Excel, PowerPoint, Salesforce, Cornerstone LMS, Phoenix, Dynamite, Polaris, Word, MS Office, SharePoint
Patricia Ammons
Healthcare Operations
Jacksonville,FL
Summary
A health care professional with over10 plus years of experience in Managed Care, Workers Compensation, TPA, PPO, HMO and Recruitment. Strong business background developed through line and staff positions in various industries. An innovative professional with a wide range of recruitment, retention, training, reporting, scheduling, and negotiating skills. Able to identify, and manage multiple product lines and services in emerging and established markets. Former CEO with experience in Temporary Staffing. Exceptional leader, change manager and complex problem solver. Proven skills in operations oversight, process improvements and recruitment.
Overview
10
10
years of professional experience
1
1
Certificate
Work History
EO Training Specialist
AmeriHealth Caritas
11.2022 - Current
- Train and mentor over 25 personnel hired to fulfill various roles.
- Develop training handbooks, computer tutorials and reference materials.
- Deliver group and individual training covering Clinical Appeals & Grievance Coordinators, and multiple LOB'S.
- Document participation and evaluate learning for each participant.
- Organize and implement coursework, oversee scheduling and monitor attendance through learning management system.
- Provide constant training to staff on newly developed training programs used in classrooms, and computer systems.
- Conduct needs assessments to identify gaps in performance and develop targeted learning solutions.
- Establish and maintain quality control standards.
- Develop instructional materials and written practice tests for multiple clinical and non clinical LOB's.
- Develop training curricula and recommend programs that met instructional goals and objectives.
- Collect data on program effectiveness to develop modifications and improvements to curricula.
Operations Training Specialist
One Call Care Management
Jacksonville, FL
11.2019 - 03.2022
- Scheduled and taught in class and online courses to increase learning opportunities
- Developed effective training plans based on department needs and objectives
- Implemented new training courses after assessing corporate data and identifying employee weaknesses
- Compiled training materials for new employees and tracked skill development
- Interpreted, and implemented training policies and/or Standard Operating Procedures
- Collected learner feedback on effectiveness of instructional delivery
- Developed and implemented updating training programs for Group Health employees
- Created curricula, instructions, documents and written tests for various types of training courses
- Verified long-term staff excellence by implementing updated and continuous training initiatives such as online modules, interactive programs and language labs
- Executed training plans and training courses ( ILT and WebEx) using professional delivery methods
- Used Cornerstone Learning Management System for all classroom, web, and performance management events
Senior Provider Relations Specialist
One Call Care Management
Jacksonville, FL
10.2015 - 11.2019
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties
- Mentored new hires on client specifics and software applications
- Contributed to and enhanced audit processes to maximize quality management standards
- Negotiated contracts with providers
Provider Relations Rep
One Call Care Management
Jacksonville, FL
08.2013 - 10.2015
- Optimized quality of care by fostering healthcare outcomes
- Studied processes, implemented cost reductions and developed reporting procedures to maintain administrative workflow
- Trained new employees on health plan specifics
- Identified specific providers within designated territories, and negotiated rates for new vendors
Education
Master of Science - Higher Education
Walden University
Minneapolis, MNBachelor of Arts - Liberal Arts And Sciences
Chicago State University
Chicago, ILSkills
Customer Relations
Policy and procedure modification
Staff Management
Scheduling
Strategic planning
Workflow planning
Contract Negotiation
Talent management
Recruitment
Curriculum Development
Health plan operations
Written Communication
Provider relationship management
Quality assurance
Online training experience
Training material development
Analytical and Critical Thinking
Process improvement
Design and Implementation
Software
Jiva, Facets
Tableau
Timeline
EO Training Specialist
AmeriHealth Caritas
11.2022 - Current
Operations Training Specialist
One Call Care Management
11.2019 - 03.2022
Senior Provider Relations Specialist
One Call Care Management
10.2015 - 11.2019
Provider Relations Rep
One Call Care Management
08.2013 - 10.2015
Master of Science - Higher Education
Walden University
Bachelor of Arts - Liberal Arts And Sciences
Chicago State University