and ordering merchandise.
- Secure authorizations via various managed care plans including Medicare, Medicaid, and Tricare.
- Collaborated with care managers, physical therapists, and occupational therapists to coordinate optimal patient support.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
- Mediated conflicts between employees and facilitated effective resolutions to disputes.
- Reviewed contracts for accuracy prior to signing off on behalf of the company.
- Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.
- Analyzed business performance data and forecasted business results for upper management.
Education
High School -
Oak Park High School
01.2007
Skills
- Adaptability
- Collaboration
- Critical thinking
- Communication
- Training
- Medical knowledge
- Effective time management
- Software configuration
- Test planning
- Configuration auditing
- Configuration management
- Hardware configuration
- Information systems
- Business intelligence
- Systems analysis
Timeline
Configuration Analyst
UHG
04.2023 - Current
Dedicated Client Service Manager
UHG
04.2022 - 04.2023
Lead Senior Clinical Administrator Coordinator
UHG
08.2016 - 04.2022
Branch Manager
Provider Plus
02.2015 - 05.2016
Office Manager
XMED Oxygen and Medicare
01.2012 - 12.2014
High School -
Oak Park High School
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