Serves as a central point of contact with oversight for Customer Solutions projects
Responsible for all Customer Solutions software and system upgrades and implementations
Analyzes content of software releases, determines impact to business processes, recommends timeline for implementation and facilitates installation with IT Technical Services
Work with management to develop and execute test strategies and test cases for third party vendors and internal processes to ensure successful implementations in the department
Analyze current workflows and statistics to identify opportunities to minimize manual intervention during customer service processes
Present technical solutions and designs to reduce administrative cost, increase efficiency and enhance customer experience
Responsible for documentation of new processes and works closely with the department trainers to develop needed curriculum for end user training
Lead staff in complex business process discussions to generate feedback and ideas for process improvements.
Actively participate in cross-functional teams as it relates to implementation and stabilization of new systems and processes
Interact, document and communicate with users and technical staff to ensure adequate business requirements and ongoing support of business systems and processes
Enrollment Manager
Health Alliance
01.2013 - 01.2019
Recommend various personnel actions including but not limited to hiring, performance evaluations and promotions
Ensure direct reports are adequately trained and are competent to perform all required job duties and meet all performance and behavior expectations
Participate in required CMS and internal audits
Lead staff in complex business process discussions to generate feedback and ideas for process improvements
Actively participate in cross-functional teams as it relates to implementation and stabilization of new systems and processes
Actively contributes to the organizational strategies, represents the department on various administrative committees and task forces, represents the organization in relationships with contracted vendors and consultants
Enrollment Lead
Health Alliance
01.2008 - 01.2013
Recommend various personnel actions including but not limited to hiring, performance evaluations and promotions
Ensure direct reports are adequately trained and are competent to perform all required job duties and meet all performance and behavior expectations
Researches, compiles, prepares and tracks reports, responses, manuals, correspondence and other information required by management or governmental or regulatory agencies within required timeframes
Participates in the development of departmental policies and procedures
Enrollment Coordinator
Health Alliance
01.1998 - 01.2008
Open and review all inbound mail into the Enrollment Department
Review and Determine Eligibility for enrollment applications and termination requests
Enter enrollment and termination data into the Claims and billing systems
Maintain member demographic information
Initiate written communication to applicants or new members
Manage error reports and resolved issues timely
Participate in yearly audits by gathering requested data and submitting to auditors