Natasha Powell
Suffolk,VA
Summary
Accomplished Business Change Manager with a proven track record at Elevance Health, enhancing operational efficiency and spearheading process improvements. Leveraging analytical skills and leadership prowess, I've successfully managed cross-functional projects, significantly improving partner relations and issue resolution. Expert in project management and interpersonal communication, I drive initiatives that exceed organizational goals.
Overview
21
21
years of professional experience
Work History
Business Change Manager (Account Management)
Elevance Health
12.2022 - Current
- Serves as an advisor on behalf of Health Benefits Organization by proactively sharing operational impacts and results to the health plan markets
- Manage the complete lifecycle of new program rollouts, configuration updates, issue resolution, and automation
- Coordinate cross-functional services to deliver high-quality market solutions
- Monitor and report issue resolutions, ensuring clear communication of solutions, deadlines, and risks
- Conduct regular meetings with Health Plan partners and business functions to resolve ongoing issues
- Facilitate connections between Health Plan leadership, stakeholders, and essential resources
- Evaluate issues and coordinate resources for both immediate and long-term solutions
- Participate in cross-functional process improvement initiatives
Business Change Manager (Nevada Health Plan Operations)
Anthem (Elevance Health)
04.2021 - 12.2022
- Assisted in the development, review, and implementation of corporate initiatives and programs to meet State/Alliance contract and operational needs
- Provided expert guidance to operational leaders in resolving complex financial, legal, and other escalated issues
- Represented the local market by guiding shared services partners, including triage and management of change request inventory
- Planned and monitored key operational indicators for Health Plan operations, ensuring compliance with State/Alliance contracts by supporting the creation of business requirements
- Supported market-specific vendor management operations, developing corrective actions to maintain compliance
- Conducted cost/benefit analyses, fostering support for business changes across the unit
- Participated in monthly Payment Integrity meetings and addressed state, executive, and provider complaints
- Submitted change requests following state updates on fee schedules and benefits
- Performed user acceptance testing (UAT) for system improvements
- Participated in the operational support of provider organization partners, ensuring successful engagement of members, network providers, and community partners in programs
Medicaid State Ops Analyst (Pricing and Benefits – West Region)
Anthem (Elevance Health)
02.2019 - 04.2021
- Reviewed and researched claim issues related to pricing and benefits
- Managed updates to fee schedules and benefits through Jira and End to End
- Conducted root cause analysis for issues on the West Region Operations SharePoint site
- Participated in Payment Integrity meetings, resolving state, executive, and provider complaints
- Collaborated with internal teams on benefit and pricing issues
- Performed UAT testing
- Recommended new or revised procedures for complex problem-solving
Senior Claims Resolution Analyst
Anthem (Elevance Health)
06.2015 - 01.2019
- Served as an operational expert, conducting team meetings and addressing issues
- Prepared daily inventory reports for service forms and appeals
- Conducted root cause analysis and facilitated account management calls for the Texas market
- Researched and resolved claim payment issues
- Engaged with network providers and customers to ensure issue resolution
- Conducted trend analysis and UAT testing
- Suggested new or modified procedures/processes
Claims Resolution Analyst
Amerigroup Corporation (Elevance Health)
04.2011 - 06.2015
- Researched and resolved claim payment issues
- Addressed state, executive, and provider complaints
- Engaged with network providers and internal customers
- Conducted trend analysis and UAT testing
- Recommended new or modified procedures/processes
- Prepared daily inventory reports for service forms and appeals
CAMP Analyst
Amerigroup Corporation (Elevance Health)
04.2009 - 04.2011
- Acted as a liaison between Health Plan and operational departments
- Managed customer expectations and communicated project updates and risks
- Documented business scope and translated requirements into system specifications
- Coordinated project scope activities and interdependencies
- Facilitated resolution of claims issues through system and process analysis
- Regularly updated stakeholders and managed state or federal complaints
- Conducted claims and trend analysis
Business Solutions Analyst II
Amerigroup Corporation (Elevance Health)
06.2007 - 04.2009
- Conducted requirements gathering, analysis, and process/data flow
- Supported new development projects and market expansions
- Managed the ACM process for business requirements
- Led requirement gathering, developed documentation, and obtained approvals
- Recorded key business decisions and processes
Claims Supervisor
Amerigroup Corporation (Elevance Health)
03.2006 - 06.2007
- Supervised daily operations of claims staff and monitored productivity and quality
- Coached and counseled associates
- Conducted team meetings and trainings on new claim policies
- Managed staff evaluations and attendance
- Delivered individual scorecards to ensure productivity and quality
- Management of claims inventory to ensure Service Level Agreements (SLAs) were met
Research Specialist
Amerigroup Corporation (Elevance Health)
01.2005 - 03.2006
- Processed and responded to all Behavioral Health and Long-Term Care Projects from the Health Plan
- Processed Refund Notification Forms
- Mentor and Train teammates on new claims policies and procedures
- Processed CAMP Projects and Settlements
- Worked Correspondence and Phone Logs
- Assisted with the training for the Special Needs Product
- Assisted team with any claims questions
Claims Analyst
Amerigroup Corporation (Elevance Health)
06.2003 - 01.2005
- Processed medical claims for the Texas market
- Handled inpatient claims and anesthesia reports
- Managed overpayment and OHI projects
- Worked on phone logs and correspondence
Education
BS - Psychology
Norfolk State University
01.2017
AS - Psychology
Tidewater Community College
01.2012
Skills
- Decision-making
- Analytical skills
- Problem-solving skills
- Organizational abilities
- Attention to detail
- Operational efficiency
- Process improvements
- Interpersonal skills
- Project management
- Leadership skills
Timeline
Business Change Manager (Account Management)
Elevance Health
12.2022 - Current
Business Change Manager (Nevada Health Plan Operations)
Anthem (Elevance Health)
04.2021 - 12.2022
Medicaid State Ops Analyst (Pricing and Benefits – West Region)
Anthem (Elevance Health)
02.2019 - 04.2021
Senior Claims Resolution Analyst
Anthem (Elevance Health)
06.2015 - 01.2019
Claims Resolution Analyst
Amerigroup Corporation (Elevance Health)
04.2011 - 06.2015
CAMP Analyst
Amerigroup Corporation (Elevance Health)
04.2009 - 04.2011
Business Solutions Analyst II
Amerigroup Corporation (Elevance Health)
06.2007 - 04.2009
Claims Supervisor
Amerigroup Corporation (Elevance Health)
03.2006 - 06.2007
Research Specialist
Amerigroup Corporation (Elevance Health)
01.2005 - 03.2006
Claims Analyst
Amerigroup Corporation (Elevance Health)
06.2003 - 01.2005
BS - Psychology
Norfolk State University
AS - Psychology
Tidewater Community College
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