Debra Lindsey
Cave City
Summary
Experienced with team leadership, strategic planning, and operational management. Utilizes effective communication and organizational skills to drive project success. Track record of fostering productive work environments and achieving set goals.
Overview
13
13
years of professional experience
Work History
Manager, Utilization Management Ambetter
CENTENE CORPORATION
11.2021 - 10.2023
- Developed and implemented training programs for team members to improve skill sets and performance.
- Facilitated regular performance reviews, fostering a culture of feedback and professional development among staff.
- Analyzed operational data to identify trends, inform decision-making, and enhance process efficiency.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
- Managed cross-functional teams to streamline processes and achieve organizational goals.
- Established key performance indicators to measure success and drive continuous improvement initiatives.
- Collaborated with senior leadership to align departmental objectives with company vision and growth strategies.
- Led operational strategy to enhance efficiency and productivity across multiple departments.
Clinical Systems Integration Analyst
CENTENE CORPORATION
10.2017 - 11.2021
- I work on the problems and issues that users experience while working in TruCare for case management and utilization management. I trouble shoot TruCare and perform education to the end user. I do testing for upgrades to TruCare and Business Rules. I do configuration work for TruCare the clinical operating system that Centene uses in all of the plans. I work on the Web team and have complete oversight of Client Portal—which gives access to third party vendors to assessments to be completed for the members of 24 individual health plans. I do special projects for Medical Management
Senior Clinical System Specialist
CENTENE CORPORATION
12.2012 - 10.2017
- Centene Corporation owns Magnolia Health Plan. I transferred to the corporate office. I work on the problems and issues that end users experience while working in TruCare for case management and utilization management. I trouble shoot TruCare and perform education to the end user. I do testing for upgrades to TruCare and Business Rules. I do all configuration work for TruCare the clinical operating system that Centene uses in all of the plans. I work on the Web team and have complete oversight of Client Portal—which gives access to third party vendors to assessments to be completed for the members of 24 individual health plans.
Supervisor, Case Management
Magnolia Health Plan
12.2010 - 12.2012
- Supervisor for case management for managed care organization. Responsible for 11 nurses, six program specialists (social workers), and 4four program coordinators for telephonic case management of our members. Functioned as a resource for any employee that needs assistance.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
- Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
- Optimized scheduling to ensure full coverage during peak hours without overstaffing, balancing customer service with cost efficiency.
- Negotiated with vendors to secure cost-effective contracts, resulting in significant budget savings.
- Led successful project completions under tight deadlines, coordinating effectively across multiple teams.
- Devised and implemented processes and procedures to streamline operations.
Education
Associate Degree - Nursing
Northeast Community College
Booneville, MS05.1993
Bachelors of Science - Nursing
Mississippi University for Women
08.2019
Educational Psychology and Business
Mississippi State University
Starkville, MS12.1980
Skills
- Customer service
- Team leadership
- Time management
- Decision-making
- Complex Problem-solving
- Staff management
- Documentation and reporting
- Operations management
- Customer relationship management (CRM)
- Cross-functional teamwork
Timeline
Manager, Utilization Management Ambetter
CENTENE CORPORATION
11.2021 - 10.2023
Clinical Systems Integration Analyst
CENTENE CORPORATION
10.2017 - 11.2021
Senior Clinical System Specialist
CENTENE CORPORATION
12.2012 - 10.2017
Supervisor, Case Management
Magnolia Health Plan
12.2010 - 12.2012
Associate Degree - Nursing
Northeast Community College
Bachelors of Science - Nursing
Mississippi University for Women
Educational Psychology and Business
Mississippi State University
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